Sumary of ACR RA guidelines: ‘Maximize’ methotrexate use prior to DMARDs, avoid glucocorticoids:
- The American College of Rheumatology has released its updated treatment guidelines for rheumatoid arthritis, with a strong emphasis on the use of methotrexate before adding or switching to DMARDs, according to the lead author..
- “The key messages are to maximize use of methotrexate prior to adding or switching to disease-modifying antirheumatic drugs,”.
- “The key messages are to maximize use of methotrexate prior to adding or switching disease modifying antirheumatic drugs,”.
- The 2021 guidelines for RA include a total of 44 recommendations, including seven strong and 37 conditional items..
- According to Fraenkel, the ACR continues to strongly recommend targeted treatment for patients without previous exposure to biologic or targeted synthetic DMARDs;.
- There are also, for the first time, recommendations that address patients with nontuberculous mycobacterial lung disease..
- “Another key takeaway is recommendations to try to avoid glucocorticoids whenever possible, including low-dose glucocorticoids,”.
- The final voting panel, which included 13 clinicians and two patients, then assessed the evidence reports and patient perspectives before casting their ballots on each recommendation….