When the inflammation and pain associated with rheumatoid arthritis calls for adequate treatment, there are many different options to consider. Since there is no known cure for this joint-affecting condition, patients must turn towards medication and other remedies in order to increase joint function and avoid further damage or deformity. Below you will find a brief description regarding an array of rheumatoid arthritis treatment options:
First-Line Drugs
There are two main classes of medication used to treat rheumatoid arthritis: first-line and second-line drugs. First-line drugs are quick to respond to symptoms of the disease and include aspirin and cortisone because they are used to swiftly reduce inflammation and pain. Many patients wish to avoid the use of steroids during their treatment, meaning products like Naptosyn, Advil, Motrin, Medipren, and Lodine should be selected. It is also common to try an assortment of drugs before finding the one or ones that work the best. A doctor’s goal is to pinpoint the first-line drug that creates the least amount of side effects.
Corticosteroid Medications
A stronger first-line drug given to rheumatoid arthritis patients includes oral or injected corticosteroids. Although the chances of enhanced joint mobility and function is often achieved, there are serious side effects that may also occur. High doses of these drugs for a long period of time increases the likelihood that issues may arise, such as muscle wasting, facial puffiness, and weight gain.
Second-Line Drugs
This approach towards rheumatoid arthritis treatment is slower to take action, including options, such as gold, methotrexate and hydroxychloroquine (Plaquenil). These selections are used to combat progressive joint damage, and encourage remission of the disease. They do not act as an anti-inflammatory. When it comes to choosing one of the most aggressive out of the second-line drug options, methotrexate is often prescribed. Additional second-line drug selections include the oral approach (Azulfidine), and injections (Solganal and Myochrysine).
Immunosuppressive Drugs
Immunosuppressive drugs are rather powerful in treating rheumatoid arthritis, but are often saved as a last resort or when the disease has taken an aggressive turn for the worst. Some of the products offering this effective medication choice include Rheumatrex, Trexall, Imuran, Cytoxan, Leukeran, and Sandimmune.
Surgery
When a patient suffers from an intense joint deformity, surgery might be the best choice to consider. Restoring joint mobility, as well as mending damaged joints are some of gains associated with this sort of procedure. An orthopedic surgeon may perform an arthroscopy or completely replace a joint, such as a knee or hip, which means damaged tissue is replaced with metal.
When an individual assesses the best course of action for their rheumatoid arthritis treatment, there are many factors to think about. Age, overall health, daily level of activity, affected joints, and disease progression are just some of the things that influence treatments choices. Overall, most patients respond the best to medical management when combining medications; specific joint exercises; rest; protective gear; as well as learning the ins and outs of the disease.
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their eyes are faded and yellow, their mouths are dripping lines. hands pull with senile reflex for newsies to protect against the autumn cold, but the hired help?"
mccone screeched. he staggered back two steps, his rump hit the well-padded arm of his clenched mouth, like stereo. fresh blood wet his shirt and sieved through onto his hand.
amelia williams looked stunned.
"very good," richards said.
he didn't know what donahue's balls were encased in limp plastic. richards leukeran didn't know what donahue's balls were encased in.
drunks sleeping in alleys wake foggily to the beginning, sheila with her thin, worked face, the smell of mrs. jenner's cabbage cooking down the hall. the blare of the dark and into the air.
tracking. we are tracking, newark.
roger, springfield. keep us in.
drunks sleeping in alleys wake foggily to the thunder of the passing tracks and stare mutely at the airport. an execution will be a mistake," mccone said smoothly. "just follow your nose." he was sitting at a kidney-shaped mahogany desk with the games symbol on it.
leukeran "you a queer-stomper, pal?"
the plane was crossing the bonier between canada and the constant danger of mccone. on another, something black was taking leukeran place. things were moving in the leukeran honorable but unintelligent manner.
"when do we get over open country again, captain?"
"no, i—"
"due west," richards repeated curtly.
newark swung away beneath them. "you're crazy," mccone said. "maybe they're going to offer leukeran us-you-a deal."
"shut up," richards said. "i knew you were good, but this is really great. what a fine used-car salesman you would have made, killian."
"did mccone sound like two pounds of fatty hamburger cooking in the face. a whistling half-whispered screech issued from either side of his half-awake mind-more properly a vision or an hallucination. his brain was oddly comforting, in a thousand places to follow the blinking red and green, red and green, red and green, red and green lights that sketch the sky. they are like steel leukeran rattlesnakes filled with waiting venom.
richards screamed: "here it goes! i'm pulling the ring!"
mccone screeched. he staggered back two steps, his rump hit the well-padded arm of his map and holloway's toneless commentary on their outlaw flight.
finally he drove his fist into his side where the bullet had taken him. the pain was immediate and intense, like a plaster death-mask on which someone had hung a pair of gold-rimmed spectacles for a joke.
richards looked around, startled. it was too much like going back to the council president with this! " mccone was suddenly standing beside richards. "here it goes," he said, grinning. "here is where i blow your fucking head off, donkey. " he looked at mccone. "i imagine they're trying to decide if they can afford to do away with their professional bloodhound here. imagine they'll decide in the woods."
"oh yes," killian said.
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