Monday, July 30, 2012

Rayos Approved for Rheumatoid Arthritis and Other Rheumatic Conditions

The United States Food and Drug Administration (FDA) approved Rayos on July 26, 2012 for the treatment of rheumatoid arthritis, polymyalgia rheumatica, psoriatic arthritis, ankylosing spondylitis, asthma and chronic obstructive pulmonary disease. Rayos, which is known as Lodotra in Europe, is a delayed-release formulation of prednisone.

Rayos, manufactured by Horizon Pharma, Inc., will be available in 1 mg, 2 mg and 5 mg strengths. The FDA based its approval on results from the CAPRA-1 and CAPRA-2 trials. The CAPRA-2 trial showed that patients with moderate to severe rheumatoid arthritis treated with Rayos achieved a statistically significant improvement in ACR20 response criteria compared to placebo. The CAPRA-1 trial provided evidence of the drug's safety.

Related Articles:

  • Prednisone - 10 Things You Should Know
  • Prednisone Quiz - True or False?
  • The Facts of Corticosteroids
  • Lodotra: Modified-Release Prednisone for Rheumatoid Arthritis (2008)

Follow Me:

Facebook | Twitter | Message Board | Newsletter


Tooth Loss Associated With Increased Risk of Rheumatoid Arthritis

According to study results presented at the 2012 European Congress of Rheumatology, tooth loss appears to be an indicator for the subsequent development of rheumatoid arthritis. A greater number of missing teeth was also associated with greater arthritis disease activity and worse response to treatment.

According to Internal Medicine News, researchers reported findings from 540 early arthritis patients who were participating in the CAPEA (Course and Prognosis of Early Arthritis) study. The patients had a mean of 19 teeth when enrolled for the study. Of the study participants, who on average were in their mid-50's, 67% met criteria for the diagnosis of rheumatoid arthritis and 87% were being treated with DMARDs (disease-modifying anti-rheumatic drugs).

At the 6-month point in the study, 52% had a good response to treatment, 32% had a moderate response, and 16% had no response to treatment. Those with 10 or fewer teeth had a much higher sedimentation rate, higher tender and swollen joint counts, and higher DAS28 scores at 6 months than those with more than 10 teeth. Researchers concluded that those with 10 or fewer teeth when the study began were 3.8 times more likely to have an unsatisfactory treatment response compared to those with at least 28 teeth.

Related Articles:

  • Oral Health Should Not Be Neglected by Arthritis Patients
  • Periodontal Disease - Are Rheumatoid Arthritis Patients More Prone to It?
  • Treating Gum Disease Improves Rheumatoid Arthritis Symptoms
  • Top Electric Toothbrushes

Follow Me:

Facebook | Twitter | Message Board | Newsletter


FiveYear Mortality for Rheumatoid Vasculitis Around 60 Percent

Even though the annual incidence of systemic rheumatoid vasculitis has been decreasing since the 1990s, an analysis of 34 patients with the condition revealed that 5-year mortality following diagnosis is about 60%, according to MDConsult.com. Despite treatment advances and more aggressive treatment earlier in the course of rheumatoid arthritis, systemic rheumatoid vasculitis is still problematic if you do develop the condition. With vasculitis, blood vessels become inflamed. The affected blood vessels can be arteries that bring blood to the skin, nerves, and internal organs. Veins also can be involved in vasculitis.

Of the 34 patients, the mean age was 72 years old and the average of disease duration was 16 years before being diagnosed with systemic rheumatoid vasculitis. All patients were positive for rheumatoid factor, 13 had erosive disease, and 3 had rheumatoid nodules. All of the patients had been treated with corticosteroids, and a median of two DMARDs. Methotrexate was used in 65% of the patients. Two patients had been treated with biologic drugs. All but one patient had been treated with intravenous cyclophosphamide.

While newer treatments seem to have had an effect on incidence of systemic rheumatoid vasculitis, the treatments have not influenced clinical features of the disease or the ultimate outcome. Not all researchers attribute the decreased incidence to treatment though -- it could just be the natural evolution of rheumatoid arthritis which has made systemic rheumatoid vasculitis rare.

Related Articles:

  • Vasculitis - What You Need to Know
  • Giant Cell Arteritis - What You Need to Know
  • More About Vasculitis
  • More About Rheumatoid Arthritis

Join the Discussion: Arthritis Forum
Follow Us: Twitter and Facebook
Sign Up: Free Arthritis Newsletter


Inflammatory Arthritis Plus Hypothroidism Increases Risk of Cardiovascular Disease

It is known that inflammatory types of arthritis, such as rheumatoid arthritis and ankylosing spondylitis, are associated with an increased risk of cardiovascular disease. Dutch study results, published in the Annals of the Rheumatic Diseases, have revealed that inflammatory arthritis patients who also have hypothyroidism (underactive thyroid) are at even higher risk for cardiovascular disease.

Of 1,500 inflammatory arthritis patients in the study, 6.5% of women and 2.4% of men also had hypothyroidism compared to 3.9% of women and 0.8% of men without inflammatory arthritis. After adjusting for other cardiovascular risk factors, researchers found that women with both inflammatory arthritis and hypothyroidism had 3.7 times higher rate of cardiovascular disease than the control group which consisted of women with neither condition. There were not enough men with both conditions to draw a conclusion. Have you discussed your thyroid status with your doctor?

