69 治療輕度類風濕性關節炎之第一線用藥選擇為：
(A) sulfasalazine
(B) corticosteroids
(C) methotrexate
(D) NSAIDs

答案：登入後查看
統計： A(35), B(13), C(121), D(314), E(0) #412928

詳解 (共 4 筆)

#884800
11 Hydroxychloroquine 較適用於下列何種類風濕性關節炎的患者？ 
(A)診斷確定且症狀較輕微者 
(B)診斷確定且症狀較嚴重者 
(C)經 NSAIDs 治療無效者 
(D)對 NSAIDs 過敏者
專技高考◆藥師◆藥物治療學- 100-1-藥師-藥物治療學#9923
答案：A
7
2
#4936113

2021更新 輕度應該是使用Sulfasalazine

60fa81476ce9b.jpg

取自Koda-kimble _Young’s applied Therapeutic 

5
0
#3756857

這題感覺要選MTX?

Early use of DMARDs — We recommend that all patients diagnosed with RA be started on DMARD therapy as soon as possible. Our choice of drug therapies in patients with RA and the evidence supporting these choices is described in detail separately. Briefly, we take the following approach:

●In patients with active RA, we initiate antiinflammatory therapy with either a NSAID or glucocorticoid, depending upon the degree of disease activity, and generally start DMARD therapy with MTX. 

Patients unable to take MTX may require an alternative agent, such as HCQ, SSZ, or LEF.


ref:uptodate

3
0
#4679800

取自第11版Pharmacotherapy 

The current guidelines for treatment of RA recommend initiation of
conventional DMARDs irrespective of disease activity in treatment-naive patients once a diagnosis is established. The preferred conventional DMARD is methotrexate unless a contraindication to its use exists.確診RA，首選MTX

NSAIDs inhibit prostaglandin synthesis and can provide anti-inflammatory as well as analgesic effects. However, they do not slow disease progression and should not be used as monotherapy. NSAIDs can provide symptomatic relief of pain and stiffness and can be effective as adjuncts to DMARD therapy in patients with RA. They have a more rapid onset of action than DMARDs and may be beneficial to “bridge” patients while DMARDs take effect.NSAID僅作為DMARD尚未onset前的症狀治療
1
0