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Methotrexate in rheumatoid arthritis: an update.
Pharmacotherapy
|July 1, 1986
Summary
Methotrexate effectively controls rheumatoid arthritis unresponsive to other treatments when administered weekly. This folic acid antagonist shows promise for wider use due to its efficacy and ease of administration.
Area of Science:
- Rheumatology
- Pharmacology
Background:
- Rheumatoid arthritis (RA) management often requires advanced therapies.
- Conventional treatments may be insufficient for some RA patients.
Purpose of the Study:
- To evaluate the efficacy and safety of methotrexate in RA.
- To explore methotrexate's potential for broader clinical application.
Main Methods:
- Systemic administration of methotrexate at 7.5-15 mg weekly.
- Pulse dosing regimen utilized.
Main Results:
- Methotrexate demonstrates effectiveness in controlling RA.
- Weekly pulse administration appears safe, with no serious adverse effects noted.
- High response rates observed in clinical studies.
Conclusions:
- Methotrexate is a viable option for refractory rheumatoid arthritis.
- Ease of administration and high efficacy suggest increased future use.
- Further controlled trials may support expanded indications.