RA When to Use Flashcards
Corticosteroids
Used for anti-inflammatory and immunosuppressive properties
DMARDs
Potential to decrease/prevent joint damage & preserve joint integrity
DMARD examples
MTX
Sulfasalazine
Hydroxychloroquine (HCQ)
Adalimumab (Humira)
Patients who have inadequate response to one or more DMARDS
Golimumab (Simponi)
Moderate to severe RA
Certolizumab (Cimzia)
RA patients with moderate to severe disease
Abatacept (Orencia)
Moderate to severe RA
If had inadequate response to one or more DMARDs
Tocilizumab (Actrema)
Moderate to severe RA after inadequate response to one or more DMARDs
Sarilumab (Kevzara)
Moderate to severe RA after inadequate response to one or more DMARDs
Rituximab (Rituxan)
For moderate to severe RA
In those with inadequate response to TNF antagonists
Tofacitinib (Xeljanz & Xeljanz XR)
Moderate to severe RA after inadequate response to MTX
Baricitinib (Olumiant)
Moderate to severe RA after inadequate response to TNF
Upadacitinib (Rinvoq)
Moderate to severe RA after inadequate response to MTX
Anakinra (Kineret)
IL inhibitor / BRM / bDMARD
Used when TNFi fails
Used w/ MTX