Find Information About:

Drugs & Supplements

Get information and reviews on prescription drugs, over-the-counter medications, vitamins, and supplements. Search by name or medical condition.

Pill Identifier

Pill Identifier

Having trouble identifying your pills?

Enter the shape, color, or imprint of your prescription or OTC drug. Our pill identification tool will display pictures that you can compare to your pill.

Get Started

My Medicine

Save your medicine, check interactions, sign up for FDA alerts, create family profiles and more.

Get Started

WebMD Health Experts and Community

Talk to health experts and other people like you in WebMD's Communities. It's a safe forum where you can create or participate in support groups and discussions about health topics that interest you.

  • Second Opinion

    Second Opinion

    Read expert perspectives on popular health topics.

  • Community


    Connect with people like you, and get expert guidance on living a healthy life.

Got a health question? Get answers provided by leading organizations, doctors, and experts.

Get Answers

Sign up to receive WebMD's award-winning content delivered to your inbox.

Sign Up

Font Size

Psoriatic Arthritis: What You Need to Know

Treatment of Psoriatic Arthritis

Psoriatic arthritis is treated much like rheumatoid arthritis. Common treatment includes drugs that might slow the process of joint damage in psoriatic arthritis (called disease-modifying antirheumatic drugs or DMARDs); and nonsteroidal anti-inflammatory drugs (NSAIDs), which treat symptoms without changing the course of psoriatic arthritis.

The drug apremilast (Otezla) doesn't fall into either of the above categories. It's an inhibitor of an enzyme called phosphodieasterase-4 (PDE-4). Otezla is FDA-approved to treat psoriatic arthritis and is taken orally.


Typically, the DMARDs reduce skin psoriasis as well as psoriatic arthritis. DMARDs include:

Biologic agents, including adalimumab (Humira), certolizumab (Cimzia), etanercept (Enbrel), golimumab (Simponi), inflixirnab (Remicade),  and ustekinumab (Stelara)

Although DMARDs often slow joint damage in short-term studies, it remains to be seen whether they prevent long-term joint damage from psoriatic arthritis.


These medicines treat symptoms like pain, swelling, and stiffness. NSAIDs include ibuprofen (Motrin), naproxen (Naprosyn), indomethacin (Indocin), piroxicam (Feldene), and aspirin. NSAIDs improve symptoms but don’t affect the progression of joint damage.

Other drugs used for psoriasis or psoriatic arthritis include hydroxychloroquine, gold compounds, and retinoic acid derivatives (Soriatane).

Prognosis of Psoriatic Arthritis

Like skin psoriasis, psoriatic arthritis can’t be cured. With treatment, though, most people with psoriatic arthritis do well. Pain and swelling usually persist, but are controlled with pain medicines and DMARDs.

About 20% of people with psoriatic arthritis will develop a destructive form of the disease. Certain characteristics of psoriatic arthritis can help identify aggressive cases:

  • Frequent or multiple effusions (fluid on the joint, making it swell)
  • Involvement of more than five joints
  • High level of medication use in the past for psoriatic arthritis
  • Already having damage on X-rays or MRI scans, making future damage likely.

In people with joint damage or signs of aggressive psoriatic arthritis, DMARDs are the preferred treatment.

Psoriatic arthritis can be deceptive. Sometimes, psoriatic arthritis is only mildly painful, even when it’s destructive. If you have symptoms of psoriatic arthritis, see your doctor. Close follow-up and conscientious treatment could slow the process of joint damage.

WebMD Medical Reference

Reviewed by Jennifer Robinson, MD on October 15, 2015
1 | 2

Today on WebMD

Pictures and symptoms of the red, scaly rash.
woman with dyed dark hair
What it says about your health.
woman with cleaning products
Top causes of the itch that rashes.
atopic dermatitus
Identify and treat common skin problems.
itchy skin
shingles rash on skin
woman with skin tag
Woman washing face
woman washing her hair in sink
close up of womans bare neck
woman with face cream