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What can your doctor prescribe if disease-modifying antirheumatic drugs don't work for psoriatic arthritis?

ANSWER

Your doctor may prescribe a biologic. These are a newer type of disease-modifying antirheumatic drugs. These medications block a protein that causes inflammation. They include:

  • Adalimumab (Humira)
  • Adalimumab-atto (Amjevita), a biosimilar to Humira
  • Certolizumab pegol (Cimzia)
  • Etanercept (Enbrel)
  • Etanercept-szzs (Erelzi), a biosimilar to Enbrel
  • Golimumab (Simponi)
  • Infliximab (Remicade)
  • Infliximab-dyyb (Inflectra), a biosimilar to Remicade
  • Ustekinumab (Stelara)

SOURCES:

Sharon Mayo, Health Educator, National Psoriasis Foundation

Alice Gottlieb, MD, PhD, Dermatologist-in-Chief, Tufts Medical Center

National Psoriasis Foundation: “Psoriatic Arthritis” “Psoriatic Arthritis Treatments”

American College of Rheumatology: “NSAIDS: Nonsteroidal Anti-Inflammatory Drugs”

American Academy of Dermatology: “Guidelines of care for the management of psoriasis and psoriatic arthritis.”

MedLine Plus Medical Encyclopedia: “Diclofenac and misoprostol.”

Johnston, BL and Conly, JM. Canadian Journal of Infectious Diseases and Medical Microbiology, July-August 2006.

UpToDate: "Treatment of psoriatic arthritis."

Schett, G. Therapeutic Advances in Musculoskeletal Disease, October 2010.

 FDA. “FDA approves Inflectra, a biosimilar to Remicade.” “FDA approves Amjevita, a biosimilar to Humira.”

Reviewed by David Zelman on April 29, 2019

SOURCES:

Sharon Mayo, Health Educator, National Psoriasis Foundation

Alice Gottlieb, MD, PhD, Dermatologist-in-Chief, Tufts Medical Center

National Psoriasis Foundation: “Psoriatic Arthritis” “Psoriatic Arthritis Treatments”

American College of Rheumatology: “NSAIDS: Nonsteroidal Anti-Inflammatory Drugs”

American Academy of Dermatology: “Guidelines of care for the management of psoriasis and psoriatic arthritis.”

MedLine Plus Medical Encyclopedia: “Diclofenac and misoprostol.”

Johnston, BL and Conly, JM. Canadian Journal of Infectious Diseases and Medical Microbiology, July-August 2006.

UpToDate: "Treatment of psoriatic arthritis."

Schett, G. Therapeutic Advances in Musculoskeletal Disease, October 2010.

 FDA. “FDA approves Inflectra, a biosimilar to Remicade.” “FDA approves Amjevita, a biosimilar to Humira.”

Reviewed by David Zelman on April 29, 2019

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How do you take biologics for psoriatic arthritis?

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