The inflammation caused by RA results in damage to the joints as well as many other tissues and organs of the body. The main way to stop or at least reduce joint damage is by giving medications that suppresses inflammation.and Disease-Modifying Anti-Rheumatic drugs that reduce the effect that the immune system has in some situations.
DMARDsDisease-Modifying Anti-Rheumatic DrugsThese can also be described as slow acting anti rheumatic drugs (SAARDs). These drugs suppress inflammation and may also retard the development of joint erosion's The exact reason for their effectiveness is at this stage not well understood. Their effectiveness in their ability to slow the progression of erosion's is judged through the use of X-rays.
With DMARDs early diagnosis and treatment of RA is important in the aim of preventing joint deformity and disability. DMARDs take 6-8 weeks to achieve beneficial effects. Treatment with these drugs should be closely monitored. Regular blood and urine tests are often done to identify side effects and potential problems as soon as possible.
DMARDs that are used in the treatment of RA.
Methotrexate (e.g. Ledertrexate, Methoblastin) may be used in moderate to severe rheumatoid Arthritis. This medication can be taken orally or by intramuscular injection. Supplements of folic acid are recommended to alleviate side effects such as nausea and mouth ulcers. Methotrexate It is potentially toxic to the liver. Methotrexate is the leading DMARD in the fight against inflammation in RA.
Sulfasalazine such as Pyralin EN and Salazopyrin EN. These drugs while less potent, have fewer adverse side effects and are used in the treatment of mild RA. These however can still cause nausea, dyspepsia, diarrhea, rash and headaches. These side effects however are reduced once the maintenance dose is reached. It can also lead to severe anemia on occasion.
Leflunomide (e.g. Arava). Used for severe active RA that does to methotrexate. Leflunomide is as effective as methotrexate in the treatment of RA.
Antimalarials such as hydroxychloroquine sulfate such as Plaquenil are also used in the treatment of mild rheumatoid arthritis. They are less toxic than some of the other treatments. Plaquenil is often used in combination with other DMARDs.
Azathioprine (e.g. Imuran) is used to treat only severe active RA that is unresponsive to other DMARDs. Because of high toxicity it is rarely used.
(NSAIDs)
Non-steroidal anti-inflammatory drugs
These drugs are prescribed as pain killers. They may also reduce inflammation inflammatory forms of arthritis, such as RA. They have no effect on the progress of the disease but may relieve symptoms. ibuprofen such as Nurofen or Tri-Profen and naproxens such as Naprogesic are available without prescription. Drugs such as such as diclofenac, piroxicam, sulindac and indomethacin have to be prescribed by a doctor.
The use of NSAIDs is often limited because they increase the risk of upper gastrointestinal problems, such as gastric ulcer. They are not suitable for use by people who have had a peptic ulcer or gastrointestinal bleeding.
COX-2 specific inhibitors
The coxibs (e.g. celecoxib --- brand name Celebrex) These are non-steroidal anti-inflammatory agents. They are effective in reducing inflammation and relieving pain and are far gentler on the stomach than the conventional, older NSAIDs. Coxibs may be associated with an increased risk of cardiovascular events, such as heart attack and stroke, when taken in high doses. People with an increased risk of heart attack or stroke are advised not to use these medications
Corticosteroids
Corticosteroids, also known as glucocorticoids, such as prednisone and prednisolone, are medications that reduce inflammation and suppress the immune system. These agents are used in the treatment of RA, both as tablets and as injections into the joint. Prednisolone is sometimes used in moderate to severe RA where NSAIDs and DMARDs are not controlling the disease. Oral corticosteroids (those taken by mouth) are usually used at the lowest effective dose to minimize adverse effects such as weight gain, hypertension (high blood pressure) and osteoporosis.
Corticosteroids may also be injected into joints if the arthritis is not being controlled through oral therapy, however this has to be limited to 3 to 4 injections a year. Joints commonly injected are fingers, toes, knees and shoulders. Corticosteroids are also sometimes injected into the muscles.
