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  • Psoriatic Arthritis Conventional Treatment

    The conventional treatment of psoriatic arthritis consists of

    1] Non-steroidal anti-inflammatory drugs (NSAID's)
    They do not modify the course of the disease, nor do they prevent erosions, but they are effective to relieve pain and stiffness.

    2] Disease-modifying antirheumatic drugs (DMARD's) such as Methotrexate and Cyclosporine.
    Methotrexate is effective both for psoriasis and psoriatic arthritis. One has to take folic acid supplements along with it to safe guard the liver. One requires frequent monitoring of liver function tests, while on Methotrexate.

    Side effects of Methotrexate are described on www.e-psoriasis.com/app/methotrexate_adverse_effects.asp

    3] Biological agents (Etanercept, Infliximab) these are Anti-TNF agents and are in advanced clinical trials.

    4] Systematic corticosteroids are very effective in the acute flare ups, but have potential side effects for long term application.

    5] Physical therapy is invaluable importance in several cases.

    6] Reconstructive surgery is required in selective cases with end stage joint destruction.

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