Table of Contents
- 1 A look at Rheumatoid Arthritis RA Medication and Care
- 2 Rheumatoid Arthritis RA Medication:
- 3 Rheumatoid Arthritis RA Care:
A look at Rheumatoid Arthritis RA Medication and Care
Rheumatoid Arthritis RA is a long-term chronic disease with no cure. The symptoms of the disease, however, can be managed to enable the person to live a normal life.
Long-term management of Rheumatoid Arthritis RA includes medical attention to alleviate the pain and other symptoms of Rheumatoid Arthritis, practicing, among others. The type of treatment of Rheumatoid Arthritis utilized depends on the severity of the condition.
Rheumatoid Arthritis RA Medication:
Even through some people take rheumatoid arthritis medications alone, they are often most effective in combination. Some medications can help alleviate some of the symptoms and effects of Rheumatoid Arthritis such as pain and swelling.
The medicine is designed to help with chronic pains and as an antidepressant. The medication will help alleviate the severe Rheumatoid Arthritis pain (analgesics or painkillers)
Non-steroidal anti-inflammatory drugs (NSAIDS)
here are many NSAIDS drugs for relieving pains in patients. Most of the medicines are over the counter and work best when utilized according to doctor prescription. There are some strong NSAIDS which apart from relieving of pain, they also reduce inflammation of the joint. NSAIDS, however, have different side effects such liver and kidney damage, bleeding problems, stomach upset among others.
The drug works to relief mild to moderate pain in treatment of Osteoarthritis. It requires the use of the prescribed dosage to avoid damage to the liver.
Disease-modifying anti-rheumatic drugs (DMARDs) and Biologic response modifiers (a type of DMARD)
DMARDs help preserve joints by blocking inflammation. Here is a list of DMARDs and how they function:
- Azathioprine (Azasan, Imuran, generic): Comes in tablet only; used most commonly in lupus. This drug depends on a specific enzyme to work and some people lack enough of this enzyme to make the drug effective. Your doctor will test your levels before prescribing azathioprine.
- Cyclophosphamide (generic only): Comes in capsule, tablet or infusion. Can be used in lupus in patients who do not respond to traditional therapy or who experience kidney damage.
- Cyclosporine (Neoral, Gengraf, Sandimmune, generic): Comes in capsule or syrup. This medicine is used sometimes for lupus in people who do not respond to other therapies.
- Hydroxychloroquine sulfate (Plaquenil, generic): Comes in tablet only. Antimalarial drugs are commonly used to treat rheumatoid arthritis and can help improve the skin lesions of lupus, and can hold off disease recurrence and prevent organ damage. Serious side effects for antimalarial drugs are rare.
- Leflunomide (Arava, generic): Comes as a pill taken once a day. People who cannot tolerate methotrexate may take leflunomide. It can also be taken in combination with methotrexate.
- Methotrexate (Rheumatrex, Trexall, Otrexup, Rasuvo, generic): This drug is taken once a week and comes in tablet or as a self-injectable. It is for adults with active RA and children with active juvenile idiopathic arthritis with more than one affected joint.
- Mycophenolate mofetil (CellCept, generic): Comes in tablet, capsule and as a self-injectable. This drug may be used in people whose RA does not respond to other therapies.
- Sulfasalazine (Azulfidine, Sulfazine, generic): Comes in regular or extended-release tablets. This drug is most commonly used in a triple therapy combination for RA (methotrexate, sulfasalazine, hydroxychloroquine).
- Apremilast (Otezla): Comes in tablet only. Approved for use in people with psoriatic arthritis.
- Tofacitinib (Xeljanz): Comes in immediate or extended-release tablets. Approved for use in people with rheumatoid arthritis
Rheumatoid Arthritis RA Care:
Physical exercise is essential for the healthy functioning of the joint. It can be used to keep the joint in better health through strengthening the muscles around the joint, enable reduction of joint stiffness and reduce the pain on the joint due to movement. Exercise increase a person deep breathing than calms nerves and helps in pain relieving.
The process is also called Arthrodesis. In this treatment of Rheumatoid Arthritis RA, two bones are fused to eliminate the joint. The fusion help in relieving the patient of the pain from arthritis. The fusion is done through bone grafting or using an artificial material such as metal plates and screws to join the bones. The fusion limits any more movement of the join. The common areas that are fused include the ankle, wrists, fingers among other places.
When the joint wears off completely, the alternative solution is the replacement of the joint with an artificial joint. The doctor removes the joint and replaces it with an artificial joint. For example, replacing of the hip joint, the knee joint among others. The downside of this treatment methods is the risk of infection, and the artificial joint may break down or become lose which will eventually require replacement.
Realignment of the joint
Rheumatoid Arthritis RA can severely damage the joint and cause joint deformation. Surgical operation sometimes helps in realigning the joint where the doctor cut above or below the joint to add or remove a wedge to shift the body weight from the infected area thus relieving the patient from pain. This is especially for the knee joint.
This is a form of Rheumatoid Arthritis RA treatment in which lubricant with same properties as the synovial fluid is injected into the joint. It helps in increasing the flexibility of joint movement and reduce pain.
Rheumatoid Arthritis injection
This is an anti-inflammatory medication that is directly injected into the joint. Apart from reducing swelling, it also reduces joint pains in treatment of Rheumatoid Arthritis RA.