Rheumatoid Arthritis Medications List : DMARDS and NSAIDs


Rheumatoid arthritis medications list - Rheumatism or rheumatoid arthritis is a disease that causes inflammation, and then lead to pain, stiffness, and swelling in the joints. The disease is caused by an autoimmune disorder.

The most often affected, namely the hand, wrist, foot and knee. That is rarely exposed to that other parts of the body, such as the lungs, eyes, heart, blood vessels, skin and nerves.

Rheumatism can affect the ability to perform daily activities like writing, opening a bottle, wear clothes, and bring the goods. Arthritis of the hips, knees or feet can make it difficult walking, bending, or standing.

Rheumatoid arthritis medications list

Patients with rheumatoid arthritis can only do the treatment because up to now there is still no drug that can cure rheumatoid arthritis completely. Treatment can help reduce the symptoms of inflammation in the joints, prevent or slow down damage to the joints, reducing the level of disability, and make people with rheumatoid arthritis can still live an active. Some of the things that can be done is taking the drug, supportive care and surgery, as well as changing lifestyle.

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 the drug with the fewest side effects and after that, if not effective, medications with side effects more weight will be added. The doctor will adjust the dose to the patient's condition.

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Painkillers

Painkillers such as paracetamol or codeine is used to relieve the pain. In addition, antiinflammatory drugs non-steroidal (NSAIDS) can also be used. Painkillers may not prevent the development of rheumatoid arthritis, but can help relieve pain and inflammation in the joints. NSAIDS commonly used are naproxen, ibuprofen, and diclofenac :

Steroids
Steroids or corticosteroids are synthetic drugs that resemble the hormones produced by the body naturally, namely cortisol. This drug can be in the form of tablets, ointments, or injectable liquid that can be injected directly into muscle or joint pain.

Steroids used to relieve short-term pain because if used long term can cause serious side effects. Such side effects can include easy bruising, the skin becomes thinner, osteoporosis, weak muscles, and increasing body weight. This drug needs to be consumed under the supervision of a physician.

Treatment biological therapy



Biological treatment is a form of treatment rheumatoid arthritis the most new and useful to stop the immune system attacking the joints. Biological treatment is done by injecting the protein derived from human genetics. Part of the immune system that trigger inflammation and cause tissue damage as well as the joints targeted by drugs biological. Biological treatment has proven to slow the progression of rheumatoid arthritis.

The same as other treatment, biological treatment also has side effects, but usually only mild side effects. Side effects that can occur are fever, nausea, infection, headache, and skin reactions at the point of injection. Some patients with rheumatoid arthritis that has ever suffered from tuberculosis will have the risk of becoming re-infected.

Biological drugs are usually combined with anti-rheumatic drugs modification-of the disease (disease-modifying antirheumatic drugs/DMARDs) if the use of biologics alone is not effective. Examples of drug-biologics are abatacept, etanercept, infliximab, rituximab, and anakinra.

Anti-rheumatic drugs modification-of the disease (DMARDs)

DMARDs (disease-modifying anti-rheumatic drugs) is the treatment of the early stages of given to inhibit and relieve the symptoms of rheumatoid arthritis, as well as preventing permanent damage to joints and other tissue. The damage on the ligaments, bones, and tendons due to the effects of the immune system while attacking the joints can be inhibited by DMARDs.

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Rheumatoid arthritis medications list

Some of the DMARDs that can be used are hydroxychloroquine, methotrexate, sulfasalazine, and leflunomide. The first drug given for rheumatoid arthritis are generally methotrexate, but these drugs also have common side effects, such as headaches, diarrhea, hair loss, nausea, mouth pain, and loss of appetite. Blood tests should be done routinely to monitor the effects on the liver and the amount of blood during the taking of this drug.

Therapy

Patients with rheumatoid arthritis can do the therapy to make the joints more flexible, as well as help improve muscle strength and fitness of the body. Some of the therapy that can be done is occupational therapy, podiatry, and physiotherapy.

Operation



Patients with rheumatoid arthritis may have to undergo surgery if the treatment that has been done still has not managed to prevent or slow down damage to the joints. Surgery is performed to correct the deformity, damage to joints, help restore the ability to use the joints, and relieve pain. The following are the operating procedures of rheumatoid arthritis that can be done.
  • Repair of the tendon. This procedure is performed to repair the tendon breaking or sagging around the joints that are experiencing joint damage or inflammation.

  • Total joint replacement. This procedure is performed to replace the damaged joints with a prosthesis made of plastic or metal.

  • A merging operation of the joint. This procedure is performed to relieve pain, and realign or stabilize the joint if the total joint replacement can not be done.

  • Sinovektomi. The procedure performed to remove fluid synovial inflammation, and is commonly performed on knees, elbows, wrists, fingers and hips.

  • Arthroscopy. This procedure raised the network of joint inflammation with the help of the camera antroskop and special tools. The operation is relatively minor, but patients need to rest to restore joints.
Patients with rheumatoid arthritis are also advised to undergo a healthy diet as well as exercise regularly to strengthen the muscles that support the joints, helps joint movement, and relieve stress. For people who experience excess weight, exercise can also help you lose weight and relieve pressure on bones and joints.

In addition, the supporting therapy such as massage, acupuncture, osteopathy and chiropatic can be done to relieve the symptoms, if only for the short term. Highly recommended for a consultation with a doctor first before doing a supporting therapy to avoid complications.

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The joints will feel stiff and muscles become weak if not actuated, but the activity must be balanced and appropriate. Avoid sports that require direct physical contact and it is recommended to do exercise that is not too pressing of the joints, such as walking, swimming, and cycling.

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