Doctor insights on:
What Dmard Is Recommended For Psoriatic Arthritis
Many good options: There are highly effective treatments. Often, we now use biologic medications, like Enbrel, Humira, Remicade, Simponi, Cimzia or Stelara (ustekinumab). These are injected. Some are pills such as methotrexate. Recently a new pill was approved called Otezla. A rheumatologist is experienced in treating psoriatic arthritis and can help. ...Read moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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
No Magic Dose: Crazy as it sounds, there is no single specific dose. Your rheumatologist (you should definitely have one if you have ra) will listen to your story to get an idea of the severity, and over time will learn what doses work for you. I tell my students that I use the force, and they laugh, but i'm kinda serious. ...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 moreSee 1 more doctor answer
Absolutely: Anxiety over potential eye problems with Hydroxychloroquine is completely unwarranted if the dose is kept below 6mg/kg (2.2lbs) of body weight. Apart from some stomach quiziies, I have never stopped this drug, as long as it demonstrated it is working. Shown effective in ra, sle, and other ctd's. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
See details: Both are often very effective.Get a more detailed answer ›
Impossible to answer: Every patient is different with differing degrees and intensity of disease and differing potentials for long term damage. Varied drugs are used includind anti inflammatory medications and low dose steroids. Disease modifying drugs like plaquenil, azulfidine (sulfasalazine) or Methotrexate are quite helpful the most recent additions, the biologics, like Enbrel or Humira are the most potent and trul;y inhibit diseu. ...Read moreSee 1 more doctor answer
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
Very effective!: Good drug for severe RA!Get a more detailed answer ›
Good: We have developed a variety of medicines that can help rheumatoid arthritis. The important thing is early as possible diagnosis and immediate and intensive therapy including medications, exercise including physical therapy. We need to start medication as soon as possible. ...Read moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
Ideally prevention: Arthritis from gout occurs when uric acid crystals from the blood stream get deposited in the joints. The crystals cause an inflammatory reaction that can cause severe joint damage and arthritis. Ideally the treatment involves lowering uric acid levels in the body either with diet or medication. Thank you for the question. ...Read moreSee 3 more doctor answers
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