RemicadeRemicade (infliximab) also inhibits the actions of TNF, though it does it differently. This drug is really an antibody against the TNE It is made from both mouse and human protein. It is also called a monoclonal antibody because it is made from only one cell source.Remicade is given intravenously by a doctor or a nurse.The side effects are pretty similar to those experienced with Enbrel, but, in addition, your body can produce antibodies against the drug.You usually have to take another immunosuppressant like methotrexate to prevent the development of new antibodies.
Cortisone Cortisone is a steroid used for the treatment of rheumatoid arthritis, but it should be used sparingly, since patients may become dependent on it.One of the great physicians of the past, Dr. Philip Hench, noted that cortisone was a “cure” for RA back in the 1940s. In fact, it was so good that everyone with RA started to take the drug -until its side effects became apparent.Cortisone will normalize the findings on X-rays. When the drug is stopped or decreased, however, there is the so-called rebound phenomenon, and the patient actually gets worse.This drug is given to treat the most severe forms of the disease, as when vasculitis or fluid around the heart with inflammation of the coverings of the heart is present. Occasionally, it is given to quell the severe pain and inflammation of a very hot joint. *38/141/5*



What is methotrexate?Methotrexate is a favored drug among rheumatologists for the treatment of RA. It interferes with a metabolic pathway called the folic acid pathway.
How does it work?It interrupts the cycle of certain cells important to the immune system.
What is the usual dose?Patients with RA usually begin with a low dose, usually 7.5 milligrams per week, followed by a gradual increase to 25 milligrams per week. Some patients can even tolerate higher doses. It is really up to your doctor. It should be taken with 1 to 4 milligrams of folic acid daily, as this vitamin limits the poisonous effects of the drug.
When does it start to work?It usually takes effect within four to six weeks.Traditional Therapy: Drugs, Surgery, and Rehabilitation Therapy
What side effects should I watch out for?Some of the most common side effects of this drug include sores in the mouth, lung congestion, nausea, abdominal cramps, loss of appetite, and, although rarely, infections. Fortunately, these are not common, and most are reversible when caught early. In addition, new nodules similar to rheumatoid nodules form in some patients. Your doctor can treat these nodules with a drug called colchicine.*33/141/5*



Raw fruits, like apples, bananas, apricots, cherries, peaches and pears, offer minerals—and they are needed by the body for good health. Apples, eaten as nature grew them, are beneficial to everyone. But if you bake them you gain little.
Apple juice and pineapple juice are oil cutting, and arthritics should abstain from these juices. “An apple a day” is a time-honoured proverb . . . but do not drink, bake or cook it.
(With baked and cooked apples there is the chance—as with cooked vegetables—of destroying the vitamins in your food.) You may certainly eat all the apples you desire.
Drinking pineapple juice should be curbed. But arthritics may eat pineapple slices now and then without too much harm. As for the pear, because of the sugar content even in the raw fruit, it is best that you limit your consumption of pears.
If you enjoy prunes, they may be had raw or stewed. Chew them well. Do not drink prune juice; its sugar goes after oil.
Bananas have only fat-producing oils. If you don’t have too much excess poundage, now … if you’re not worried about your waistline … go ahead and enjoy bananas. They won’t affect your arthritis.
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