Treatment is usually initiated by a specialist, but GPs play an important role in monitoring patients for adverse effects and drug interactions. This article includes a pull out DMARD monitoring table and information on tumour necrosis factor (TNF) inhibitors. Chloroquine and breast cancer Hydroxychloroquine 200mg equivalent Chloroquine cutaneous lupus Plaquenil sulfate allergy Original Article from The New England Journal of Medicine — Treatment of Rheumatoid Arthritis with Methotrexate Alone, Sulfasalazine and Hydroxychloroquine, or a Combination of All Three Medications Hydroxychloroquine Plaquenil is considered a disease-modifying anti-rheumatic drug DMARD. It can decrease the pain and swelling of arthritis. It may prevent joint damage and reduce the risk of long-term disability. Hydroxychloroquine is in a class of medications that was first used to prevent and treat malaria. Hydroxychloroquine is sometimes combined with methotrexate for additive benefits for signs and symptoms or as part of a regimen of “triple therapy” with methotrexate and sulfasalazine. Mechanism The mechanism of action of antimalarials in the treatment of patients with rheumatoid arthritis is unknown but is thought to involve changes in. Dr Andrew Harrison, Senior Lecturer, Rheumatology, Wellington School of Medicine, University of Otago, Wellington Dr Rebecca Grainger, Rheumatologist and Clinical Research Fellow, Malaghan Institute of Medical Research, Wellington The aim of treatment for rheumatoid arthritis is to achieve minimal joint inflammation (a therapeutic remission). Key reviewers: Professor John Highton, Head of Section, Department of Medical and Surgical Sciences, Dunedin School of Medicine, University of Otago. Hydroxychloroquine methotrexate sulfasalazine azathioprine lefludomide ARA - Medication Information, Hydroxychloroquine Plaquenil Gabapentin and plaquenilPlaquenil skin side effects picturesPlaquenil ocular screeningHydroxychloroquine lyme treatmentChloroquine lyme Before the availability of drugs like methotrexate, damage to joints and related structures from chronic inflammation associated with RA was inevitable for many patients. 1. The most widely used traditional or conventional DMARDs include methotrexate, sulfasalazine Azulfidine ®, leflunomide Arava ®, and hydroxychloroquine Plaquenil. Traditional RA Disease modifying anti-rheumatic drugs. Rheumatoid Arthritis Treatment Options Johns Hopkins.. DMARDs Arthritis Foundation. The Combination of Leflunomide Arava and Methotrexate is Safe & Efficacious for the Treatment of Rheumatoid Arthritis April 13, 2005 By Arthritis Center Methotrexate MTX, an anti-metabolite that inhibits purine pathways, has been the hallmark of standard of care for many years in the treatment of rheumatoid arthritis RA. Hydroxychloroquine only* • Sulfasalazine at any dose • Prednisolone 10mg or less per day • Methotrexate 0.4mg/kg/week • Azathioprine 3mg/kg/day *GP should counsel patient that the risk of VZV reactivation is low 3. Vaccination contraindicated • Combination therapy not mentioned in the green box above. Compare Methotrexate vs Sulfasalazine head-to-head with other drugs for uses, ratings, cost, side effects, interactions and more. Methotrexate rated 6.7/10 vs Sulfasalazine rated 5.7/10 in overall patient satisfaction.