🤝 Rheumatoid Arthritis (RA)

Commonly prescribed medications, what to avoid, and lifestyle guidance

📋 Overview

Rheumatoid arthritis is an autoimmune disease where the immune system attacks the joints, causing pain, swelling, and progressive joint damage. Early aggressive treatment is key.

💊 Commonly Prescribed Medications

MethotrexateDMARD

First-line for almost all RA patients. Weekly dose. Requires folic acid and blood monitoring.

Hydroxychloroquine (Plaquenil)DMARD

Mild RA or added to methotrexate.

SulfasalazineDMARD

Often used in combination with methotrexate and hydroxychloroquine.

Adalimumab (Humira) / Etanercept (Enbrel)Biologic (Anti-TNF)

Added when DMARDs are not enough. Screen for TB before starting.

Abatacept (Orencia) / Tocilizumab (Actemra)Biologic (non-TNF)

Alternatives if anti-TNF therapy failed.

🚫 What to Avoid

Long-term corticosteroids cause bone loss. Live vaccines not safe while on biologics.

🥗 Lifestyle Tips

Regular low-impact exercise, occupational therapy, quit smoking (worsens RA and reduces biologic effectiveness).

📋 Important Note

Joint damage from RA is irreversible — treat to target remission early.

🔍 Check Drug Interactions