What medicine is taken for rheumatoid arthritis?

Written by Yang Ya Meng
Rheumatology
Updated on September 24, 2024
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The medication for rheumatoid arthritis mainly falls into three categories,

The first category is the choice of anti-inflammatory and pain relief medications, which mainly includes two types: non-steroidal analgesics and low doses of corticosteroids. If the patient's pain symptoms are mild, non-steroidal analgesics can be opted for. However, if the patient's pain symptoms are more severe, and there is significant liver or kidney damage, or concurrent interstitial lung disease, then the use of low doses of corticosteroids should be considered.

The second and most important category is the choice of immunosuppressants, which include drugs like methotrexate and leflunomide.

The third category is the treatment with biologic agents.

(Medication should be administered under the guidance of a doctor)

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Written by Li Jing
Rheumatology
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What to eat for rheumatoid arthritis?

Firstly, rheumatoid arthritis is also a chronic, destructive autoimmune disease, and therefore cannot be cured. It can only be managed through medication to control the progression of the disease and delay the onset of joint deformities. The principle is to diagnose and treat as early as possible. Once diagnosed, the preferred treatment is medication that improves rheumatoid conditions, followed by the use of non-steroidal drugs. If the onset is acute, a small amount of steroids can be used to alleviate symptoms until the condition stabilizes, after which the steroids can be gradually reduced. Dietarily, attention should be paid to a low-salt, low-fat, and light diet, avoiding raw and cold foods to prevent exacerbating symptoms of joint soreness and discomfort. Drinking more milk and eating more calcium-rich foods is advisable.

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Written by Li Jing
Rheumatology
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Does rheumatoid arthritis hurt?

Rheumatoid arthritis damages joints and bones, displaying as symmetrical polyarthritis. It is an autoimmune disease and a chronic condition that cannot be cured but can only be managed through medication to control disease progression. The primary symptoms include symmetrical pain and swelling in multiple joints, particularly in both wrists, therefore it is invariably associated with pain. Some individuals may also experience joint swelling accompanied by morning stiffness, fatigue, low fever, and weight loss. The onset of the disease is generally slow, although a few cases may have a sudden onset. It can also affect specific joints, such as the cervical spine, shoulder joints, and hip joints.

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Written by Yang Ya Meng
Rheumatology
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Characteristics of rheumatoid arthritis in the hand

The key hand features of rheumatoid arthritis primarily manifest as symmetrical joint swelling and pain in both hands in the early stages. These swollen and painful joints include both wrist joints, bilateral metacarpophalangeal joints, and bilateral proximal interphalangeal joints. Rheumatoid arthritis rarely affects the distal interphalangeal joints of the hands. In the later stages of rheumatoid arthritis, due to the destruction of the hand joints by synovitis, some patients may develop deformities in the hand joints, commonly including ulnar deviation, swan neck deformities, or boutonniere deformities. Some patients may experience significant stiffness leading to limited mobility of the hand joints.

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Written by Liu Li Ning
Rheumatology
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How should rheumatoid arthritis be treated?

The treatment of rheumatoid arthritis includes several aspects. First, general treatment: keep a light diet, avoid spicy and stimulant foods, ensure joints are kept warm, and avoid excessive fatigue. Second, medication treatment: during acute flare-ups, non-steroidal anti-inflammatory drugs such as diclofenac sodium or etoricoxib can be used, possibly combined with low doses of corticosteroids. During stable phases, immunosuppressants such as methotrexate or leflunomide are needed. If conventional treatments are ineffective, biological agents like adalimumab or tofacitinib can be combined. Most patients can effectively control their condition after combined treatment. Third, traditional Chinese medicine: alongside Western medicine, Chinese herbal medicine such as total glucosides of paeony or tripterygium wilfordii polyglycoside can be used.

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Written by Li Jing
Rheumatology
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How to cure rheumatoid arthritis?

Firstly, rheumatoid arthritis is an autoimmune disease that can affect multiple joints throughout the body and has an unclear etiology, meaning it cannot be cured. It can only be managed with medications to control the progression of the disease, alleviate symptoms, and delay the appearance of joint deformities. Therefore, it is essential to undergo standardized and formal treatment. Once the condition stabilizes, the dosage of the medication should gradually be reduced to maintain stability. Do not believe in folk remedies or rumors that claim this disease can be cured; it cannot be cured. During the treatment process, it is important to regularly monitor complete blood counts, liver and kidney functions, electrolytes, and other relevant indicators to avoid damage to liver and kidney functions due to long-term use of medications.