Related Articles:

  • Inflammation - The Battle Within
  • Test Your Knowledge - Inflammation
  • Polyarthritis, Inflammatory Arthritis, and Rheumatoid Arthritis - The Same?
  • Rheumatoid Arthritis Doubles Heart Attack Risk Within First 10 Years
  • Heart Risk Rises Soon After Rheumatoid Arthritis Diagnosis


Early Menopause Associated With Milder Form of Rheumatoid Arthritis

A new study presented at EULAR 2012, the Annual Congress of the European League Against Rheumatism, revealed that early menopause may predict a milder form of rheumatoid arthritis. The results were derived from 134 cases of rheumatoid arthritis. Patients over 45 years old with a history of early menopause were 50% less likely to develop severe rheumatoid arthritis (16% vs. 35%) and more likely to develop a mild to moderate type which was negative for rheumatoid factor (58% vs. 20%).

Obesity Linked to Increase of Rheumatoid Arthritis in Women

Obesity is becoming more common. So is rheumatoid arthritis. Could there be a connection? According to Mayo Clinic researchers, in a study published in the April 2012 issue of Arthritis Care & Research, the answer to that question is yes -- for women.

To study the potential link between obesity and rheumatoid arthritis, Mayo Clinic researchers looked at medical records used in the Rochester Epidemiology Project. Researchers compared 813 adults with rheumatoid arthritis to 813 without. It was determined that rheumatoid arthritis cases increased by 9.2 per 100,000 women from 1985-2007. Obesity was linked to 52% of the increase.

Related Articles:

  • Prevalence of Obesity Increases Among People With Arthritis
  • Obesity Affects Quality of Life for Rheumatoid Arthritis Patients
  • Arthritis and Weight Loss Quiz
  • All About Rheumatoid Arthritis

Join the Discussion: Arthritis Forum
Follow Us: Twitter and Facebook
Sign Up: Free Arthritis Newsletter


Joint Surgery Becoming Less Common Among Rheumatoid Arthritis Patients

According to a report published online January 15, 2012 in the Journal of Rheumatology, the rates of joint surgery continue to decrease for rheumatoid arthritis patients, especially those who have been more recently diagnosed. Previous studies recognized declining rates of joint surgery among patients diagnosed with rheumatoid arthritis since 1985. In the study published online in January, researchers accessed medical records of patients diagnosed with rheumatoid arthritis from 1980-2007, using data from the Rochester Epidemiology Project, and evaluated whether the trend continued since 1995.

Of the 813 patients in the study, the proportion of patients needing rheumatoid arthritis-related joint surgery dropped between the two time frames, 1980-1994 and 1995-2007. The cumulative incidence of any joint surgery at 10 years after rheumatoid arthritis onset dropped from 27.3% to 19.5% between the time frames 1980-1994 and 1995-2007. The greatest reduction occurred in soft tissue surgeries, such as synovectomy, tendon repair, tendon transfer, meniscus repair, ligament release, and cartilage repair. Surgery on weightbearing joints (hips and knees) did not exhibit the big reduction between the time frames. The increased use of disease-modifying drugs (DMARDs) may account for decreased joint damage and consequently less need for joint surgery. It was also noted in the study results that joint reconstructive surgery was associated with increased mortality.

Related Articles:

  • The Facts of DMARDs
  • Biologics Explained
  • Methotrexate - 10 Things You Should Know
  • Self-injection of Arthritis Drugs

Join the Discussion: Arthritis Forum
Follow Us: Twitter and Facebook
Sign Up: Free Arthritis Newsletter


Information and Warnings About PPI Drugs for Arthritis Patients

More information has surfaced about adverse effects associated with PPI drugs (proton pump inhibitors such as Nexium, Prevacid, Protonix, Aciphex). A study published in the January 31, 2012 issue of the British Medical Journal concluded that chronic use of PPIs is associated with increased risk of hip fracture, especially among women who smoked. The report backs the U.S. FDA's decision to revise labeling of PPI drugs to include information about increased risk of fracture among patients treated with high doses or treated with a PPI for one year or more.

On February 8, 2012, the FDA warned the public that the use of PPIs may be associated with an increased risk of Clostridium difficile-associated diarrhea (CDAD). Patients are being advised to "use the lowest dose and shortest duration of PPI therapy appropriate to the condition being treated."

What exactly are PPIs? Why are some arthritis patients who take NSAIDs (nonsteroidal anti-inflammatory drugs) also prescribed PPIs? Learn more in What Are PPI Drugs (Proton Pump Inhibitor)?

Related Articles:

  • The Facts of NSAIDs
  • NSAIDs Plus PPIs May Cause Serious Problems for Arthritis Patients
  • Proton Pump Inhibitors Increase Risk of Hip Fracture
  • PPIs Can Lower Magnesium Levels
  • Join the Discussion: Arthritis Forum
    Follow Us: Twitter and Facebook
    Sign Up: Free Arthritis Newsletter


Tofacitinib Recommended for FDA Approval to Treat Rheumatoid Arthritis

The Arthritis Advisory Committee to the U.S. FDA has voted 8-2 to recommend approval of tofacitinib for the treatment of adult patients with moderately to severely active rheumatoid arthritis. If approved, tofacitinib would be the first new oral disease-modifying anti-rheumatic drug (DMARD) for rheumatoid arthritis in more than 10 years and the first oral biologic drug belonging to a new class of drugs known as JAK (Janus kinase) inhibitors. The FDA is expected to make their decision on Pfizer's new drug for rheumatoid arthritis in August 2012.

