How to Stay Healthy When You Take Biologics for RA

Biologic drugs can make a big difference in your RA. They bring down inflammation to prevent joint damage, but it can take some trial and error to figure out which medicine and dose is right for you. Up to 40% of people with RA don't find relief from the first one they try. If you don't see improvement in 3 months, your doctor may change the amount you take or suggest you try a different medicine.

Eat healthy while you're taking a biologic. The best diet for RA is big on fruits, veggies, fish, nuts, and beans. Go easy on processed and fried foods.

Check out these inflammation-busters:

• Fatty fish like tuna, salmon, and sardines
• Nuts such as walnuts, almonds, and pistachios
• Berries and citrus fruits like oranges and grapefruit
• Green vegetables like broccoli, spinach, and kale
• Beans, including red and kidney beans

Fight fatigue with an energy-boosting plan. Take short breaks during the day so you can rest and regroup between activities. Go to bed at the same time each night to make sure you get enough sleep. And try to exercise every day. A morning walk or bike ride will perk you up and help you get better sleep at night.

Pain and swelling might lead you to take it easy, but too much rest can make your RA worse. To keep flexible and strengthen the muscles that support your joints, you need to get moving. The best fitness program for RA combines exercise that gets your heart pumping, strength training, and stretching. Walking, swimming, and cycling are all safe, low-impact activities.

Biologic drugs curb your immune system, your body's defense against germs. This keeps your immune system from going awry and causing conditions like RA that attack and damage your joints. The downside is that you may have a higher chance of getting an infection. To avoid getting sick, stay up to date on vaccines for the flu, pneumonia, shingles, and other diseases. Wash your hands often with warm water and soap, or use a hand sanitizer to keep germs away.

Biologics aren't a quick fix. It can take time to get your RA under control. You'll see your doctor every few months to make sure your treatment works and to keep tabs on side effects. If your joints don't improve, your doctor might adjust the dose of your medicine or switch you to a new one. See your doctor if your arthritis flares up between checkups.

Biologics may not mix well with your other meds and could cause side effects. Let your pharmacist and doctor know whenever there's a change in the drugs or supplements you take, including over-the-counter medicine. Also let them know about any changes to your health, like whether you have diabetes or you're pregnant. Go over your entire medication list with your doctor at your yearly checkup. 

If you're always anxious, it can add to your RA trouble. People who worry a lot have more pain and swelling in their joints than those who take things in stride. To ease stress, take a few minutes to relax each day. Exercise triggers the release of feel-good chemicals in your brain, so go for a walk or ride your bike. Or try yoga, which blends fitness with deep breathing.

You probably know that the tobacco habit is bad for your heart and lungs, but it also harms your joints. Smoking can make your inflammation and pain worse, and it can make RA harder to control. Lighting up may also affect how well your biologic works. Ask your doctor for ideas on ways to quit, such as nicotine replacement products.

When you carry around extra pounds, it puts strain on your joints. Fat also directly affects RA by releasing chemicals that add to inflammation. And if you're overweight or obese, your biologics may not work as well. Talk to your doctor about the best way to slim down.

Biologics are just one way to ease RA pain and swelling. Heat and cold also soothe achy joints. Warmth from a heating pad or wet towel increases blood flow to your joints and relaxes tight muscles. Cold from an ice or frozen gel pack numbs painful joints and brings down inflammation. Alternate cold and heat, or use the method that feels best.