What medicine is taken for rheumatoid arthritis?

Written by Yang Ya Meng
Rheumatology
Updated on September 24, 2024
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The medication for rheumatoid arthritis mainly falls into three categories,

The first category is the choice of anti-inflammatory and pain relief medications, which mainly includes two types: non-steroidal analgesics and low doses of corticosteroids. If the patient's pain symptoms are mild, non-steroidal analgesics can be opted for. However, if the patient's pain symptoms are more severe, and there is significant liver or kidney damage, or concurrent interstitial lung disease, then the use of low doses of corticosteroids should be considered.

The second and most important category is the choice of immunosuppressants, which include drugs like methotrexate and leflunomide.

The third category is the treatment with biologic agents.

(Medication should be administered under the guidance of a doctor)

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Written by Li Jie
Orthopedics
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How to treat rheumatoid arthritis?

Rheumatoid arthritis-induced joint pain has several distinct characteristics: The first is that it initially affects the small joints of the limbs, typically involving the hands, feet, wrists, and ankles, before spreading to larger joints. It rarely starts in the large joints first. Secondly, the onset is generally symmetrical, meaning it seldom affects just a single limb or joint. Typically, if the disease manifests, it affects both limbs simultaneously. Another characteristic is significant morning stiffness, meaning a feeling of stiffness upon waking up in the morning. Generally, by combining auxiliary tests such as blood tests and imaging, a clear diagnosis of rheumatoid arthritis can be made. Once diagnosed, it is advised that patients seek treatment at a reputable hospital in the rheumatology and immunology department or orthopedics, targeting specific treatments and avoiding unlicensed practitioners. Common rheumatoid arthritis treatment plans start with medications to alleviate symptoms, using immunosuppressants. In severe cases, a small, short-term dose of steroids may be used. Additionally, symptomatic treatment may include topical applications of ointments to improve blood circulation, reduce swelling, and alleviate pain. Patients can also take non-steroidal anti-inflammatory drugs orally to relieve symptoms. Furthermore, traditional Chinese medicine is also a very effective method, and patients can take specific herbal medicines as symptomatic treatment for rheumatic joint pain, which are also very effective. (Please follow a professional physician's guidance when using medications and do not medicate blindly.)

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Written by Liu Li Ning
Rheumatology
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How is rheumatoid arthritis treated?

The treatment of rheumatoid arthritis is divided into general treatment and pharmacological treatment. General treatment mainly involves avoiding overexertion, having a light diet, and not staying up late. Pharmacological treatment is mainly divided into treatment during the acute flare-up phase and the remission phase. The acute phase focuses on anti-inflammatory and pain relief treatments, with non-steroidal anti-inflammatory drugs (NSAIDs) as the first choice, such as etoricoxib, meloxicam, or celecoxib. If the effect is not satisfactory, low-dose corticosteroid therapy may be combined. In the remission phase, slow-acting anti-rheumatic drugs are preferred, such as methotrexate, leflunomide, or sulfasalazine. If the slow-acting anti-rheumatic drugs are not effective, biologic agents such as tumor necrosis factor antagonists or JAK inhibitors may be combined.

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Written by Yang Ya Meng
Rheumatology
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Is rheumatoid arthritis serious?

Patients with rheumatoid arthritis, if treated reasonably and formally, can achieve clinical remission, so in this sense, rheumatoid arthritis is not severe. However, if patients do not adhere to formal treatment for a long time, after a long period, they may develop joint deformities and ankylosis, resulting in disability. From this perspective, rheumatoid arthritis should be taken seriously. Commonly used drugs for treating rheumatoid arthritis include anti-inflammatory pain relievers, with non-steroidal pain relievers being the most commonly used, such as sustained-release diclofenac sodium tablets. The most important step in treating rheumatoid arthritis is the selection of immunosuppressants, with common immunosuppressants including methotrexate and leflunomide. (Medication should be used under the guidance of a doctor based on specific circumstances.)

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Written by Li Jing
Rheumatology
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What medicine is used for rheumatoid arthritis?

First, rheumatoid arthritis is an autoimmune disease and a chronic condition that cannot be cured. The primary goal of treatment is to alleviate symptoms, delay complications, improve quality of life, and reduce disability through conventional drug therapies. Treatment methods include general treatment and medication. General treatment consists of functional exercise and lifestyle considerations, such as avoiding cold water and raw, cold foods, and emphasizing the importance of exercise. Additionally, the first-line drug treatments include nonsteroidal anti-inflammatory drugs and disease-modifying antirheumatic drugs (DMARDs), with traditional DMARDs being the current preferred and anchor treatment option.

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Written by Li Jing
Rheumatology
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Rheumatoid arthritis symptoms

Rheumatoid arthritis is categorized as an autoimmune disease and is a chronic autoimmune condition that is destructive to joints. It is primarily characterized by symmetric polyarthritis, with clinical manifestations varying significantly among individuals. Most cases begin gradually, initially presenting with symmetrical pain and swelling in the wrists. This often accompanies morning stiffness, fatigue, low-grade fever, muscle pain, or weight loss. In a minority of cases, the onset is more abrupt, with typical clinical manifestations appearing within a few days, including joint dysfunction, morning stiffness, and joint pain and swelling. Joint deformity is a later manifestation of the disease, indicating that the disease was not well-controlled, leading to joint damage.