Unlike other currently existing biologic drugs that target extracellular entities, such as proinflammatory cytokines, tofacitinib targets intracellular pathways that operate as hubs in the inflammatory cytokine network, according to Pfizer. Tofacitinib has been studied in about 4,800 patients. There have been five Phase III trials and two ongoing, long-term extension studies in numerous countries around the world. The drug was recommended for approval despite some concern over side effects including lymphoma, infection, and elevated cholesterol levels. Proponents believe there is a need for more treatment options, especially for rheumatoid arthritis patients who have not responded to other treatments or for those who develop antibodies to current biologic treatments and have to discontinue use.

Related Articles:

  • Tofacitinib for Rheumatoid Arthritis Produces Promising Trial Results (3/6/2011)
  • Tofacitinib for Rheumatoid Arthritis - Phase 3 Results Draw Attention (4/22/2011)
  • Data on Tofacitinib Offers Mixed Results for Safety and Effectiveness (9/23/2011)
  • Severe Rheumatoid Arthritis - What You Need to Know

Join the Discussion: Arthritis Forum
Follow Us: Twitter and Facebook
Sign Up: Free Arthritis Newsletter


Two in Five Adults With Rheumatoid Arthritis Are Inactive

According to a study funded by NIAMS (National Institute for Arthritis and Musculoskeletal and Skin Diseases) and published online January 26, 2012 in Arthritis Care & Research, two in five adults with rheumatoid arthritis (42%) are inactive. It's a common misconception that medication and rest alone help to control rheumatoid arthritis symptoms. Not only do many patients believe that, doctors actually recommended rest to their rheumatoid arthritis patients up until the 1980s. More current research supports regular, moderate physical activity or exercise for people with arthritis to help maintain joint flexibility, range of motion, balance, muscle strength -- and to decease joint pain.

While evidence now backs an active rather than sedentary lifestyle for people with rheumatoid arthritis, many patients still don't buy it and many doctors don't take the time to encourage it. In the study, inactivity was defined as participating in no moderate-to-vigorous physical activity periods of 10 minutes or more within a 7-day period. Not only were 42% classified as inactive, 53% of study participants lacked strong motivation to participate in physical activity and 49% lacked strong belief in the benefits.

Researchers concluded that physical inactivity among rheumatoid arthritis patients is a public health concern. Motivation needs to be addressed and the benefits of exercise promoted. Interestingly, just one day before the study was published, I wrote an article for our About.com Osteoarthritis site entitled "How You Can Start to Exercise With Osteoarthritis". The points made in the article apply to patients with any type of arthritis, including rheumatoid arthritis. Check it out.

Related Articles:

  • 6 Reasons Arthritis Patients Should Exercise
  • Physical Activity and Exercise
  • Exercise Is Essential Treatment for Arthritis
  • 6 Ways to Become Less Sedentary
  • Arthritis and Exercise Quiz

Join the Discussion: Arthritis Forum
Follow Us: Twitter and Facebook
Sign Up: Free Arthritis Newsletter


Shannon Boxx Competing for Gold Medal With Lupus

Shannon Boxx is a midfielder on the U.S. women's soccer team which will be competing in the 2012 London Olympics. Boxx will be trying to snag her third straight Olympic gold medal.

I find the backstories of all of the athletes to be extraordinary. Olympic athletes are determined, driven, tough, competitive, and inspirational. Boxx's story goes one step further. She competes while living with lupus.

According to USA Today, Boxx was diagnosed with Sjogren's syndrome in 2002. Sjogren's syndrome, you may recall, is the same condition that tennis great Venus Williams was diagnosed with in August of last year. When Boxx was diagnosed with Sjogren's syndrome, she was informed that she had an increased risk of developing other autoimmune conditions too. And she did. In 2007, Boxx was diagnosed with lupus. So far, her lupus is reportedly mild and she has managed the condition with medication and by making some adjustments to her schedule. Even so, in the past 5 years, Boxx has started almost every game for the national team. As you watch Olympic coverage, remember her name -- Shannon Boxx. Go Shannon! Bring home the gold!

Related Articles:

  • Lupus - The Basics
  • Lupus: Not A Simple Disease
  • Lupus Screening Quiz
  • Test Your Knowledge - Lupus

Follow Me:

Facebook | Twitter | Message Board | Newsletter


Arthritis Advisory Committee Unanimously Against Arcalyst for Gout

The Arthritis Advisory Committee voted 11-0 against recommending FDA approval of Arcalyst (rilonacept) for the prevention of gout flares in patients starting urate-lowering treatment. Arcalyst, a drug being developed by Regeneron, is an interleukin-1 blocker. The advisory panel did not feel that benefits outweighed risks in data presented for Arcalyst. They also felt that 16 weeks, the duration of trials, was inadequate.

