A 43-year-old woman with rheumatoid arthritis for years has been taking celecoxib, but recently the symptoms increased. What is the next management?
Understand the Problem
The question is asking for the next management step for a 43-year-old woman with rheumatoid arthritis who has been taking celecoxib and experiencing increased symptoms. The options provided are various treatment options for rheumatoid arthritis.
Answer
Methotrexate
The next management step is Methotrexate.
Answer for screen readers
The next management step is Methotrexate.
More Information
In rheumatoid arthritis, when non-steroidal anti-inflammatory drugs (NSAIDs) like celecoxib are insufficient, methotrexate is often introduced as it helps slow disease progression and manage symptoms more effectively.
Tips
A common mistake is continuing to rely on NSAIDs for disease control, which don't halt progression. Instead, DMARDs like Methotrexate should be considered.
Sources
- Celecoxib for rheumatoid arthritis - PMC - PubMed Central - pmc.ncbi.nlm.nih.gov
- Rheumatoid arthritis Information | Mount Sinai - New York - mountsinai.org
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