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Maximize methotrexate and biologics, minimize steroids: Updated RA guidelines

Conference
ACR 2020
Reuters Health - 12/11/2020 - For patients with rheumatoid arthritis (RA), clinicians should prioritize use of methotrexate and biologics and minimize use of steroids when possible, according to updated draft guidelines from the American College of Rheumatology (ACR). "Many of the approximately 40 or so recommendations are similar to the recommendations that were published five years ago, but there are some notable differences," said Dr. Liana Fraenkel of the Yale University School of Medicine, in New Haven, Connecticut, at a press briefing November 9 during ACR Convergence, the group's 2020 virtual annual meeting. One is a new emphasis on starting patients on methotrexate and sticking with the drug instead of rapidly switching to another disease-modifying anti-rheumatic drug (DMARD). "There is an emphasis on using methotrexate across many of the clinical scenarios, with the exception of patients with low disease activity where there is room for other medicat...


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