Rheumatoid arthritis: what to do when the patient doesn't respond to therapy?

Many options . There are dozens of medications for rheumatoid arthritis. Rheumatologists usually start with a milder, less toxic medication like Methotrexate and add additional therapies as needed. Sometimes it takes trying 6 or more drugs until an effective regimen is found.
Difficult to answer. Depends: more/different medicine, cortisone injections, more/different exercise, consider surgical intervention.

Related Questions

Does food affects rheumatoid arthritis patients?

No. People will try to tell you that certain foods help or flare ra. There are no controlled scientific studies to support those opinions. Read more...

What is the best treatment for rheumatoid arthritis?

There is no one best. Treatments vary from patient to patient. Most of my patients do not need biologics and can be successfully treated with older drugs, but combinations are needed. Sometimes we give rescue doses of certain tnf-alpha inhibitors to provide comfort until other drugs "kick in." but humira, enbrel, cimzia, rituxan, orencia, (abatacept) xeljanz are always costly alternatives! mtx should be tried first! Read more...
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 more...

Is zostavax effective for rheumatoid arthritis patients?

Yes but ... . Yes, but is a question that can vary with the medications you are on! need to know this. Read more...
EFFECTIVE BUT. Yes it is effective to prevent Herpes Zoster even for Rheumatoid Arthritis Patients as long as they are not immunosuppressed If immunosuppressed due to therapy than you can not give this vaccine as there is risk of disseminated Herpes Zoster.It is contraindicated. Read more...

What is the best treatment for juvenile rheumatoid arthritis?

See details. It really depends on the specific manifestation and the severity of the involvement. Is one joint involved or are many involved? Is it more systemic with fevers, rashes and heart involvement. These answers determine the treatment options. A rheumatologist can guide you. Options include nsaids, prednisone, Methotrexate and tnf agents among others. Read more...

When will bip be available to rheumatoid arthritis patients?

Hopefully soon. Binding immunoglobulin protein has been given to the first human trials at Guys Hospital , London. It helped rheumatoid arthritis without serious side effects. It is very low in the joints of patients with R.A. It will take larger numbers of patients in other centers and then will need F.D.A. approval for the U.S.. Probably several years away. Looks promising. Read more...

Is it safe for patients with rheumatoid arthritis exercise?

Yes and no. It is important for people with rheumatoid arthritis to exercise, but it's also very important that they use correct body mechanics so they don't injure themselves. It is a good idea to talk with your rheumatologist or a physical therapist about what exercises are best for you to do and what you should avoid. Read more...

What is the best treatment and exercise for rheumatoid arthritis?

Depends on symptoms. Cardiovascular activity is important for everyone. Walking is a great form of weight bearing exercise ( to help prevent osteoporosis as well). If you can't do that, stationary bike or swimming is good. Also, range of motion can be helpful. Yoga, tai chi, or pilates may be helpful. If you are asymptomatic, light weights are okay. Read more...
Rheumatologist. Rheumatologist would provide this type of information. Treatment depends on verifying diagnosis, determining extent of joint damage and other system involvement, activity of disease. Exercise programs depend upon specific diagnosis, limitations, warm up, stretching and joint protection requirements. Read more...