What do they do?

Each disease-modifying anti­rheumatic drug (DMARD) works in different ways to slow or stop the inflammatory process that can damage the joints and internal organs.

Who are they for?

Doctors prescribe DMARDs for people with inflammatory arthritis who are at risk of permanent joint damage. Most of the DMARDS in this chart are approved for rheuma­toid arthritis. Some are also approved for ankylosing spondylitis, psoriatic arthritis, juvenile inflammatory arthritis and lupus. Some DMARDs – for example, cyclophosphamide and mycopheno­late mofetil (CellCept) – are reserved for people with diseases with the potential to cause severe organ damage, such as lupus or vasculitis.

What’s important to know about the drug class?

DMARDs, particularly methotrexate, are often prescribed with other DMARDs or biologics. This is called combina­tion therapy. While DMARDs can be effective in slowing or modifying the disease process, they do not work quickly. You will need to take them consis­tently for weeks or even months before you notice their beneficial effects. Your doctor may prescribe an NSAID and/or corticosteroid with a DMARD, at least initially until the DMARD takes effect.

Before taking DMARDs (and any medication), always tell your doctor if you have an active infection, high blood pressure or a history of kidney or liver disease. Also talk to your doctor before getting any vaccines.

While taking DMARDs, it is important to be aware of any signs of infection – chills, fever, sore throat, painful urination, for example – and report them to your doctor immediately. Some drugs require that you have laboratory tests to monitor for side effects.

The Arthritis Today Drug Guide is meant for education – not self-medicating. Arthritis Today, the Arthritis Foundation and the Drug Guide Medical Review Panel do not endorse any products mentioned in this guide. While we endeavor to keep the information up to date, we make no representations or warranties about the completeness of the information provided.

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