Reactive arthritis medical therapy: Difference between revisions

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==Medical Therapy==
==Medical Therapy==
*Reactive arthritis is generally seen with preceeding GI or GU infections. Antibiotics may be given if there is an ongoing infection, but generally patients of reactive arthritis are not advised antibiotic therapy. Recent studies have shown that antibiotic therapy does not alter the course of disease and their role is not completely established.<ref name="pmid23588936">{{cite journal |vauthors=Barber CE, Kim J, Inman RD, Esdaile JM, James MT |title=Antibiotics for treatment of reactive arthritis: a systematic review and metaanalysis |journal=J. Rheumatol. |volume=40 |issue=6 |pages=916–28 |date=June 2013 |pmid=23588936 |doi=10.3899/jrheum.121192 |url=}}</ref>
*Reactive arthritis is generally seen with preceeding GI or GU infections. Antibiotics may be given if there is an ongoing infection, but generally patients of reactive arthritis are not advised antibiotic therapy. Recent studies have shown that antibiotic therapy does not alter the course of disease and their role is not completely established.<ref name="pmid23588936">{{cite journal |vauthors=Barber CE, Kim J, Inman RD, Esdaile JM, James MT |title=Antibiotics for treatment of reactive arthritis: a systematic review and metaanalysis |journal=J. Rheumatol. |volume=40 |issue=6 |pages=916–28 |date=June 2013 |pmid=23588936 |doi=10.3899/jrheum.121192 |url=}}</ref>
*Pharmacologic medical therapies for reactive arthritis include symptomatic control:
** 1.1 '''NSAIDs such as the COX-2 inhibitors'''
**:* Preferred regimen (1): Naproxen 500 mg PO q8-12h daily.
**:* Preferred regimen (2): Diclofenac 50 mg PO q8h daily.
**:* Preferred regimen (3): Indomethacin 50 mg PO q6-8h daily.




 
and If patients does not have
 
 
and If patients does not have  
*Pharmacologic medical therapies for reactive arthritis include symptom control with NSAIDs such as the COX-2 inhibitors.


==Antimicrobial regimen==
==Antimicrobial regimen==

Revision as of 15:36, 11 April 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Medical Therapy

  • Reactive arthritis is generally seen with preceeding GI or GU infections. Antibiotics may be given if there is an ongoing infection, but generally patients of reactive arthritis are not advised antibiotic therapy. Recent studies have shown that antibiotic therapy does not alter the course of disease and their role is not completely established.[1]
  • Pharmacologic medical therapies for reactive arthritis include symptomatic control:
    • 1.1 NSAIDs such as the COX-2 inhibitors
      • Preferred regimen (1): Naproxen 500 mg PO q8-12h daily.
      • Preferred regimen (2): Diclofenac 50 mg PO q8h daily.
      • Preferred regimen (3): Indomethacin 50 mg PO q6-8h daily.


and If patients does not have

Antimicrobial regimen

References

  1. Barber CE, Kim J, Inman RD, Esdaile JM, James MT (June 2013). "Antibiotics for treatment of reactive arthritis: a systematic review and metaanalysis". J. Rheumatol. 40 (6): 916–28. doi:10.3899/jrheum.121192. PMID 23588936.


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