Prescribing Rules

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If you are responsible for the outcome and welfare of patients – you need prescribing rules.

If you are supervising others or responsible for the training of those learning rheumatology – you need prescribing rules.

Combination or Monotherapy Tocilizumab in Rheumatoid Arthritis

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Several rheumatoid arthritis studies have shown that tocilizumab (TCZ) may be as effective as monotherapy when compared to combination therapy (methotrexate plu

Cochrane Reviews Low Back Pain and Exercise

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A new Cochrane Review published today shows that targeting exercises to muscles that support and control the spine offers another strategy to reduce pain and disability caused by lower back pain.

Game-Changers 2015: Refining Treatment in Arthritis

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Widening experience with JAK inhibition for rheumatoid arthritis (RA) and tapering medications among RA patients in remission, along with the success of secukinumab for psoriatic arthritis (PsA), were the most important advances in rheumatology in 2015, according to specialists responding toMedPa

Secukinumab Shows Efficacy in Two Ankylosing Spondylitis Trials

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NEJM has published the results of two studies wherein IL-17 inhibition with secukinumab (SEC) was shown to be effective in patients with anklylosing spondylitis.

Tofacitinib Shows Promise in Alopecia, Eczema and Vitiligo

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Tofacitinib has been approved for use in rheumatoid arthritis.

DSB: Managing Methotrexate Toxicity (Best of 2015: #1)

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Methotrexate was first introduced in 1955 for leukemia and in 1986 became FDA approved for the treatment of adults with severe, active, rheumatoid arthritis or children with active polyarticular-course juvenile RA.

2015 ACR RA Guidelines Released– Finally! (Best of 2015: #2)

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ACR 2015 RA treatment guidelines were published yesterday, nearly a year after they were preliminarily presented at the 2014 ACR meeting in Boston. After a year of review and revision these have been posted.

How I Choose Biologics (Best of 2015)

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Clinical decision-making, occurring at the intersection of the ’art’ and the ’science’ of medicine, remains enigmatic and controversial.

The Nine Lives of Hydroxychloroquine (Best of 2015)

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Hydroxychloroquine is one of many medications frequently used in rheumatology practice.

Alcohol and Methotrexate - What Do You Advise? (Best of 2015: #9)

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What are your rules on methotrexate and alcohol use? How about casual, social or occasional alcohol use? If one alcoholic beverage is ok, what about 2, 3 or six while taking MTX?

Preventing Hepatitis B Reactivation Due to Immunosuppressive Drug Treatments (Best of 2015)

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Reactivation of hepatitis B virus infection can have devastating consequences, especially amongst those patients receiving immunosuppressive therapy.

DAS28-CRP or DAS28-ESR: Are they Biosimilar? (Best of 2015)

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The disease activity score (DAS28) has been developed as a dynamic assessment tool and a therapeutic response measure for use in clinical trials and practice.

Will the Balance of JAK inhibition Yield Better Outcomes? Results of New JAK inhibitor - Peficitinib

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Researchers from Keio University have published their results using novel JAK inhibitor peficitinib (ASP015K) as a monotherapy in moderate to severe RA patients. 

Predicting and Preventing Rheumatoid Arthritis

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Rheumatologists and physicians are commonly asked, "what can I do to avoid rheumatoid arthritis?"  This is usually a concern for family members of those affected by RA.

Bariatric Surgery Improves Rheumatoid Arthritis Outcomes

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Obesity is a modest risk factor for rheumatoid arthritis (RA) onset. More importantly, obese patients have significanty lower treatment responses to DMARDs and biologics, making them harder to treat than your average RA patient.

Can Gout and Rheumatoid Arthritis Coexist?

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German investigators studied 100 RA patients with a uric acid > 6 mg/dl and assessed them for MSU crystal deposit with dual energy computed tomography (DECT) of both feet and hands.

Exercise Benefits Osteoarthritis Hip Pain

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(Reuters Health) - Water- or land-based exercise should provide some short-term benefit in pain management for hip osteoarthritis, though there are few well-designed trials testing it, according to a new review published in the British Journal of Sports Medicine.

RA Guidelines, Methotrexate and Mortal Risks in Gout: November 2015 top social media news

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Here's what you may have missed: in November 2015, RheumNow published 80 tweets on news, research and teaching points that impact the rheumatology community. We had a reach (impressions) of 79,100, 79 mentions, and over 3399 visits to RheumNow.com to check out what we publish.