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What Are Potential Side Effects from DMARDS?

* denotes most common side effect if one were to have a side effect ​ All medications have potential side effects. Most people do not suffer from these side effects. A random few people do and unfortunately, there is no way to predict it. This can be said regarding naproxen and ibuprofen. ​ I tend to lean towards methotrexate if you are a young woman who wants kids in the future. I tend to lean towards leflunomide if you have chronic kidney disease. ​ Most of my patients do well on either medication. METHOTREXATE Methotrexate is a weekly regimen that is supplemented with daily folic acid to help counteract potential side effects. Methotrexate may take 6 to 12 weeks to be effective. Potential

How to prepare for your upcoming procedure while on treatment

If you are on a DMARDs (Disease Modifying Anti-Rheumatic Drugs), such as hydroxychloroquine, sulfasalazine, methotrexate, or leflunomide and have an upcoming non-invasive surgery, such as colonoscopy, cataracts, gall bladder removal, or even dental work, you should not hold or discontinue treatment prior to surgery. You should continue treatment, otherwise, you will flare. If you are having spinal cord or brain surgery, then I recommend to my patients to hold any DMARD, except hydroxychloroquine, at least one week before surgery. If you are on a small particle or biologic DMARD, such as Xeljanz, Enbrel, Humira, Remicade, Cimzia, Simponi or Actemra, you should then discuss with your rheumatol

What is Inflammatory Arthritis?

There are several kinds of arthritis​ Degenerative or Osteoarthritis Inflammatory Arthritis Crystal Arthritis Infectious Arthritis Metabolic Arthritis​ Inflammatory Arthritis. ​ Two of the most common kinds of Inflammatory Arthritis are Rheumatoid Arthritis and Psoriatic Arthritis. The symptoms of inflammatory arthritis are:​ Joint Stiffness or Gel Phenomenon Joint Pain Joint Swelling Loss of Manual Dexterity At times, tingling in fingers (carpal tunnel syndrome)​ I want to define "Joint Stiffness or Gel Phenomenon". Stiffness is difficulty moving after a period of rest in joints that improves or loosens up with activity and/or warming up. It is not pain. Stiffness that is more than 30 minut

Knee Arthritis

KNEE OSTEOARTHRITIS. What It Is? ​ Osteoarthritis is also known as "wear and tear arthritis," mechanical arthritis, or non-inflammatory arthritis. There are hereditary and vocational components. Post-traumatic joint injuries may also predispose to it. What It Isn't? ​ It is often mistaken for Rheumatoid Arthritis, however, patients with Rheumatoid Arthritis may also have osteoarthritis. ​ Treatment Starts with You ​ I recommend maintaining a healthy weight to slow the progression of osteoarthritis. Why Weight Loss? ​ Because... About every 1 lb of extra body weight is approximately 5 lbs of extra weight on the knees. ​ How to Lose Weight? ​ I recommend a Mediterranean diet, rich with olive o

Your Lupus Treatment

All lupus patients are NOT equal. therefore, treatment is not always the same. However, the backbone of treatment is. ​ 1) HYDROXYCHLOROQUINE (Plaquenil) ​ The cornerstone medication for any lupus patient is hydroxychloroquine (Plaquenil), which is an old anti-malarial medication. Chloroquine may be used in those who do not tolerate hydroxychloroquine. ​ Hydroxychloroquine has been shown to be very useful in lupus patients. This is why I love this medication for my lupus patients:​ It reduces lupus flares It increases survival It reduces organ damage It helps cholesterol It reduces the risk of blood clots It reduces heart disease It prevents seizures​ Safety ​ Hydroxychloroquine is a safe me

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