Drugs that are used for rheumatoid arthritis have side effects, therefore any treatment to apply implies the need to consider that the benefit that the risk is greater. In addition, the variable nature of the disease forces to reset the treatment in the same patient. At the end will be the sick who will decide if it assumes the treatment after disposing of all the possible information.
Rheumatoid Arthritis Treatment
Rheumatoid Arthritis Treatment
The treatment of rheumatoid arthritis can be classified into two large groups:
A group includes medications that relieve pain and inflammation in the short term; These are useful to decrease inflammation and cope with the pain of the "day to day", but they do not intervene in the evolution of the disease in the long run. Anti-inflammatory drugs and steroids are included in this group. Anti-inflammatory drugs not anti-inflammatories, or NSAIDs, are drugs whose response varies in each person, and their choice is based on patient characteristics (age, previous individual response, renal insufficiency, chronic liver disease, ulcerative disease,etc).
Sometimes it is necessary to try various NSAIDs until you get the desired effects (leaving to act at least two weeks to full dose). Administration of low-dose and oral glucocorticoids, is used if NSAIDs do not adequately control pain and functional impotence, or are contraindicated; they are used following the specific indications referred to the rheumatologist, and in many cases allow the improvement of the quality of life in the long run.
Another large group includes drugs that are good for pain at any given time, If not acting making lower activity of the disease in the long run, i.e., delay the progression of the disease. They are called (FAME) disease modifying drugs. These drugs may not be effective in 100% for the patients, and this makes the doctor may need to prescribe several sequentially until you find one that is more effective and better tolerated. It must be taken into account that are slow-acting drugs and really time consuming to take an effect , may a weeks, even months. In this group are methotrexate, Leflunomide, gold, chloroquine, sulfasalazine, cyclosporin A, salts and biological treatments or anti-TNF In general, they require monitoring by the rheumatologist and a close cooperation with the patient.
If the prescribed treatment achieves improvement of pain and inflammation in general, but persists any inflamed joint, should inform the doctor. Once is ruled out a possible complication, it can be acted locally with infiltrations intra-articular corticosteroids to reduce inflammation, the rheumatologist knows when sneak and how often to do not produce damage.
It is also possible to use special orthopedic equipment. It is possible that during the course of the disease, some joint is badly damaged, and then it is necessary to do some kind of reconstructive surgery. The rheumatologist will report on these possibilities of treatment.
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