Whether you have just been diagnosed with rheumatoid arthritis (RA) or have
been living with this autoimmune disease for years, you no doubt have many
questions and concerns. To help you get up to speed on the best ways to manage
your RA today and for years to come, we took your top questions to
rheumatologist Linda A. Russell, MD, an assistant professor of medicine at
Weill Medical College of Cornell University and an assistant attending
physician at the Hospital for Special Surgery in New...
Medicines called disease-modifying antirheumatic drugs
(DMARDs) can slow or sometimes prevent joint destruction. Starting treatment early with DMARDs can reduce the severity of the disease.2 DMARDs are also called immunosuppressive drugs or
slow-acting antirheumatic drugs (SAARDs). These medicines are usually taken over a long period to help control the disease.
DMARDs can be thought of as nonbiologic or biologic, depending on how they are made and how they act in the body. But they are all used to block harmful responses from the body's immune system. DMARDs are sometimes combined with one another or with other medicines. By combining medicines, you may be able to take lower doses of individual medicines. This may reduce your risk of side effects.
Some medicines for rheumatoid arthritis may cause birth defects. If you
are pregnant or are trying to become pregnant, talk with your doctor about your medicines.
Medicines to slow the disease
Disease-modifying antirheumatic drugs
(DMARDs) are usually started within 3 months of your diagnosis. They are used to
control the progression of RA and to try to prevent joint
damage and disability. DMARDs are often given in combination with other
There is a newer biologic drug called tofacitinib (Xeljanz) for adults who have moderate to severe rheumatoid arthritis. This medicine is for people who have not responded well to methotrexate or who cannot take it. Tofacitinib is taken by mouth. It reduces the symptoms of rheumatoid arthritis and allows people to be more active. But the long-term safety of this medicine is still being studied.5, 6
such as prednisone. These medicines are used to reduce disease
activity and joint inflammation. But using only corticosteroids for an extended time is not considered the best treatment. Corticosteroids are
often used to control symptoms and flares of joint inflammation until DMARDs
reach their full effectiveness.
Analgesics (pain relievers). These don't reduce
inflammation but may help with pain control. They include: