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Prednisone is a synthetic cortisone. The body makes cortisone, a natural hormone made in adrenal glands. The body converts it to Hydrocortisone to become active. 25 mg of cortisone has about same effect as 5 mgm prednisone. The average person would produce 3-6 mg of pred daily. So why use a substitute? The synthetic has more anti-inflammatory effect; but has less effect ...Read more
Many patients!: Results are very good, particulary when used alone and better with methotrexate. The dirrence with Remicade (infliximab) is that it binds to tnf-a rendering ineffecftive. It is completely human in origin. A good choice for those who do prefer home sc injection, every two weeks. It is my favorite tnf-a class drug. ...Read more
MTX vs Humira (adalimumab): These drugs fight RA in completely different fashions. Mtx is the consensus first round choice of drugs to treat ra, both by the acr and eular (european version). Most, if not all, insurances require treatment failure with mtx before you start humira, (adalimumab) a much more expensive drug. In most cases, even if Humira (adalimumab) is started, patients will remain on mtx. ...Read more
It's u as much as Rx: Again, this is a question for the treating specialist, most likely a rheumatologist. When treating a disorder like ra, there are a variety of medications that have been effective; as with everything else in medicine, no one size fits all, and the right drug or combo for each must be assessed over time by a specialist. ...Read moreSee 1 more doctor answer
Osteoarthritis-: Can develop from many factors, including systemic inflammatory arthritis. My patients with RA or AS frequently need hip replacement because cartilage loss do to inflammatory damage to their cartilage! The discussion is not between either or or! ...Read moreSee 2 more doctor answers
Many patients: Rheumatoid arthritis can often be controlled with some of the newer medications including enbrel (etanercept). Many patients are saved from irreversible crippling of the joints. The key is to get early diagnosis and effective treatment to prevent worsening. Enbrel (etanercept) is a biologic response modifier meaning that the drug is made by a biological system. The drug can be very effective. Untreated RA has huge risks. ...Read moreSee 2 more doctor answers
Whats the difference between rheumatoid arthritis and juvenile rheumatoid arthritis?does rheumatoid arthritis cause CKD?
It may be...: Again, this is a question for the treating specialist, most likely a rheumatologist. When treating a disorder like ra, there are a variety of medications that have been effective; as with everything else in medicine, no one size fits all, and the right drug or combo for each must be assessed over time by a specialist. ...Read moreSee 1 more doctor answer
Very effective!: Good drug for severe RA!Get a more detailed answer ›
See details: Both are often very effective.Get a more detailed answer ›
I have widespread joint pain, swelling. C-reactive protein <0.5 mg/dl, rheumatoid arthritis factor<8.6 iu/ml, sed rate 15mm/hr. Rheumatoid arthritis?
Polyarthralgia: You should be seen in person by a rheumatologist. Good luck. ...Read more
Alleviating Sx?: Alleviating sx? Not the goal. Alleviating inflammation is the goal. Symptom relief is secondary in importance! the drugs used are similar for adults, except the doses are much lower and size-based. Jra no longer exist. It is juvenile idiopathic arthritis. Virtually all children should be remitted with currently available medication. ...Read moreSee 1 more doctor answer
Blood test negative : For ra. Seronegative rheumatoid arthritis is the rheumatoid arthritis in which the blood doesn’t contain rheumatoid factor (rf or rhf). While diagnosing ra, doctors get a range of laboratory tests done and also evaluate the physical symptoms. ...Read moreSee 1 more doctor answer