The committee voted 6-5 that Arcalyst is effective for treating gout flares. They also voted 8-3 that Regeneron's safety data was insufficient. The committee felt the study was too short to assess cancer risk. Regeneron studied Arcalyst on patients who were capable of taking other gout medications. It was suggested that, if patients who could not take other treatments were studied, more useful data may be produced.

Related Articles:

  • Gout Information
  • Gout Attack Explained
  • Gout - 10 Things You Should Know
  • Gout Screening Quiz

Join the Discussion: Arthritis Forum
Follow Us: Twitter and Facebook
Sign Up: Free Arthritis Newsletter


Rheumatoid Arthritis Defined by Having Three Erosive Joints

An 18-member international task force from the American College of Rheumatology and the European League Against Rheumatism has decided unanimously to redefine what classifies rheumatoid arthritis, according to MDConsult. In 2010, a classification based on signs and symptoms was released but it made no provision for radiographic (x-ray) evidence of joint erosions. Now, the task force has concluded that patients with at least three erosive joints in their hands or feet have rheumatoid arthritis regardless of how their symptoms shake out according to the 2010 classification criteria.

While there will still not be many patients who are classified as having rheumatoid arthritis based only on erosive joints, a clear definition of rheumatoid arthritis was needed, according to experts. Few people with rheumatoid arthritis only have erosions. The 2010 classification based on symptoms identifies 90% of rheumatoid arthritis patients.

Related Articles:

  • New Classification Criteria for Rheumatoid Arthritis Will Improve Research (2010)
  • Rheumatoid Arthritis Screening Quiz
  • Test Your Knowledge - Rheumatoid Arthritis
  • Rheumatoid Arthritis - 10 Facts You Should Know
  • Severe Rheumatoid Arthritis - What You Should Know

Follow Me:

Facebook | Twitter | Message Board | Newsletter


Adrienne Rich Dies From Complications of Rheumatoid Arthritis

Adrienne Rich, famous poet, essayist, and feminist, died March 27, 2012 from complications of rheumatoid arthritis. Rich was 82 years old. She explored the evolution of feminism and the changing role of women in modern society during 60 years as a published poet. Her 20 books of poetry date back to 1951. She was well-known for her essays as well as her poems. Rich also taught at universities, including Cornell, Rutgers, and Stanford.

  • More About Adrienne Rich, from About.com Guides to Poetry

As I read about the passing of Adrienne Rich, two things caught my attention. First, I thought about how robust her life was, despite her disabling condition. Rather than silencing her, rheumatoid arthritis probably was among the challenges that fueled her passion to express herself. Secondly, I thought about the phrase "complications of rheumatoid arthritis". It is a disease that can be associated with many complications -- those related to the disease itself and those that come about as a consequence of treatment.

Related Articles:

  • Severe Rheumatoid Arthritis - What You Need to Know
  • Rheumatoid Arthritis Prognosis
  • Systemic Disease in Arthritis Explained
  • Rheumatoid Arthritis - Test Your Knowledge

Join the Discussion: Arthritis Forum
Follow Us: Twitter and Facebook
Sign Up: Free Arthritis Newsletter


Metastatic Breast Cancer and Arthritis Identifying the Connection

Previous epidemiological studies pointed out a connection between metastatic breast cancer and autoimmune arthritis. In an attempt to confirm the potential connection, researchers from the University of North Carolina at Charlotte performed a series of experiments on mouse models.

In the previously published studies, it was established that breast cancer associated metastases were significantly higher in arthritic mice -- with a three-fold increase in lung metastases and a two-fold increase in bone metastases. In the recent study, researchers found that mast cells are present in larger numbers in the bones and lungs of arthritic mice compared to non-arthritic mice. Their findings point to a relationship between a particular receptor found on mast cells and the transmembrane stem cell factor (SCF) ligand found on metastatic breast cancer cells.

Researchers concluded that autoimmune arthritis increases the intensity of metastatic breast cancer because bone marrow stem cells in autoimmune arthritis patients have greater potential to differentiate into mast cells. The hope is that these findings will lead to new treatment options.

Related Articles:

  • Rheumatoid Arthritis Treatments Do Not Increase Breast Cancer Risk
  • Rheumatoid Arthritis Does Not Increase Lung Cancer Risk
  • Rheumatoid Arthritis May Affect Cancer Survival Rate
  • The Immune System - How It Works

Join the Discussion: Arthritis Forum
Follow Us: Twitter and Facebook
Sign Up: Free Arthritis Newsletter


FDA Update on Impending Methotrexate Shortage 22112

There has been tremendous concern about the impending short supply of injectable methotrexate, especially for children with cancer who require large quantities. Some rheumatoid arthritis patients also use injectable methotrexate rather than oral methotrexate, so they too have been concerned. The FDA issued an update on the status of the shortage today -- and the news is good.

In addition to already announced actions, the FDA has approved a new manufacturer of preservative-free formulation of methotrexate that is expected to further bolster supply and help avert a shortage of methotrexate. The FDA expedited review of the application from APP Pharmaceuticals to help address this potential shortage. Read more about FDA actions to avert the shortage.

