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Are TNF inhibitors effective for psoriatic arthritis?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I want the best treatment for my psoriatic arthritis, but nothing is giving me real pain relief. I am looking into biologics and DMARDs, but I do not understand how they work to reduce joint inflammation. I have stiffness and pain daily, and I need new treatments that can help me better. Do TNF inhibitors work for everyone with psoriatic arthritis? Are there any new options available to manage this autoimmune disease? I am tired of the pain and want better arthritis care.

Thank you.

Answered by Mohammed Wajid

Hi,

Welcome to icliniq.com.

I understand your concern.

I am sorry to hear you are struggling with psoriatic arthritis. Let us break down some of your questions. Biologics are a class of medications derived from living cells that target specific parts of the immune system. They can help reduce inflammation and prevent damage to joints. DMARDs (disease-modifying anti-rheumatic drugs), like Methotrexate, work by suppressing the immune system to slow the progression of the disease. Both biologics and DMARDs reduce joint inflammation by modulating the immune response, targeting specific pathways that contribute to the inflammatory process. For instance, TNF inhibitors block tumor necrosis factor (TNF), a protein that promotes inflammation.

TNF inhibitors can be effective for many people with psoriatic arthritis, but they do not work for everyone. Response varies by individual, and some may experience significant improvement while others may not see much benefit. Recent advances include other biologics, such as IL-17 inhibitors (like Secukinumab) and IL-23 inhibitors (like Guselkumab), which target different pathways involved in inflammation. There are also oral medications like JAK inhibitors (Tofacitinib) that can provide relief by affecting immune signaling. It is crucial to work closely with your rheumatologist to evaluate your treatment plan. They may suggest switching medications or adding new ones based on your response. Keep track of your symptoms, any side effects, and how they correlate with your current treatments, as this information can be helpful for your doctor. If you have not already, consider discussing these newer options and possibly participating in clinical trials, which might give you access to cutting-edge treatments. Your pain and stiffness deserve attention, so do not hesitate to advocate for yourself and seek a solution that works.

I hope this information helps you.

Revert in case of queries.

Regards.

Answered byMohammed Wajid

Medically reviewed byiCliniq medical review team

Published At November 13, 2024
Reviewed AtNovember 13, 2024

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