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Steroids Boost Joint Health in RA
Reported January 25, 2007
(Ivanhoe Newswire) -- Taking low-dose steroids in the
early stages of rheumatoid arthritis (RA) is probably a good idea.
Researchers who looked at 15 clinical trials conclude adding steroid therapy
to standard rheumatoid arthritis drugs in the first two years after
diagnosis can inhibit the progression of the disease.
The investigators explain many people with rheumatoid arthritis are given
the drugs, also known as glucocorticoids, when first diagnosed with the
condition to help with inflammation and other symptoms while longer-acting
rheumatoid arthritis drugs have a chance to start working. However, because
steroids have been linked to cardiovascular disease and bone mineral density
problems, many doctors to forego these medications for rheumatoid arthritis
patients or prescribe them at the lowest-possible dose for the shortest
possible time.
Study authors suggest that level of caution may be unwarranted. While noting
concerns remain regarding the long-term use of steroids, the authors write,
"Even in the most conservative estimate, the evidence that glucocorticoids
given in addition to standard therapy can significantly reduce the rate of
erosion progression in rheumatoid arthritis is convincing."
They write people who have had RA for less than two years would certainly
benefit from the treatment without risking undue side effects, and the
benefits may also extend to those who have been suffering with the condition
for up to four years.
SOURCE: Cochrane Database of Systematic Reviews, published online Jan. 23,
2007
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