What is the treatment for rheumatoid arthritis?
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am diagnosed with rheumatoid arthritis. I have swelling on my ankles, elbows, and some fingers along with deformity in my right wrist. Currently, I am taking Ayurvedic medication. I need a consultation.
Hello,
Welcome to icliniq.com.
If you are diagnosed with rheumatoid arthritis, have completed your family, and do not want to conceive further, then start DMARDS (disease-modifying antirheumatic drugs), Methotrexate 15 mg once a week, and Hydroxychloroquine 200 mg morning and evening if you have active arthritis. Start a low dose of Methylprednisolone (Sterio 4 mg) once daily and Pantop 40 mg before breakfast. If you want to have kids, then instead of Methotrexate take SAAZ (Sulfasalazine) 500 mg morning and evening. Also, mention your C-reactive protein and ESR (erythrocyte sedimentation rate)
Thank you.
Patient's Query
Hello doctor,
Is Prednisone a safe alternative to DMARDS?
Hi,
Welcome back to icliniq.com.
Prednisone is not DMARD. It is a steroid. It does not prevent joint deformity. Only Methotrexate does.
Thank you.
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