Nutopia Forum Index
Bay Area Forum for Asians
Log in to check your private messages
Advanced Search traditional simplified
star FAQ Search Memberlist Usergroups Register Log in star
青鳥   聖域回音 (全)   回音(全)   洛克人小說   寵物貼圖   Bay Area Happenings   素菜食譜   Free Medical Info   Random things   每日一女   牆紙桌布下載   流行音樂  
家常食譜   簡易微波爐食譜   小電影   免費軟硬電腦教學   IBM Content Manager  
Username:    Password:    Log me on automatically each visit   
                                                      
Nutopia Forum Index
Nutopia Forum Index Free Medical Info Combination Therapy for Rheumatoid Arthritis
View previous topic :: View next topic
Post new topic     Reply to topic Page 1 of 1
Combination Therapy for Rheumatoid Arthritis Fri Jul 15, 2011 1:28 am
Author Message
DoctorNutopia
萬人迷
萬人迷

Joined: 06 Nov 2009
Posts: 2981
Reply with quote

Post subject: Combination Therapy for Rheumatoid Arthritis

Bookmark and Share
URL
Embed
Link
BBCode


Combination Therapy for Rheumatoid Arthritis


Rheumatoid arthritis is no longer the disabling condition it was in the past, thanks in large part to combination therapy – taking more than one RA medicine at a time. 

For example, combining two disease-modifying antirheumatic drugs (DMARDs) or combining the DMARD methotrexate with a biologic agent can lessen symptoms such as joint pain as well as slow joint damage -- greatly improving quality of life for people with RA.

Combination therapy has produced a sea change, says James R. O'Dell, MD, Larson professor of internal medicine and chief of rheumatology and immunology at the University of Nebraska Medical Center in Omaha, Neb.  "It is very gratifying to go to clinic now," he says. Instead of counting the number of people in wheelchairs, Larson says, "You see the majority of your patients doing great and living a normal life."

If your doctor recommends combination therapy, work with him to tailor a treatment plan that is right you. Here are answers to some of the questions you may have about combination therapy for RA.

What can I expect if I go on combination therapy? It’s not yet possible to know in advance which combinations of drugs will work for a specific patient. So you can expect some trial and error and tailoring to get the best result for you.

After you are diagnosed, you may start on monotherapy, which means taking a single drug, usually the DMARD methotrexate. Methotrexate can suppress an overactive immune system and slow or stop joint damage. It is used in combination with virtually every other drug, says Mark C. Genovese, MD, professor of medicine and co-chief of immunology and rheumatology at Stanford University Medical Center in Palo Alto, Calif.

Then your rheumatologist may increase the dose, as needed, to evaluate its effectiveness and any side effects. If your disease does not respond well to the first drug, the doctor may add a biologic. Biologics can work quickly to reduce joint pain and swelling. They also help turn down the inflammatory response and improve physical function.

Finding the biologic that works best for you can take some time. Genovese says that patient and physician preferences, as well as cost and insurance coverage, are also a part of the decision-making process.

Do some combinations work better and produce fewer risks than others? Although many doctors combine methotrexate with a biologic, that's not necessarily better than combining two DMARDs. O'Dell lists methotrexate, sulfasalazine, hydroxychloroquine, and leflunomide among the DMARDs that have been used together. "Work with a rheumatologist to find a therapy or combination that will get your disease to a low level of activity," O'Dell says.

Rheumatologists don't combine two biologics because of the higher risk of infections.

Although methotrexate doesn't often cause liver toxicity, your doctor will carefully monitor your liver function. Many RA medications can also cause bone marrow problems. Doctors closely watch for these potential risks.

http://www.webmd.com/rheumatoid-arthritis/biologics-10/ra-combination-therapy?src=RSS_PUBLIC
View user's profile Send private message
Back to top
Combination Therapy for Rheumatoid Arthritis Fri Jul 15, 2011 1:28 am
Author Message
Special Offers!
萬人迷
萬人迷

Joined: 06 Nov 2009
Posts: 2981
Reply with quote

Post subject:


Medical Info Blog








Combination Therapy for Rheumatoid Arthritis




Combination Therapy for Rheumatoid Arthritis
池村麻耶 AV ketimeinu 248sex.com qiangjianluoli  跑車美女模特 
國際露底 美尻 sex8春暖花开性吧有你 亚洲无码区 涓?浜????婊?棣? 波神 
?剁??濠??ㄩ?ㄨ８? ゆりあ 比思林小喜 www,sex,tontonme,com 素人meiru 
谢梦zouguang woman 神奶 ??涔??遍?? ed2k erika kimisita种子 
海 學生妹 性吧,春暖花开,性吧有你 爱田露加 thunder 春暖花开性吧有你CC欧洲无码 
wwwddrtys.com 性吧有你 春暖花开 公告区 前岛美步 e2dk 金泰熙 www.45gdy.com 
sex8 thunder 甯???瀹?濞? 姣??? リア・ディゾン 画像 濑亚美莉职女 qvod 细川忍Qvad 
sex8.cc--春暖花开性吧有你 何論東 爱花沙也 无码 引牛入室番外篇大龙过江 春暖花开性吧asian video 
www.97sdd 福下惠美qvod fc2高树玛利亚 http://www.95jq.com 自拍偸拍 
ek2d 比思 兵骑步 叶珏婕 快播 247美女 G妹 
View user's profile Send private message
Back to top
Post new topic     Reply to topic Page 1 of 1
Display posts from previous:
Back to top
Related Links:

Combination Therapy for Rheumatoid Arthritis Combination Therapy for Rheumatoid Arthritis Combination Therapy for Rheumatoid Arthritis Combination Therapy for Rheumatoid Arthritis Combination Therapy for Rheumatoid Arthritis Combination Therapy for Rheumatoid Arthritis Combination Therapy for Rheumatoid Arthritis

Powered by phpBB 2001, 2002 phpBB Group
Powered by SO Software Online
Theme designed by What Is Real!? 2005
Register your domain name and build your site at UNI.CC
All times are GMT + 8 Hours