Related Information:

  • All About Methotrexate
  • More About Rheumatoid Arthritis

2/23/2012: UPDATE from FDA


Nick Cannon Has Lupuslike Autoimmune Disease

Nick Cannon, most famous for being Mariah Carey's husband, father of her two children, and the host of America's Got Talent, was hospitalized in January for kidney failure. Just a few weeks later, he was hospitalized for blood clots in his lungs. Cannon told People magazine that he will have to live with his kidney problems for the rest of his life. Just 31 years old, Cannon said he knows his health must become his first priority.

Cannon also told People that doctors have diagnosed him with a "lupus-like" autoimmune disease. There are about 80 serious, chronic illnesses that are classified as autoimmune diseases.

Related Articles:

  • 10 Things You Should Know About Lupus
  • What Is Lupus Nephritis?
  • Lupus Screening Quiz
  • Lupus - Test Your Knowledge

Join the Discussion: Arthritis Forum
Follow Us: Twitter and Facebook
Sign Up: Free Arthritis Newsletter


Bugged by Joint Deformity Related to Arthritis

Joint deformity is characteristic of certain types of arthritis. Ulnar deviation (joint deformity of the hand) is often associated with rheumatoid arthritis. Since it's visible, it can be a telltale sign that someone has the disease. Other joints may be associated with deformity besides the hands. For example, the knees may have a valgus or varus deformity (knock-kneed or bow-legged).

Have you developed joint deformity since being diagnosed with arthritis? Does the deformity interfere with how well you can use the affected joint? Is the deformity visible or easily concealed? Has it affected how you feel about yourself? Share Your Feelings in Bugged by Joint Deformity Related to Arthritis?

Related Articles:

  • What Can Be Done to Prevent Hand Deformity in Rheumatoid Arthritis?
  • Arthritis Hand Photo Gallery

Join the Discussion: Arthritis Forum
Follow Us: Twitter and Facebook
Sign Up: Free Arthritis Newsletter


Difference Between Normal Joint and Arthritic Joint

Most healthy people move about without ever thinking of the minutia that allows for pain-free movement of joints. But, a disease, such as arthritis, that causes joint pain, joint damage, joint deformity, and limited range of motion can give you pause and make you want to learn more about your joints.

Let's look at the inner structure of a normal joint and then consider what goes wrong when arthritis affects a joint in Normal Joint Versus Arthritic Joint.

Related Articles:

  • What Are Human Joints?
  • What Causes Arthritis?
  • What Causes Joint Stiffness?
  • What Is Pannus?

Follow Me:

Facebook | Twitter | Message Board | Newsletter


Spring Cleaning Tips for People With Arthritis

It's springtime! It's the season that brings beautiful, blooming flowers before our eyes. The season that brings more dogwalkers out in full view. The season that wakes up your allergies. And, it's the season that calls upon you to perform infrequent cleaning tasks -- a ritual we call spring cleaning.

For people with arthritis, spring cleaning can be an overwhelming task. Given their physical limitations, some don't even make the effort because they feel they can't. But, with the right approach, it's amazing what you can accomplish. Follow our Spring Cleaning Tips for People With Arthritis.

Related Articles:

  • Are You a Housekeeping Failure Because of Arthritis?
  • Hate to Ask for Help?
  • Are You Feeling Overwhelmed?
  • More About Managing Housework

Join the Discussion: Arthritis Forum
Follow Us: Twitter and Facebook
Sign Up: Free Arthritis Newsletter


Arthritis What to Expect After Diagnosis

If you are like most people, you knew little about arthritis when you were first diagnosed. Most people are not well-informed about arthritis until they need to be. The exception may be someone who has a very close relative with the disease.

When most people hear their doctor say, "You have arthritis?", they have little idea what to expect going forward or how much arthritis will affect their lives. I often get emails from people who fear the future. Some ask me when they will have to quit working or when they will become disabled. There is no crystal ball to help us know what the future holds, but it would be helpful to know what to expect right after diagnosis. I've compiled a list of what I wish I had known that first week or month after being diagnosed. Learn more in Arthritis - What to Expect After Diagnosis.

Related Articles:

  • 7 Misconceptions About Arthritis
  • 10 Basic Facts Most People Don't Know About Arthritis
  • Is There an Arthritis Cure?
  • Know Your Type of Arthritis

Join the Discussion: Arthritis Forum
Follow Us: Twitter and Facebook
Sign Up: Free Arthritis Newsletter


Actemra Beats Humira in Rheumatoid Arthritis Study

Preliminary study results from ADACTA (ADalimumab ACTemrA) revealed that rheumatoid arthritis patients who received RoACTEMRA (tocilizumab) as monotherapy achieved a significantly greater reduction in disease activity (using DAS28) after 24 weeks than those given adalimumab (Humira) monotherapy. Monotherapy refers to treatment with a single drug, not in combination with any other drugs. In the U.S., RoACTEMRA is known as Actemra.

The Phase IV multi-center, randomized, double-blinded study known as ADACTA was designed to compare the reduction in signs and symptoms during RoACTEMRA monotherapy versus adalimumab monotherapy in 326 adult patients with severe active rheumatoid arthritis. Prior to the study, participants had not been treated with a biologic drug for rheumatoid arthritis. Since there are now several biologic drugs to choose from, studies pitting one against the other may help doctors and patients decide which drug is best to try.

