How to Treat Rheumatoid Arthritis

March 1, 2017 - orthopedic
How to Treat Rheumatoid Arthritis

Patients with rheumatoid arthritis could just do not care because until now there is still no cure for rheumatoid arthritis completely.

Treatment can help reduce the symptoms of inflammation in the joints, prevent or slow joint damage, reduce the level of disability and making people with rheumatoid arthritis can remain active life. Some things you can do is take the drug, supportive care and surgery, as well as lifestyle changes.

There are several ways of care and treatment that can be done to suppress the development of this disease. At first, the doctor will prescribe medication with the fewest side effects and after that, if ineffective, drugs with more severe side effects will be added. Your doctor will adjust the dosage to the patient’s condition.

Painkillers such as paracetamol or codeine is used to relieve pain. In addition, non-steroidal anti-inflammatory drugs (NSAIDs) can also be used. Painkillers can not prevent the development of rheumatoid arthritis, but it can help to relieve pain and inflammation in the joints. Drugs commonly used NSAIDs are naproxen, ibuprofen, and diclofenac.
Steroids or corticosteroids are synthetic drugs that resemble a hormone the body produces naturally, namely cortisol.
This medicine may take the form of tablets, ointments, injections or liquids that could be injected directly into muscle or joint pain.

Steroids are used to relieve short-term pain because if used over the long term can cause serious side effects. The side effects can be easily bruised, the skin becomes thinner, osteoporosis, muscle weakness, and weight gain. This medicine needs to be taken under a doctor’s supervision.

Biological therapy treatments
Biological treatment is a form of treatment of rheumatoid arthritis is the most recent and useful to stop the immune system attacks the joints.
Biological treatment is done by injecting a protein derived from human genetics. Part of the immune system that trigger inflammation and cause tissue damage and joint targeted by biological drugs. Biological treatment has been shown to slow the progression of rheumatoid arthritis.

Just like any other treatment, biological treatment also has side effects, but usually only minor side effects. Side effects that may occur are fever, nausea, infection, headache, and skin reactions at the injection point. Some patients with rheumatoid arthritis who’ve had tuberculosis will have the risk of reinfection.

Biologic drugs are usually combined with a modified anti-rheumatic drug-disease (disease-modifying antirheumatic drugs / DMARDs) if the use of biologic drugs alone is ineffective.

Examples of biologic drugs are abatacept, etanercept, infliximab, rituximab and anakinra.

Anti-rheumatic drug-disease modification (DMARDs)
DMARDs (disease-modifying anti-rheumatic drugs) are the early stages of treatment given to prevent and relieve the symptoms of rheumatoid arthritis, and to prevent permanent damage to the joints and other tissues.
Damage to the ligaments, bones, and tendons due to the effects of immune system attacks the joints can be inhibited by DMARDs.

Some of that can be used DMARDs are hydroxychloroquine, methotrexate, sulfasalazine, and leflunomide.

The first drug given for rheumatoid arthritis generally is methotrexate, but these drugs also have side effects that are common, such as headache, diarrhea, hair loss, nausea, mouth pain, and loss of appetite. Blood tests should be done regularly to monitor the effects on the liver and blood counts for taking this drug.


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