Do you routinely supplement folic acid in patients with rheumatoid arthritis who are taking sulfasalazine?
Does your approach change based on the dose of sulfasalazine (ex: lower doses vs more then 2–3 grams/day)?
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Do you routinely prescribe folic acid supplementation for patients with rheumatoid arthritis treated with sulfasalazine?
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2 Answers
Mednet MemberInvited Expert
Rheumatology · Harvard Medical School
Answered on
Full disclosure. I'm not a fan of SSZ in general. I think it is a relic of 20th-century rheumatology when the choices were gold, penicillamine, and a few other toxic molecules.
Nonetheless, I know that there is an audience for SSZ where biological options are less readily available.
In my own experi...
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Mednet Member
Rheumatology · Duke University Medical Center
Answered on
No, I do not routinely use folic acid supplementation in patients with RA on sulfasalazine. It is recommended to supplement FA for those taking sulfasalazine in pregnancy.
CC @Dr. First Last if any additional comments on this!
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