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Pharma

Methotrexate (DMARDs)

for Rheumatoid Arthritis

Methotrexate is the anchor disease-modifying antirheumatic drug (DMARD) for rheumatoid arthritis, recommended as first-line treatment by all major rheumatology guidelines. It slows or halts joint damage.

How it works

Inhibits dihydrofolate reductase, reducing lymphocyte proliferation and pro-inflammatory cytokine production. At the low doses used in RA, it has powerful anti-inflammatory and immunomodulatory effects.

What to watch for

Prescription only — requires specialist initiation. Regular blood monitoring (LFTs, FBC) required. Folic acid supplementation reduces side effects. Strictly avoid alcohol. Teratogenic — not safe in pregnancy.

Community experience

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WikiRemedy surfaces community experience, not medical advice. Always consult a qualified health professional.