Concluded Case

RHEUMATOID ARTHRITIS MANAGEMENT

45yr old female patient with history of joint pains , fever and fatigue since more than 6 months.No h/o DM,HTN. Her RA test positive and reports attached. Kindly suggest management.

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Concluded answer
Presently first line NSAIDS , naproxen 250 mg bd or Eterocoxib 90 mg OD , This is just RA factor done , if possible get anti CCP antibody done which is more specific and start patient on tripple therapy , HCQ , Methotrexate 5 days a week along with folate supplementation and a NSAID , hit hard hit early strategy Once you start patient on DMARDS they require monjtoring with CBS and Lfts
All Answers
Presently first line NSAIDS , naproxen 250 mg bd or Eterocoxib 90 mg OD , This is just RA factor done , if possible get anti CCP antibody done which is more specific and start patient on tripple therapy , HCQ , Methotrexate 5 days a week along with folate supplementation and a NSAID , hit hard hit early strategy Once you start patient on DMARDS they require monjtoring with CBS and Lfts
Valuable opinion
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NsAID's can relieve pain and reduce inflammation. Prednisolone slows joint damage. DMARDs and HCQs are given after assessment by Rheumatologist. Folic acid,calcium and vitaminD are also advised. Fatty foods, sugar and refined carbohydrates ,preservatives not to eat
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Tab. Saaz 1-0-1 bd for 15 days Tab. Medrol 8mg 1-1-1 1-0-1 1-0-1 1 1 Tab. Pirox dt 1-0-1 Tab. Plezer - G 1 od start rumalaya forte tablet 1 OD for 3 months.. and at night aaragvadh churna 2gms with luke warm water.. it will permenant solution of RA
Need to evaluate other arthritis factors. At this time Methotrexate or HCQS are good agents to be given to patient. Leflunomide is another good and safe alternative in this patient. Refer to Rheumatologist for further help.
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IT'S A..CASE OF.. ? RHEUMATOID ARTHRITIS.. NEED'S.. ANTI CCP .. ANA..PROFILE.. CRP .. EXPERTS OPINION.. MEANWHILE TREAT SYMPTOMATICALLY WITH.. NSAIDS..AS PER REQUIREMENT.. METHOTREXATE..
Tnx Dr Vipin Bihari Jain
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Tablet HQ 200 bd tablet neprocin 250 od tablet zerodal sp
Tablet HCQ BD TABLET ZERODAL TH TAB HIFENIC P
HCQ or methotrexate to be given.
HISTORY OF 6 MONTHS FEVER = RANGE JOINT PAINS WHICH JOINTS = NO MENTION SMALL / LARGE / ALL JOINTS H / O MORNING STIFFNESS ? RHEUMATOID FACTOR + VE ADV BLOOD = ANTI CCP AB ANA ANA PROFILE FOR FUO CXR = CA LUNG CAN PRESENT JOINT PAIN AS EXTRA PULMONARY MANIFESTATION + F U O IF SUGGESTIVE OF RHEUMATOID ARTHRITIS CLINICALLY OR FROM REPORTS RX DNARD
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Woman with joint pain, RA positive and raised ESR ? RA To rule out SLE CRP, ACCP , ANA profile
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