Non-steroidal antiinflammatories like Motrin
are effective and the best to start with.
Prolonged use may cause gastric pain and ulcers. The most effective drugs are tnf inhibitors like infliximab
, but they are extremely expensive and pose more severe side effects. Other options exist, like sulfasalazine
, and your doctor can optimize treatment as severity and one's response change over time.
Answer assisted by Aaron Stupple, Medical Student