Can RA be controlled without biologics at the age of 65?

Question

Hello doctor,

My dad is 65 years old and suffers from rheumatoid arthritis. He is currently looking into some new drugs; however, he is afraid to try them due to the side effects and constant checkups required. Every time he asks me, Is there any way to manage RA without the help of biologics when one is 65?

For now, my dad takes drugs and exercises, but he suffers from stiffness in hands and knees that complicates his life. He is also concerned about increased risks of infections.

We are trying to understand whether rheumatoid arthritis can be managed long-term without biologics. We are also unsure whether delaying biologic treatment could lead to further joint damage. What usually determines whether someone his age can remain on non-biologic treatments?

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understand your concerns.

Yes, most patients with rheumatoid arthritis may be able to survive without using any biological agent if the disease is under good control with regular medication. Age itself will not decide the use of biological agents.

The following suggestions could be helpful:

The decisions for treatment are based on the level of disease activity, symptoms, and investigations.
Exercise, activity, and healthy weight can help to relieve the symptoms and improve function.
Biological agent may be used if the symptoms are persistent even after taking non-biological medications to avoid joint damage.

The pain in joints, duration of morning stiffness, limitation in activities, and signs of active inflammation are considered for choosing the treatment option. Many patients keep on responding well to non-biological agents for many years, whereas some need changes in treatment with the progression of symptoms.

Keeping an eye on day-to-day activities such as holding anything, walking, and performing routine activities will give you helpful information regarding disease control.

You should attend regular follow-ups with the rheumatologist since delaying effective treatment when inflammation is active can lead to permanent joint damage. The main objective is to keep inflammation under good control and preserve quality of life.

I hope this helps you.

Thank you.