Biologic agents
A new category of arthritis treatments called tumour necrosis factor (TNF) inhibitors has been developed. TNF inhibitors occur naturally in the body and are key players in the process of inflammation in rheumatoid arthritis. It is found in high concentration in the joint fluid of people with RA. By attaching to the TNF, these new agents can block its effect.
Infliximab (e.g. Remicade) is a TNF inhibitor available for the treatment of RA in selected patients. It slows the progression of RA and reduces joint damage. Inflixmab is given by infusion via a drip into a vein. Each treatment takes approximately 2 hours. It is given along with methotrexate. There are very tight Government restrictions In Australia on which patients with RA can obtain access to Remicade because of the expense involved.
Etanercept (e.g. Enbrel)
Humira (adalimumab),
There are also promising experiments going on that have now reached testing in humans where stem cell technology is being employed to replace damage cartilage bone and muscle.
If one is seriously afflicted with RA in the end it boils down to disease modifying drugs. Ant the gold standard in these drugs is at the moment Methatrexate which is also a drug used in chemotherapy. However it is taken only once a week and in very low doses. this drug can increase liver toxicity and can have other side effects, Therefore it does require constant blood tests and monitoring.
It seems that there is no cure for Rheumatoid arthritis. But you can use rheumatoid arthritis diet to keep the rheumatoid arthritis symptoms under control.
Millions of people worldwide suffer from the complex, long-lasting autoimmune disease known as rheumatoid arthritis (RA). Although no known cure for RA exists, numerous treatments can help manage the symptoms and halt the disease's progression.
Numerous studies have been conducted over the years to examine the efficacy of various RA treatments. Promising treatments for RA include
Biologic drugs, Janus kinase (JAK) inhibitors, A combination of medications, such as a biologic drug and a disease-modifying antirheumatic drug (DMARD) and lifestyle modification.
Accelerating advanced research for new drugs and diagnostics, Central BioHub offers thousands of research samples, such as serum and plasma, readily available for procurement. Hurry up, order online.
The "first line" agents for the treatment of RA include nonsteroidal anti-inflammatory agents (NSAIDs) and aspirin, which are used to decrease inflammation and to treat pain.
remecad,good shots,steroirds
A plant known as feverfew is used for both RA and headache however it has not been clinically proved to effective in arthritis
No although some of the drugs used to treat it may have that effect.
Arthrotec is a medicinal drug that is used to treat rheumatoid arthritis. This drug is created and produced by combining diclofenac and misoprostol.
Cimzia is often used to treat the symptoms of Chron's disease, only after other medications have not been working. Cimzia is also used to treat Rheumatoid Arthritis in adults.
Celebrex is a non steroidal anti inflammatory and can be used to reduce inflammation that is caused by any form of arthritis. Naturally it is quite popular in the early stages of rheumatoid arthritis which is inflammatory arthritis.
Meloxicam is a nonsteroidal anti-inflammatory medication used to treat Arthritis and other painful conditions.
A DMRD is a Disease Modifing Rheumatoid Drug, and is used to treat rheumatoid arthritis.
Prednisone.
what was the target
what was the target
Etodolac is used for the treatment of inflammation and pain caused by osteoarthritis, rheumatoid arthritis, and juvenile rheumatoid arthritis. It is also used for treating soft tissue injuries, such as tendinitis and bursitis, and the treatment of menstrual cramps.
feverfew fever few
A plant known as feverfew is used for both RA and headache however it has not been clinically proved to effective in arthritis
No although some of the drugs used to treat it may have that effect.
It is an anti-rejection medication used in Transplant Patients. It can also used in some severe cases of rheumatoid arthritis and other conditions.
Arthrotec is a medicinal drug that is used to treat rheumatoid arthritis. This drug is created and produced by combining diclofenac and misoprostol.
Cimzia is often used to treat the symptoms of Chron's disease, only after other medications have not been working. Cimzia is also used to treat Rheumatoid Arthritis in adults.