Rheumatoid arthritis guidelines,

Metotrexatul este principalul medicament antireumatic modificator administrat persoanelor cu artrită reumatoidă. Prin reducerea capacității sistemului imunitar de a produce celule care provoacă inflamații, acesta îmbunătăţeşte simptomele artritei și împiedicăîn timp, distrugerea articulațiilor afectate.

Stimulează, de asemenea, eliberarea de adenozină, o substanță chimică antiinflamatoare care se găsește în toate celulele umane. Din păcate provoacă efecte secundare deranjante, însă unele dintre acestea pot fi diminuate cu un supliment simplu de vitamina B9 acid folic.

Printre semnele bolii şi simptomele specifice regăsim articulaţii inflamate, calde şi dureroase spontan, rigiditate şi stare generală caracterizată prin oboseală şi uneori febră.

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Molecular therapeutics. Methotrexate and its mechanism of action.

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Arthritis Rheum ;— Therapeutic suppression of tissue reactivity. Effect of aminopterin in rheumatoid arthritis and psoriasis. Am J Med Sci ;— The effect of folic acid supplementation on the toxicity of low-dose methotrexate in patients with rheumatoid arthritis.

Hoffmeister R. Methotrexate in rheumatoid arthritis.

METOTREXAT & ACID FOLIC: COMBINAŢIE BENEFICĂ?

Arthritis Rheum ; A metaanalysis of published clinical trials. Mechanisms of action of methotrexate. Immunopharmacology ;— Methotrexate inhibits neutrophil function by stimulating adenosine release from connective tissue cells.

Toxic effects as the major factor in limiting long-term treatment. Arthritis Rheum ;—6.

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The efficacy of folic acid and folinic acid in reducing methotrexate gastrointestinal toxicity in rheumatoid arthritis. A metaanalysis of randomized controlled trials.

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J Rheumatol ;— Supplementation with folic acid during methotrexate therapy for rheumatoid arthritis. A double-blind, placebo-controlled trial.

Ann Intern Med ;— Weinblatt ME, Fraser P. Elevated mean corpuscular volume as a predictor of hematologic toxicity due to methotrexate therapy.

Do patients with rheumatoid arthritis established on methotrexate and folic acid 5 mg daily need to continue folic acid supplements long term? Rheumatology ;—9.

Folate supplementation in methotrexate-treated rheumatoid arthritis patients.

Semin Arthritis Rheum ;—8. London: British Society for Rheumatology, Guidelines for monitoring drug preparate articulare de elasticitate in rheumatoid arthritis.

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Effect of folic or folinic acid supplementation on the toxicity and efficacy of methotrexate in rheumatoid arthritis: a forty-eight week, multicenter, randomized, double-blind, placebo-controlled study. Elevation of serum hepatic aminotransferases during treatment of rheumatoid arthritis with low-dose methotrexate. Risk factors and response to folic acid. Scand J Rheumatol ;— The CT mutation in the methylenetetrahydrofolate reductase gene: a genetic risk factor for methotrexate-related elevation of liver enzymes in rheumatoid arthritis patients.

Folic acid and folinic acid supplementation during low-dose methotrexate therapy for rheumatoid arthritis: comment on the article by van Ede et al.

Guidelines Methotrexate Treatment Ectopic Pregnancy - Does Methotrexate Injection Hurt

Arthritis Rheum ;—4. Treatment of active rheumatoid arthritis with leflunomide compared with placebo and methotrexate. Leflunomide Rheumatoid Arthritis Investigators Group. Arch Intern Med ;— A comparison of the rheumatoid arthritis guidelines and safety of leflunomide and methotrexate for the treatment of rheumatoid arthritis guidelines arthritis.

Rheumatology ;— Folic acid supplementation and methotrexate efficacy: comment on articles by Schiff, Emery et al.

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Exacerbation of rheumatoid arthritis in patients treated with methotrexate after administration of folinic acid. Ann Rheum Dis ;—4.

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Endresen GK, Husby G. Folate supplementation during methotrexate treatment of patients with rheumatoid arthritis. An update and proposals for guidelines. Kitas GD, Erb N. Tackling ischaemic heart disease in rheumatoid arthritis.

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Accelerated atherosclerosis: an extraarticular feature of rheumatoid arthritis? Banks M, Flint J. Rheumatoid arthritis is an independent risk factor for ischaemic heart disease.

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Arthritis Rheum ;43 Suppl.

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