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Doctor insights on: Taking Anti Inflammatory Drug With Methotrexate For Ra

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Crp .1 mg/l. Ra/anti-dsdna antibs/ana all negative. Why might hematology report indicate "suggested reactive or inflammatory process"? Also noted subset of reactive lymphocytes, occasionally atypical.

Crp .1 mg/l. Ra/anti-dsdna antibs/ana all negative. Why might hematology report indicate "suggested reactive or inflammatory process"? Also noted subset of reactive lymphocytes, occasionally atypical.

See below : Reactive (atypical) lymphocytes are usually due to viral illness or stressor on the body. It could be due to a medicine reaction or autoimmune disorder as well. Your CRP level of 0.1 is very low which is good. And your ra/anti ds dna are negative. So overall they didn't find anything abnormal and they called it possibly due to reactive process. ...Read more

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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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Are there any effective anti-tnf drugs for RA without methotrexate?

Are there any effective anti-tnf drugs for RA without methotrexate?

Yes : If a person can not or will not take Methotrexate with a tnfi, one may be able to substitute the Methotrexate for another NSAID such as lefluemide, sulfasalazine, Hydroxychloroquine or in some settings use the tnfi alone. ...Read more

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Has anyone tried anti-tnf drugs for RA without using methotrexate at the same time?

Yes: Though the drug studies were set up to have these tnf agents used in combination with Methotrexate (mtx), many patients do take tnf agents without mtx. Certain tnf agents work better than others if mtx is not being taken. Speak to your rheumatologist if you are considering going off mtx. ...Read more

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Severe RA. dr. prescribed Actemra (tocilizumab) inj. plaqunil. methotrexate.Sulfasalazine. norco.folic acid.What 2 watch out for? Any concerns from theses drugs?

Severe RA. dr. prescribed Actemra (tocilizumab) inj. plaqunil. methotrexate.Sulfasalazine. norco.folic acid.What 2 watch out for? Any concerns from theses drugs?

Sounds right.: Severe RA requires serious medications. I do not see any drug-drug problems. But individually these meds require monitoring and an awareness of what can go wrong. You absolutely must review your concerns with your doc who is paid to educate you about the risks and benefits of treatment and making an informed decision about your care. ...Read more

Antiinflammatory (Definition)

Inflammation is a condition of swelling that may or may not be associated with pain. Anti-inflammatory are medications that block the cause of this condition. Medications include ibuprofen, naproxen, and celecoxib. Steroids (cortisone) are ...Read more


Dr. Tracy Lovell
869 doctors shared insights

Rheumatoid Arthritis (Definition)

A chronic inflammatory disorder that affects joints and may also affect ...Read more