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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Advanced Stage Of RA

My wife is suffering from advanced stage of RA.,CRP is -ve,Anti CCp (ACCP) 5.11,She was on Mexate 10 once a week, Calcium supllements & wysone 5 (Steroid) since last 3 years, now doctor has stopped Wysone 5 and prescribed SAZo 500 ,She is having lot of pain and demormation in the hands 80%,Pl guide how she will be cured and avoid pain taking nuxoxia p Pain killer ,pl help
posted on Tue, 12 May 2015
Twitter Thu, 28 Apr 2022 Answered on
Twitter Mon, 2 May 2022 Last reviewed on
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Anesthesiologist,  's  Response
Hi,

I can understand the severity of RA your wife has been suffering from. As you have been taking non biologic DMARDs and adjunctive drugs with very less results, I would suggest to increase the dose of Methotrexate and observe for a month. This has to be done under medical supervision. If RA isn't controlled yet, we can go for biologic DMARDs like anti TNF agents eg. Etanercept, Infliximab etc., but only under medical supervision. Kindly inform your treating physician about the deformities and ask him to rise the dose of Methotrexate or to add another non biologic DMARD.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pallavi M., Anesthesiologist
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Suggest Treatment For Advanced Stage Of RA

Hi, I can understand the severity of RA your wife has been suffering from. As you have been taking non biologic DMARDs and adjunctive drugs with very less results, I would suggest to increase the dose of Methotrexate and observe for a month. This has to be done under medical supervision. If RA isn t controlled yet, we can go for biologic DMARDs like anti TNF agents eg. Etanercept, Infliximab etc., but only under medical supervision. Kindly inform your treating physician about the deformities and ask him to rise the dose of Methotrexate or to add another non biologic DMARD. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist