Professor Wang Yanyan: What should I do if methotrexate is not effective for rheumatoid patients?

01

What are the challenges for rheumatologists in the context of the new crown epidemic?

The patient was unable to return to the clinic in time due to the epidemic

The patient was unable to return to the clinic in time due to the epidemic

The vast majority of rheumatology patients are chronic diseases that require regular follow-up to adjust the medication regim.

When rheumatoid patients have obvious inflammation, doctors may use hormones, non-steroidal anti-inflammatory drugs or combined second-line treatment drugs, but when the inflammation is relieved, they need to follow up in ti.

The doctor will synthesize the clinical manifestations of the patie.

As well as adverse drug reactions, e.

, timely adjustment of medicati.

The vast majority of rheumatology patients are chronic diseases that require regular follow-up to adjust the medication regim.

When rheumatoid patients have obvious inflammation, doctors may use hormones, non-steroidal anti-inflammatory drugs or combined second-line treatment drugs, but when the inflammation is relieved, they need to follow up in ti.

The doctor will synthesize the clinical manifestations of the patie.

As well as adverse drug reactions, e.

, timely adjustment of medicati.

However, some patients will not be able to follow-up in time due to the epidemic, and doctors cannot accurately grasp the patient's situation, which is a very big challenge for both doctors and patien.

However, some patients will not be able to follow-up in time due to the epidemic, and doctors cannot accurately grasp the patient's situation, which is a very big challenge for both doctors and patien.

Online medical services provide great help with remote consultation

Online medical services provide great help with remote consultation

There is no way out, and there are many solutions, such as online diagnosis
and treatmen.

Patients and doctors can use existing platforms or tools to communicate with patients in a timely manner, and grasp the disease status of patients at any time, so that doctors can make clinical decisions more efficient.

There is no way out, and there are many solutions, such as online diagnosis
and treatmen.

Patients and doctors can use existing platforms or tools to communicate with patients in a timely manner, and grasp the disease status of patients at any time, so that doctors can make clinical decisions more efficient.

diagnosis and treatment

 

 

In addition to online medical treatment, remote consultation is also a very good chann.

At present, the development of rheumatology and immunization in China is becoming more and more comm.

In the past, many places did not carry out rheumatology and immunizati.

The "one city, one department and one center" advocated by Zeng Xiaofeng has been in operation for more than four yea.

Remote consultation can be added in this way to achieve "point-to-point" collaboration between hospita.

In addition to online medical treatment, remote consultation is also a very good chann.

At present, the development of rheumatology and immunization in China is becoming more and more comm.

In the past, many places did not carry out rheumatology and immunizati.

The "one city, one department and one center" advocated by Zeng Xiaofeng has been in operation for more than four yea.

Remote consultation can be added in this way to achieve "point-to-point" collaboration between hospita.

immunity

Through the above methods, the impact of the new crown on rheumatoid arthritis patients can be minimiz.

Through the above methods, the impact of the new crown on rheumatoid arthritis patients can be minimiz.

02What should I do for patients who are not taking methotrexate?

What should I do for a patient who does not respond well to methotrexate? The principles of diagnosis and treatment are still based on guidelines

First of all, if the effect of taking methotrexate alone is not satisfactory, you can choose a guideline combination therapy after evaluating the disease activity , which can be a combination of 2-3 traditional antirheumatic dru.

 If the combination medication of traditional drugs with methotrexate as the main drug has been adopted, the effect is still not satisfacto.

After DMARDs treatment, how should patients who do not meet the standard treatment adjust their medication strategy?

 Although there are many options for rheumatoid diagnosis and drug treatment, some patients do use a lot of methods or have poor treatment effect due to drug intoleran.

 Although there are many options for rheumatoid diagnosis and drug treatment, some patients do use a lot of methods or have poor treatment effect due to drug intoleran.

04 What is the treatment principle when RA is complicated with severe infection ? How to take medicine?

What is the treatment principle for RA complicated by severe infection ? How to take medicine? Infection advised patients to be admitted to hospital

During the treatment of RA, immunosuppressants and hormones are often used, which will reduce the patient's resistance and increase the chance of infection in the patie.

During the treatment of RA, immunosuppressants and hormones are often used, which will reduce the patient's resistance and increase the chance of infection in the patie.

Control the disease and fight infection

After co-infection, the infection should be controlled first, and the primary disease should be treated after the infection is controll.

After co-infection, the infection should be controlled first, and the primary disease should be treated after the infection is controll.

What do you think the research direction of rheumatoid arthritis will be in the future?

Genetic susceptibility to rheumatoid arthritis

Genetic susceptibility to rheumatoid arthritis Genetic susceptibility to rheumatoid arthritis

Early identification of RA is very important for clinical treatme.

Early identification of RA is very important for clinical treatme.

Looking forward to new indicators that can guide treatment and medication Looking forward to new indicators that can guide treatment and medication

As mentioned above, for a new RA patient, it may be necessary to adjust the medication multiple times before a good treatment plan can be obtain.

As mentioned above, for a new RA patient, it may be necessary to adjust the medication multiple times before a good treatment plan can be obtain.

In addition, whether there are new indicators that can prompt the patient's disease status, whether the progress is relatively fast or slow, and what is the risk of complications, these can help the clinic we.

Enthusiasm for new drug targets will only increase but not decrease Enthusiasm for new drug targets will only increase

At present, among all rheumatic immune diseases, the progress of rheumatoid arthritis can be said to be at the forefro.

At present, among all rheumatic immune diseases, the progress of rheumatoid arthritis can be said to be at the forefro.
At present, many targeted drugs or small molecule compounds have been put into clinical use, and very good results have been achiev.

With the progress of immunology, more targets will appear, and correspondingly more targeted drugs will be develop.

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