How to Choose the Right Psoriatic Arthritis Medication

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Psoriatic arthritis may be a frustrating condition with no cure, but a diagnosis doesn’t necessarily mean you’ll experience terrible symptoms like joint pain every night. The right psoriatic arthritis medications can put the disease into remission, meaning you have virtually no symptoms, according to the Mayo Clinic.

Psoriatic arthritis is a form of arthritis that’s more likely to develop in people who have psoriasis (a skin condition that causes scaly patches and discomfort like itching) or a family history of psoriasis. It commonly causes joint pain in your fingers, toes, wrists, knees, ankles, or lower back. Left untreated, the autoimmune disorder can lead to permanent joint damage, which is why early care is so important, according to the Mayo Clinic. It’s helpful to understand your options so you can work with your doctor to create a plan that suits your needs. 

There’s no one-size-fits-all solution to treating psoriatic arthritis—rather, deciding to use any particular medication is a careful balance of the potential benefits versus risks to your body. Ultimately, there is no magic medication that treats the disease without side effects, says David M. Wanalista, D.O., who specializes in rheumatology at Atlantic General Hospital. “There may be bumps in the road as you treat psoriatic arthritis,” he tells SELF.

However, there are several promising medications that may reduce symptoms and protect your body from long-term damage. Choosing the right psoriatic arthritis medication depends on the severity of the disease, the number of affected joints, and whether your skin is affected by psoriatic arthritis. Keep in mind you may need to take a combination of treatments to alleviate your symptoms. Over time, your plan may evolve. “Medication that was working at first may lose effectiveness over time, and, in some cases, the disease does become more active, and so a change in treatment may be necessary,” Eric M. Ruderman, M.D., professor of medicine in the rheumatology division at Northwestern University Feinberg School of Medicine, tells SELF. Here are a few types of psoriatic arthritis treatment to know.

Non-steroidal anti-inflammatory drugs (NSAIDs)

You may already have one common treatment for psoriatic arthritis in your medicine cabinet: Non-steroidal anti-inflammatory drugs. These mild pain relievers, like ibuprofen and naproxen sodium (or Aleve), are available without a prescription (except for more powerful NSAIDs that do require a prescription), and work by blocking inflammation-causing compounds, says Kristi Kuhn, M.D., Ph.D., rheumatologist with UCHealth Rheumatology Clinic–Anschutz Medical Campus.

NSAIDs are best reserved for people with mild symptoms, and they won’t prevent joint damage or stop the disease from becoming worse over time, according to NYU Langone Health. It’s worth noting that NSAIDs are typically meant for short-term use, so you’ll want to work with your doctor to determine the best frequency and dosage for you.

Disease-modifying anti-rheumatic drugs (DMARDs)

DMARDs are the most common medications used to treat psoriatic arthritis, according to NYU Langone Health. Up to 30 percent of 80 people treated with DMARDs sustained remission of their psoriatic arthritis, according to a 2019 study published in Rheumatology and Therapy.

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This treatment helps prevent inflammation from spreading through your body—ultimately slowing the progression of the disease. Doctors often rely on a weekly tablet of methotrexate as the first-choice DMARD for psoriatic arthritis. Be aware that this drug may contribute to liver damage, so you may need to cut back on alcohol and get regular blood tests to monitor your health, explains Joseph F. Merola, M.D., M.M.Sc., associate professor of dermatology at Harvard Medical School and associate physician at Brigham and Women’s Hospital. Luckily, there are other forms of DMARDs, such as JAK inhibitors, that may be an option if methotrexate isn’t effective enough. (“JAK” refers to Janus kinase, an enzyme related to inflammation.)

https://www.self.com/story/psoriatic-arthritis-medication

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