Methotrexate for Rheumatoid Arthritis

Rest is often helpful during flares; hospitalization is rarely necessary. Alternately, flares can be controlled by steroids that are given by injection. In people who are already taking methotrexate or oral steroids, flares can often be controlled by increasing the doses of these drugs. Treatment of flares Flares are temporary exacerbations of rheumatoid arthritis that can occur in addition to the ongoing inflammation. However, people with a badly damaged joint who cannot undergo joint replacement surgery may benefit from use of a long acting narcotic under the supervision of a rheumatologist or pain specialist. Use of narcotic analgesics such as such as codeine, oxycodone, and hydrocodone is generally discouraged because of the long term nature of rheumatoid arthritis and the risk of dependence and addiction.