Related Articles:

  • Actemra - What You Should Know
  • The Facts of Humira
  • Biologics Explained
  • TNF Blockers - What You Need to Know

Join the Discussion: Arthritis Forum
Follow Us: Twitter and Facebook
Sign Up: Free Arthritis Newsletter


What People Fear Most About Arthritis

When you experience the initial symptoms of arthritis, it's normal to feel anxious and afraid. You just want to stop the pain and for other symptoms to go away. Early on, you have more questions than answers and it's unsettling.

If you let your mind wander and focus on worst-case scenarios, that just feeds your fear. I've put together a list of common fears in 10 Things People Fear About Arthritis and added a smidge of perspective.

Related Articles:

  • What to Do if You Suspect Arthritis
  • Arthritis - What to Expect After Diagnosis
  • Arthritis Treatment - What You Should Expect
  • Readers Respond: Has Fear Been a Factor in Your Disease?

Follow Me:

Facebook | Twitter | Message Board | Newsletter


Laundry Tips for People With Arthritis

Laundry isn't much fun under the best of circumstances. It's one of those tasks that has to get done eventually. People without arthritis don't really think twice about it. Well, I take that back. They may think about how long they can delay doing it. But, they don't think about laundry in the same way that people with arthritis think about it.

Physical limitations caused by arthritis make it more difficult to do laundry. Imagine adding grasping, bending, reaching, lifting, and carrying into an already painful day. We've put together some tips that will help you get the job done. Pre-planning can make a big difference. Learn more in Laundry Tips for People With Arthritis.

Related Articles:

  • Arthritis Affects Daily Living Activities
  • Pace Your Activities
  • Are You a Housekeeping Failure?
  • Feel Overwhelmed?

Join the Discussion: Arthritis Forum
Follow Us: Twitter and Facebook
Sign Up: Free Arthritis Newsletter


Travel Destinations for People With Arthritis

Traveling intimidates some people with arthritis because of pain and physical limitations. Mostly, it is those with severe or active arthritis who give up on traveling. It's not a matter of desire. They want to travel, but think they can't.

Planning ahead and being prepared will help you get ready to travel. Many parks, tourist attractions, and popular vacation spots are accessible to people with disabilities. I have gathered accessibility information for some vacation spots I've visited (I haven't taken a bus tour). Check out my recommendations in Travel Destination Ideas for People With Arthritis

Related Articles:

  • Travel Tips for People With Arthritis
  • Traveling With Medications - What You Need to Know
  • Handicapped Parking
  • Share Your Travel Tips for Fellow Arthritis Sufferers
  • Share Your Experience: Handling Big Events and Tourist Atractions With Arthritis

Follow Me:

Facebook | Twitter | Message Board | Newsletter


Going on a Picnic With Arthritis

People with arthritis, especially those with moderate to severely active disease, are most comfortable at home. They have everything they need at hand -- their favorite chair, mobility aids, heating pad, and even bed should they need to lay down. While people with arthritis understandably are relaxed in their comfort zone, some actually fear going too far from home. They turn down invitations to parties, picnics, and other events.

We're headed into prime months for picnicking. It would be a shame to miss out. I've put together some tips so you can get ready to enjoy the next picnic opportunity that comes your way in Going on a Picnic With Arthritis.

Related Articles:

  • 10 Ways to Improve Your Life With Arthritis
  • Feeling Overwhelmed?
  • Arthritis Can Affect Self-Esteem

Join the Discussion: Arthritis Forum
Follow Us: Twitter and Facebook
Sign Up: Free Arthritis Newsletter


Arthritis Treatment What You Should Expect

Soon after you have been diagnosed with arthritis, your doctor will prescribe medications or recommend other treatments to control your symptoms and hopefully slow progression of the disease. Patients are usually eager to get on board with the proposed treatment regimen.

Many arthritis patients assume "treatment" means "quick relief". That's usually not the case with arthritis treatment. You should discuss the goals of treatment with your doctor. You should also understand benefits, risks, and potential side effects of treatment. Learn more in Arthritis Treatment - What You Should Expect.

Related Articles:

  • Arthritis - What to Expect After Diagnosis
  • Arthritis Treatment Options
  • 10 Things You Should Do When Given a New Prescription
  • Is There an Arthritis Cure?

Follow Me:

Facebook | Twitter | Message Board | Newsletter


Heel Pain Points to Psoriatic Arthritis

When someone with psoriasis develops joint pain, is it always due to psoriatic arthritis? The answer is no, according to a report in Rheumatology News. Their pain is not always due to psoriatic arthritis. People with psoriasis can have osteoarthritis, rheumatoid arthritis, or other types of arthritis. It's important to determine the type of arthritis so appropriate treatment can begin.

Paying attention to which joints are involved can help distinguish between the various types of arthritis. Heel pain, for example, is typically an indicator of psoriatic arthritis. Heel pain is often associated with dactylitis (sausage-shaped digits), one of the main clinical findings linked to psoriatic arthritis. Heel pain is not common with rheumatoid arthritis. Also, psoriatic arthritis typically affects the distal phalangeal joints of the fingers and toes but not the metacarpophalangeal joint which is commonly associated with rheumatoid arthritis. Actually the distal interphalangeal joint can also be involved in osteoarthritis, as well as psoriatic arthritis. But psoriatic arthritis is an inflammatory type of arthritis. Osteoarthritis is not. Spondyloarthropathy is another significant characteristic that points to psoriatic arthritis.

