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Doctor insights on: Psoriatic Arthritis Medication Arava

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Is arava (leflunomide) effective for rheumatoid arthritis?

Is arava (leflunomide) effective for rheumatoid arthritis?

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 more

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Dr. Robert Lowe
1,573 doctors shared insights

Painful Joints (Definition)

That term is not really a specific diagnosis, but rather somewhat of a general term. The medical term is arthralgias, which implies pain in multiple joint possibly coming from a single cause. Don't hesitate to be seen and evaluated for ...Read more


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Methotrexate vs humira (adalimumab), rheumatoid arthritis question?

Methotrexate vs humira (adalimumab), rheumatoid arthritis question?

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

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Methotrexate vs humira (adalimumab), rheumatoid arthritis?

Methotrexate vs humira (adalimumab), rheumatoid arthritis?

Methotrexate: is a first line drug for rheumatoid arthritis, used frequently with hydroxchoroquine and sulfasalazine. Humira is an expensive biologic for those who have failed traditional first line regimens!

Humira works well for RA, but it is second line! ...Read more

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Anyone taking humira (adalimumab) for rheumatoid arthritis?

Anyone taking humira (adalimumab) for rheumatoid arthritis?

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

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Anyone tried enbrel (etanercept) for treating rheumatoid arthritis?

Anyone tried enbrel (etanercept) for treating rheumatoid arthritis?

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 more

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Is methotrexate or humira (adalimumab) better for rheumatoid arthritis?

Is methotrexate or  humira (adalimumab) better for rheumatoid arthritis?

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 more

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How is enbrel (etanercept) used for treating rheumatoid arthritis?

How is enbrel (etanercept) used for treating rheumatoid arthritis?

Second line.: While Enbrel (etanercept) can be used alone, it works better in tandem with methotrexate. It is given by subcutaneous injection once per week, the dose being dependent on body size. It is also indicated for psoriatic arthritis and spondylitis. Most insurers want the patient to have been on lesser drugs. These would include incomplete response to mtx, sfz, and ho-q. It binds to tnf-alpha, which caues inflamm. ...Read more

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For juvenile arthritis is methotrexate safe?

For  juvenile arthritis is  methotrexate  safe?

Very safe!: Although i frequently use other agents for jia, i frequently add mtx to the therapeutic mix. Considering that the dose should be lower, i still favor the subcutaneous route rather than oral. However, I have not had serious issues with mtx and children. Make sure they get supplemental folic acid! ...Read more

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What dmard is recommended for psoriatic arthritis?

What dmard is recommended for psoriatic arthritis?

Several Possible: Methotrexate and sulfasalazine are effective treatment options. Additional options are biologic dmards , which are tumor necrosis factor inhibitors, examples are embrel, humera and remicade (infliximab). ...Read more

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How effective is infliximab in treating psoriatic arthritis?

How effective is infliximab in treating psoriatic arthritis?

Quite effective!: Infliximab is quite effective in treating both psoriasis and psoriatic arthritis, but it is not and should be not a first line therapy. ...Read more

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Is taking humira (adalimumab) a common treatment for rheumatoid arthritis?

Is taking humira (adalimumab) a common treatment for rheumatoid arthritis?

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

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Is there anybody taking anti-tfn infliximab for rheumatoid arthritis?

Many patients!: Results are very good, particulary when used alone and better with methotrexate. The dirrence with Remicade (infliximab) is that it blocks the tnf-a receptor, rather than binding tnf-a itself, but it accomplishes the same thing. It's infusion intervals are longer, because the turnover of recptors is slower than the production of tnf-a itself. A good choice for those who do not want to inject themselves sc. ...Read more

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How good is enbrel (etanercept) for treating rheumatoid arthritis?

How good is enbrel (etanercept) for treating rheumatoid arthritis?

Very effective.: But frequently unecessary in most of my RA patients. Combinations inclduing mtx with sulfasalazine, hydroxychlorquine, perhaps doxycycline, or Leflunomide should be tried before starting enbrel, (etanercept) unless you have overwhelming inflammatory disease. Noenthless, Enbrel (etanercept) with mtx is better than either alone! ...Read more

Dr. Thomas Namey
1,032 doctors shared insights

Psoriasis (Definition)

An autoimmune disease that causes itchy, thickened, skin lesions on the skin, nail changes, and occasionally joint arthritis. ...Read more


Dr. Thomas Namey
2,438 doctors shared insights

Arthritis (Definition)

A severe illness caused by bacteria named bacillus anthracis. Anthrax disease can result in pneumonia, ...Read more