Doctor insights on:
Infusion Treatment For Rheumatoid Arthritis
What would be the best treatment for my rheumatoid arthritis? I am presently taking prednisone, plaquenil, methotrexate shots, and actemra infusions. As has been the case in the past, I have built up a resistance to the actemra. In the past I have taken
A condition where there is progressive degeneration of one or more joints. Symptoms may include joint pain, swelling, decreased motion, and stiffness. The two most common types of arthritis are osteoarthritis, which is associated first with articular cartilage breakdown with a component of inflammation, and rheumatoid arthritis, which is a systemic autoimmune disorder that affects joint linings first and secondarily ...Read more
Resubmit: Your question is difficult to understand. Do you mean to ask about side effects of treatments for RA or which treatments are available for problem disease? You need to speak with a/your rheumatologist about these issues. ...Read more
Yes: Alternative treatments are best discussed with your rheumatologist. ...Read more
I've had rosacea since I was a teenager, I tried laser but it didn't work. Are there any new treatments? I also have rheumatoid arthritis.
Rosacea treatments: There are lots of treatments available for rosacea. We have creams, washes and oral antibiotics in addition to the laser treatments. You might want to be sure you have had a blood test to rule out lupus. Since you have arthritis you want to be sure your facial rash is not related. Don't give up on treating your problem. When 1 treatment plan doesn't work we can try another plan. ...Read more
Multiple medications: It is documented that early, agrressive therapy is indicated in RA and results in much better outcome as opposed to delaying agrressive therapy (as was done in the past). Initial therapy would include plaquenil, (hydroxychloroquine) methotrexate, and biologic agents, i.e., enbrel, humira, etc. This approach is supported by long term clinical trials and radiographic evidence. ...Read more
Further research: In general there is not enough scientific evidence to prove that complimentary alternative medicine therapies are safe/effective for rheumatoid arthritis. Some mind-body therapies and supplements may be good adjunctive treatments (could possibly decrease pain in joints) but especially dietary supplements should be discussed with your doctor for potential interactions with conventional medicine. ...Read more
Caution tetracyline: In children tetracycline can stain the bone. We are fortunate that we can use most of the medications we use in adults in children, but some are not approved for children. We can use Methotrexate and some of the biologics are approved for treatment of jia children such as Etanercept and adalimumab. Iv Infliximab is approved for childhood ibd, IV tocilizumab and Abatacept for jia. Others not yet. ...Read more
Could you tell me what are alternative treatments for juvenile rheumatoid arthritis besides medication?
Let the buyer beware: I don't know a lot about alternative treatments for jra, but I see lots of patients that missed their opportunity to prevent permanent joint damage when very effective medications are available. That's very sad, especially for young patients. ...Read more
What is the difference between rheumatoid arthritis and severe degenerative osteoarthritis. Their treatments?
Many differences: Rheumatoid arthritis typicall affects small joints of the hands and feet, is much more painful and causes stiffness of the joints. Degenerative joint disease, also called osteoarthritis is disease of the weight bearing joints like knees and hips and causes low to moderate degree of pain and it often occurs after 50 yrs of age. ...Read more
No cure: Bur excellent treatments o put in remission. ...Read more
No such thing: There is no cure but there are extremely effective meds that will prevent joint damage and eliminate pain. ...Read more
No cure but tx: There is no "cure" for rheumatoid arthritis. That being said, there are medications that can potentially put the disease into "remission." Often combination treatment (more than one medication) is needed to keep the condition under control. There are more options for treatment now than ever before. ...Read more
Closer: There are some good leads but no definite cure yet. Rheumatoid arthritis may be more than one disease. Although we think immune dysregulation is a hallmark of rheumatoid arthritis, different people may have different mechanisms. Sometimes it appears someone is responding to therapy and then they lose the response. This suggests that a new mechanism of inflammation has taken over - possibilities. ...Read more
I'm 27 and diagnosed with rheumatoid arthritis. Is there a natural cure like if I lost weight, if not what's the best medication you suggest?
R.A. can be serious: There is no natural remedy or cure. Spontaneous remission is very unusual and can't be brought about or depended on. You need to see a rheumatologist for management as R.A. can lead to disability and deformity if untreated. You need to be on disease modifying drugs particularly at your young age and being a woman. ...Read more
@ age 20, , B sure U-: -have the proper diagnosis. That should come from a rheumatologist. If U have been diagnosed by a rheumatologist U know there is no cure. There R meds that control the symptoms & slow down the progression. Ask him/ her this question. ...Read more
My daughter's doctor thinks she has juvenile rheumatoid arthritis. What should she do to cure it?
There is no cure: Unfortunately there is no cure for rheumatoid arthritis. There are continuing advancements in treatment. Medications considered disease modifying agents can made a big difference in the progression of the disease process. First make an appointment with a pediatric rheumatologist for the appropriate testing to see if your daughter truly has the disease. The rheumatologist will guide you further. ...Read more
Do stem cells taken at birth of a child would cure the rheumatoid arthritis in child if that happens in future, as we have family background of ra.
Biologicals: The treatment of rheumatoid arthritis has really improved over the last decade since introduction of new class of medications called biological they have many side effects and need to be selected properly for best fit for individual patient please talk to your rheumatologist who will be the best one to answer your specific question good luck. ...Read more
Yes, but.....: Humira (adalimumab) is quite effective. It is also quite expensive. It should not be considered a first-line therapy, as drug companies want us to believe. Other first line dmards like plaquenyl, methotrexate, leflunomide, and sulfasalazine work quite well. I occasionally will give Humira (adalimumab) injections for several visits until other drugs kick in. ...Read more
The biologic drugs, of which the tnf inhibitors are one, are new and exciting medications that are changing the course of RA by interfering with the body's productiion of inflammatory components;
in addition they decrease the joint damage. Ther arenow 5 tnf inhibitors, an il-6 inhibitor, and several b cell inhibitors as well as new jak enzyme inhibitors in investigation. ...Read more
Not sure: Did your rheumatologist put you on this. They use many things to treat RA - but many of them have been proven to be useless or harmful. Do a websearch. ...Read more