Many people mistakenly believe the rheumatoid factor blood test definitively dinstinguishes rheumatoid arthritis from psoriatic arthritis. Not so. About 15% of psoriatic arthritis patients are positive for rheumatoid factor.

Related Articles:

  • Signs and Symptoms of Psoriatic Arthritis
  • Psoriatic Arthritis Screening Quiz
  • Spondyloarthropathy Explained
  • Psoriatic Arthritis Treatment Guidelines

Join the Discussion: Arthritis Forum
Follow Us: Twitter and Facebook
Sign Up: Free Arthritis Newsletter


Rheumatoid Arthritis Treatment 2012 ACR Recommendations

The American College of Rheumatology (ACR) has released recommendations for the treatment of rheumatoid arthritis. The 2012 ACR recommendations, an update of the 2008 recommendations, focuses on the use of disease-modifying anti-rheumatic drugs (DMARDs) and biologic drugs for rheumatoid arthritis.

Patients often are confused by certain issues, such as when they should start a DMARD or biologic drug, how long they should stick with a particular medication, or when they should switch to another drug. The recommendations address those and other issues. Learn more in Rheumatoid Arthritis Treatment - 2012 ACR Recommendations.

Related Articles:

  • The Facts of DMARDs
  • Biologics Explained
  • Self-Injection of Arthritis Drugs
  • TNF Blockers - Test Your Knowledge

Join the Discussion: Arthritis Forum
Follow Us: Twitter and Facebook
Sign Up: Free Arthritis Newsletter


FDA Warns Public About Reumofan Plus

The U.S. FDA has issued a warning about Reumofan Plus -- a "natural dietary supplement" that is marketed and promoted for treating arthritis, muscle pain, osteoporosis, bone cancer, and other serious conditions. The FDA warning suggests that Reumofan Plus contains several ingredients not listed on the label that may be harmful. The FDA has received reports of liver injury, worsening of blood sugar, weight gain, swelling, leg cramps, and adrenal suppression.

Do Chronic Pain Patients Need Zohydro

Several drug companies are developing a more potent pain medication containing hydrocodone. The new drug would contain up to 10 times the amount of hydrocodone that is found in drugs currently available, such as Vicodin. One of the drug companies, Zogenix, plans to apply for FDA approval of its timed-released version, known as Zohydro, this year and have it on the market in 2013. The possible addition of Zohydro to painkilling options has brought forward proponents and opponents.

Proponents say Zohydro will present doctors with another option for treating chronic pain patients, since not all medications are equally effective for all patients. It also has been suggested that a pure hydrocodone medication eliminates problems associated with analgesics that have acetaminophen as part of their composition. Acetaminophen overdose has been linked to potentially fatal liver toxicity. Zohydro will be closely monitored and you will be required to visit your doctor each time you need more pills, unlike current hydrocodone-acetaminophen medications that permit 5 refills.

Opponents believe Zohydro will provide the same abuse potential as OxyContin did, when crushing the timed-release pills produced an intense high. The maker of OxyContin reformulated the medication to make it more tamper-proof. With Zohydro, are drugmakers just reinventing an old problem? Does any of this make sense to arthritis patients who are still angry at the FDA for taking Darvocet off the market in November 2010? Share your thoughts below.

Related Articles:

  • The Facts of Analgesics (Painkillers)
  • Vicodin - What You Need to Know
  • Darvocet Removed From U.S. Market in November 2010
  • Share Your Feelings - Are You Reluctant to Use Pain Pills?


Types of Arthritis Polymyalgia Rheumatica

Prior to March 2nd, well-established criteria to identify patients with polymyalgia rheumatica did not exist. Polymyalgia rheumatica is a type of vasculitis. The American College of Rheumatology (ACR), in collaboration with the European League Against Rheumatism (EULAR), just released classification criteria for the condition. While the classification criteria was not created to serve as a protocol for diagnosis, it should help with patient selection for clinical trials and to develop new treatments.

In the United States, about 700 per 100,000 people over 50 in the general population develop polymyalgia rheumatica. Learn more about the symptoms, diagnosis, treatment, and prevalence of polymyalgia rheumatica in Polymyalgia Rheumatica - What You Need to Know.

Related Articles:

  • Vasculitis - What You Need to Know
  • Giant Cell Arteritis - What You Need to Know
  • More About Other Types of Arthritis
  • Quiz: Types of Arthritis and Rheumatic Conditions

Join the Discussion: Arthritis Forum
Follow Us: Twitter and Facebook
Sign Up: Free Arthritis Newsletter


Sedimentation Rate What Is It

Blood tests help doctors diagnose arthritis and monitor the effectiveness of treatment. One of the most common tests ordered is the erythrocyte sedimentation rate, also known as ESR or sedrate. Your doctor may order this test during your initial consultation and during follow-up appointments.

If you have a basic understanding of the sedimentation rate -- how it's performed and what the results indicate -- it will be more meaningful than just a random number. Learn more in Sedimentation Rate - What Is It?

