Corticosteroids
Corticosteroids are hormones that are effective at treating conditions that cause inflammation, including
arthritis. However, corticosteroids can cause serious side effects, especially when used for a long time. For this reason, corticosteroids are usually only recommended when other treatments have been tried unsuccessfully. While corticosteroids are often effective when taken by mouth, they may have to be injected (often directly into the affected joint) in order to be effective. A few commonly used corticosteroids include:
- Cortisone
- Hydrocortisone (Cortef®)
- Methylprednisolone (Depo-Medrol®, Medrol®)
- Prednisolone (Ovapred®, Pediapred®)
- Prednisone
- Triamcinolone (Kenalog®, Aristospan®).
Disease-Modifying Antirheumatic Drugs (DMARDs)
DMARDs are drugs used to treat
rheumatoid arthritis,
psoriatic arthritis,
ankylosing spondylitis, or
juvenile rheumatoid arthritis in people who have not responded to
NSAIDs. These drugs are thought to influence and correct abnormalities of the immune system responsible for the disease. As a result, these medications can slow down the joint damage that occurs with these conditions. During treatment with these medications, your healthcare provider should carefully monitor you in order to avoid side effects.
Biological Response Modifiers
These new drugs are used for the treatment of several
types of arthritis, including rheumatoid arthritis, ankylosing spondylitis, juvenile rheumatoid arthritis, and psoriatic arthritis. They can reduce inflammation in the joints by blocking the reaction of a substance called tumor necrosis factor (TNF), an immune system protein involved in immune system response. These arthritis medications can include: