Navigating the world of arthritis? Whether it's osteoarthritis, rheumatoid arthritis, psoriatic arthritis, or any other of the numerous types, there's a wide range of medicines to support you. They can alleviate symptoms, decelerate the disease's progression, and assist you in leading an active life. Here's a simplified breakdown to help you choose what's best:
1. Analgesics (Pain Relievers):
Acetaminophen (like Tylenol): Great for mild to moderate pain without the side effects some other drugs might cause. Just remember to watch your dosage to protect your liver.
Opioids: These are strong painkillers that must be prescribed. Though effective for severe pain, they come with their share of side effects and addiction concerns. As Prof. Donald Miller from North Dakota State University puts it, long-term use might not be much more effective than simpler medications.
2. Non steroidal Anti-inflammatory Drugs (NSAIDs):
Help combat both pain and inflammation.
Common ones include Naproxen (Aleve), aspirin, and ibuprofen. Some, like indomethacin and celecoxib, need a prescription.
A word of caution: regular NSAID usage might increase your risk for heart issues or stomach problems.
3. Corticosteroids:
Speedy inflammation reducers.
They can be great for instant relief but have potential side effects like weight gain or high blood pressure. If taken long-term, a minimal dosage is recommended.
4. Disease-Modifying Antirheumatic Drugs (DMARDs):
Mainly used to tackle the inflammation responsible for arthritis.
It might take a bit for these to show results, but they're crucial in the fight against various types of arthritis.
Notable mention: Methotrexate, is often the first drug administered after an RA diagnosis. Other subsets include biologics and targeted synthetic DMARDs.
5. Biologics:
A potent subset of DMARDs and can be a game-changer for many.
They might be pricier and have their own set of considerations (like being more susceptible to infections).
Their variety means that if one doesn’t work, there are other options to try.
6. Targeted DMARDs:
More precise than their conventional counterparts, they zone in on specific parts of the immune system.
Notable examples include Janus kinase (JAK) inhibitors and Phosphodiesterase 4 (PDE 4) inhibitors.
Be active. Physical activity—such as walking, bicycling, and swimming—decreases arthritis pain and improves function, mood, and quality of life. Adults with arthritis should move more and sit less throughout the day. Getting at least 150 minutes of moderate-intensity physical activity each week is recommended.
Protect your joints. People can help prevent osteoarthritis by avoiding activities that are more likely to cause joint injuries.
Talk with a doctor. Recommendations from health care providers can motivate people to be physically active and join a self-management education program. Should your arthritis be interfering with your activities of daily living you may be a candidate to receive many new treatments, and learn how to reverse the arthritis condition.
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