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Need to know - rheumatoid arthritis

Low dose oral steroids plus DMARDs can cut the rate of joint erosion Low dose oral steroids plus DMARDs can cut the rate of joint erosion What I will do now What I will do now

Dr Mandy Fry responds to the answers to her questions
• I will consider using naproxen in preference to other NSAIDs – particularly for those at risk of CVD
• I will ensure all patients with RA are screened for CVD
• I will refer patients at an early stage, particularly if they have the symptoms described in question 7
• I will ensure patients on anti-TNF therapies are coded in the notes and stop therapy if they require antibiotics
• I will reassure women with RA who become pregnant that most will not need to take DMARDs during pregnancy

Dr Mandy Fry is a GP in Cirencester, Gloucestershire, and senior primary care lecturer at Oxford Brookes University

thp ra

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