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Old 03-17-2011
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Question Initial treatment of rheumatoid arthritis?

Once rheumatoid arthritis is diagnosed, what should we initially prescribe?

NSAID or methotrexate?
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Old 03-17-2011
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Would go with NSAID
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Old 03-28-2011
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Default RA

If its in acute stage, must give steroids and then taper.
Patient must be given DMARDS, safe one is salazopyrine.

If symptoms are controlled and really mild, then on and off nsaids because above drugs do have side effects on the long run.
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Old 03-29-2011
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Default RA

yes!!
If patients wait for the acute stage, some joint damage will be there and they will require initial aggressive treatment.

However if they take care of pain at specific joints ( small joints, symmetrical),
esr and Rh factor can diagnose it. Treatment will try to prevent an acute crisis and there will be less joint damage
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Old 04-01-2011
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Thanks for the reminder: role of disease modifying drugs-earlier the better in RA to prevent permanent joint damage.

!
Quote:
Originally Posted by Oodesh View Post
yes!!
If patients wait for the acute stage, some joint damage will be there and they will require initial aggressive treatment.

However if they take care of pain at specific joints ( small joints, symmetrical),
esr and Rh factor can diagnose it. Treatment will try to prevent an acute crisis and there will be less joint damage
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Old 07-01-2011
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so you mean we should start with methotrexate ??
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