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Doctor insights on: Rheumatoid Arthritis Methotrexate Intramuscular Injection

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What do doctors prescribe for rheumatoid arthritis?

What do doctors prescribe for rheumatoid arthritis?

Many Options: Rheumatoid Arthritis is an autoimmune disease primarily affecting the joints. There is a very wide range of Disease Modifying antiRheumatic Drugs (DMARDs) available for treatment. There are older, less specific, but still effective DMARDs such as plaquenil, sulfasalazine, leflunomide and methotrexate. NSAIDs and prednisone to treat flares. There are many newer biologic DMARDs like Anti-TNF agents. ...Read more

Methotrexate (Definition)

Methotrexate was originally used in the early 1950's as a treatment for cancer but was also found to be effective in many other diseases including rheumatoid arthritis and psoriasis. It has anti inflammatory and immunosuppressive properties which make it an excellent first line therapy for RA ...Read more


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I have rheumatoid arthritis and take methotrexate and humira injections. I want to get look better by getting filler for my face. Please let me know which ones are not in conflict with my medications. Thanks?

I have rheumatoid arthritis and take methotrexate  and humira  injections. I want to get look better by getting filler for my face. Please let me know which ones are not in conflict with my medications. Thanks?

Filler options: You need to avoid sculptra with RA as you may be at increased risk for nodule and granuloma formation. Ha fillers like juvederm or Restylane should be safe but last only a year or so. Fat transfer is a good long term option but has more down time. Consult with a local experienced facial plastic surgeon. ...Read more

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What are effects of taking methotrexate for rheumatoid arthritis?

What are effects of taking methotrexate for rheumatoid arthritis?

Works: Methotrexate has become the standard of first choice forra treatment but rarely results in remission, ie no one can tell if you have it including the doctor. The risk is extremely low, although you cannot use alcohol, and is not usually used if ther is preexisting liver disease. Most patients have to add several other disease modifying drugs to get better. ...Read more

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What is your experience with methotrexate and rheumatoid arthritis?

What is your  experience with methotrexate and rheumatoid arthritis?

Good: Usually helps within 2-4 months but rarely produces 100 % remission.Quite low risk. ...Read more

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Methotrexate for rheumatoid arthritis dose it work and anyone had side effects?

Methotrexate for rheumatoid arthritis dose it work and anyone had side effects?

Yes.: My colleagues believe it is the first choice (acr and eular), but while I use it as a second or third drug, the benefit/risk ratio is incredibly good. Methotrexate has little or no justification to be taken orally though. Unpredictable absorption, stomach concenbration build up, and going to the liver on first-pass! the liver sees 600x the ultimate concentration in the blood. ...Read more

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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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Methotrexate vs humira (adalimumab), rheumatoid arthritis question?

Methotrexate vs humira (adalimumab), rheumatoid arthritis question?

MTX vs Humira: 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, a much more expensive drug. In most cases, even if Humira is started, patients will remain on mtx. ...Read more

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Since one year it take 15 mg methotrexate tablet weekly for rheumatoid arthritis so when I can stop it now my blood test is normal but still have pain?

Since one year it take 15 mg methotrexate tablet weekly for rheumatoid arthritis so when I can stop it now my blood test is normal but still have pain?

Which blood test etc: Methotrexate is a good medication for rheumatoid arthritis but it doesn't cure your arthritis - it works as long as you take it. If you still have pain, it may because of active disease (inflammation), or damage that the arthritis has already caused. You should follow up with a rheumatologist if possible. ...Read more

Intramuscular Injection (Definition)

Intramuscular (im) injection is a shot given in large muscle groups, typically shoulder (deltoid), thigh (vastus lateralis) and/or butt (gluteus). Check out http://en.Wikipedia.Org/wiki/intramuscular_injection & ...Read more


Dr. M. Hytham Beck
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Rheumatism (Definition)

"rheumatism" is an older term, not used much today. Most people are referring to pain and swelling in the joints when they use this term. People may mean something different when they use this term in contrast to when they refer ...Read more