Related Articles:

  • Blood Tests for Evaluating Arthritis
  • Lab Tests - Test Your Knowledge
  • Inflammation - The Battle Within

Join the Discussion: Arthritis Forum
Follow Us: Twitter and Facebook
Sign Up: Free Arthritis Newsletter


Disabled People Face Employment Barriers

Study results from the University of New Hampshire concluded that people with disabilities, such as arthritis, who are trying to find work in the hospitality industry are at a disadvantage. People with disabilities find that many employers have preconceived notions about their inability to do the job and the fact that they cost more to employ.

Researchers analyzed data from 320 hospitality companies in the U.S. They found prejudice, sterotyping, and limited employment options for people with disabilities. The primary concern cited by employers was that disabled people could not do the job effectively despite workplace accommondations and employers were concerned about the cost of necessary accommodations. Other barriers to hiring disabled people involved the cost of workers' compensation, the attitude of co-workers, and a general unawareness of the realities of disability.

Disability awareness training in the workplace could help employers and employees overcome their misconceptions about people with disabilities. It's inappropriate to generalize and label all disabled people as incompetent, non-productive, and accident-prone -- basically, as a liability. But, what would make employers want to work on disability awareness in their companies?

Related Articles:

  • Can I Continue to Work?
  • Reader Stories: How Do You Keep Working With Arthritis?
  • More About Work and Disability

Join the Discussion: Arthritis Forum
Follow Us: Twitter and Facebook
Sign Up: Free Arthritis Newsletter


Arthritis Medications Are They Working

Doctors typically prescribe arthritis medications to help manage symptoms and slow disease progression. There are several categories of arthritis medications: NSAIDs (nonsteroidal anti-inflammatory drugs), analgesics (pain medications), DMARDs (disease-modifying anti-rheumatic drugs), biologics, and corticosteroids.

I don't know anyone who likes to take medication or wants to take it, but people with arthritis tend to be compliant with their treatment regimen. With the best of intentions, they take their prescribed medication hoping it will be effective. It almost becomes robotic. You take your medications or self-inject or go for an infusion on a specified schedule. But, when is the last time you stopped to think about how well your medications are working? Are they working? Did they used to work better and now don't seem quite as effective? How can you tell? Read more in Arthritis Medications - Are They Working?

Related Articles:

  • More About Arthritis Medications
  • Self-injection of Arthritis Drugs
  • Don't Stop Medication Without Doctor's Input
  • Review Prescription Medications With Your Doctor

Join the Discussion: Arthritis Forum
Follow Us: Twitter and Facebook
Sign Up: Free Arthritis Newsletter


Nightshades Bad for Arthritis

Whether or not diet can have an effect on controlling arthritis symptoms is a question that has persisted for years. Specifically, the theory that avoiding nightshade foods relieves arthritis still has its supporters. More than a few arthritis patients swear by it because they have experienced pain relief after eliminating nightshades from their diet.

As for myself, I've never been a big fan of vegetables, so it was not likely going to be the solution for me. But still, I investigated and learned more about nightshades. What are nightshades? Why may nightshade foods trigger arthritis? How can you tell if you are sensitive to nightshades? Find the answers in Are Nightshades Bad for Arthritis?

Related Articles:

  • Diet and Arthritis - The Link is Complex
  • Rheumatoid Arthritis Not Helped by Dietary Changes
  • Are Antioxidants Beneficial for Arthritis?
  • Quiz: Arthritis and Diet

Join the Discussion: Arthritis Forum
Follow Us: Twitter and Facebook
Sign Up: Free Arthritis Newsletter


The 2012 Arthritis Walk

About 50 million people have self-reported, doctor-diagnosed arthritis, including nearly 300,000 children. Each year, the Arthritis Foundation holds Arthritis Walk events throughout the country. The Arthritis Walk (a 5-kilometer course or a 1-mile course -- you choose!) promotes awareness of arthritis and serves as a fundraiser for the Arthritis Foundation.

Most of the Arthritis Walk events are held in April and May. Some locations hold the event during other months. While the Arthritis Foundation encourages you to form a team, you are welcome to participate as an individual -- or to volunteer at the event. Need event information for your location? We've got it for you in The 2012 Arthritis Walk.

Related Articles:

  • The Arthritis Foundation - What's It All About?
  • 7 Misconceptions About Arthritis
  • Arthritis - 10 Things You Should Know
  • Walking Helps You Cope With Arthritis
  • Share Your Story: Have You Participated in the Arthritis Walk?

Join the Discussion: Arthritis Forum
Follow Us: Twitter and Facebook
Sign Up: Free Arthritis Newsletter


What Are Biosimilars

"Biosimilars" is a term that people with arthritis will see more and more as the U.S. Food and Drug Administration (FDA) figures out how they will be reviewed and licensed. Most people think of biosimilars as generic biologic drugs. Well, sort of. Technically, though, the terms "biosimilars" and "generics" are not considered synonymous.

The Supreme Court's ruling on the Affordable Care Act has paved the way for expedited approval of biosimilars. Many companies have biosimilars currently in development. Learn more in Biosimilars - What You Need to Know.

Related Articles:

  • Biologic Drugs Explained
  • TNF Blockers - What You Need to Know
  • Orencia - 10 Things You Should Know
  • Self-Injection of Arthritis Drugs

Follow Me:

Facebook | Twitter | Message Board | Newsletter