Rheumatoid Arthritis and Methotrexate Flashcards
Symptoms of Rheumatoid Arthritis
- inflammation joints
- pain / stiffness
- fatigue
- tenderness
What can exacerbate Rheumatoid Arthritis
bring sedentary
What is the 1st Line treatment of Rheumatoid Arthritis
DMAR
What is the 2nd Line treatment of Rheumatoid Arthritis
Dual DMARD
What is the 3rd Line treatment of Rheumatoid Arthritis
Monoclonal Antibodies (Adalimumab)
Examples of DMARDs
- Methotrexate
- Sulfasalazine
- Hydroxychloroquine
What should you do if rapid treatment of Rheumatoid Arthritis is needed
bridge DMARD therapy with corticosteroids
What can be offered for pain until DMARDs kick in
NSAIDs
Which NSAID should you not use with Methotrexate
Ibuprofen
What should the prescription and label of methotrexate both show
dose and frequency
If methotrexate is prescribed with folic acid what should the administration be
do not taken folic acid on the same day as you take methotrexate
What should patients report
- liver
- respiratory
- blood
effects
What is used to treat Methotrexate toxicity
Folinic Acid
Methotrexate and Contraception
- Must use during treatment
- 6 months after
men and women
Methotrexate Side effects
- blood disorders
- liver toxicity
- respiratory toxicity
- gastrointestinal toxicity