Drugs Purpose How soon will they work Special Considerations NSAIDS Ibuprofen, Motrin Arthritic pain (Mild disease) Onset <30 min I upset, contraindicated for renal patients, NSAID induce hepatitis !orticoid Steroids" #rednisone (Deltasone) $sed for immunosuppression and to reduce in%ammation &aries Monitor for %uid retention, ' N, renal d sfunction *chec+ blood lucose le-els. Do not stop steroids abruptl . Non/steroids" Methotre ate and A1athioprine (Imuran) 2 ith Folic Acid Immunosuppression 4/5 hr 6or people that ha-e side e7ects to steroids can be combined ith folic acid for a better toleration. Sunbloc+, careful ith sun Anticoa ulants" 8arfarin (!oumadin) 'eparin Anti/coa ulants 8arfarin (0.9/3 da s) 'eparin (50/:0 min) !hec+ for bleedin . # ( arfarin), # (heparin) tests Do not stop abruptlCoumadin " /&itamin ; considerations. Antimalerial" ' dro chloro ui ne (pla uenil) Alternati-e" Antilepros dru dapsone Suppression of s no-itis (=oints), fe-er, and fati ue 5/>.9 hrs ?ncoura e fre uent e e e ams @ : 45 months / a+es se-eral months to +ic+ in. Alternati-e used if patient cannot tolerate S? of pla uenil At AD&AN!? B?&?B" Immunosuppresa nt" ! clophosphami de (! to an), m cophenolate mofetil (!ell!ept) #rescribe to reduce the need for lon term corticosteroids AND ! closphosphamide" Appropriate for treatment for se-ere or an s stem disease, <4 hr Monitor for dru to icit and side e7ects. A-oid aspirin
