How do you approach the timing of DMARD initiation in patients with active RA who are on treatment for latent TB?
Is it different between DMARDs (csDMARDs, biologic DMARDs, and target synthetic DMARDs)?
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When do you start DMARD therapy in active RA patients with LTBI?
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1 Answer
Mednet MemberInvited Expert
Rheumatology · MD Anderson Cancer Center
Answered on
As the patient is already treated for latent TB, if they have not initiated DMARD therapy for RA, I would follow the guidelines and start conventional DMARD therapy. If the patient requires additional therapy because of insufficient response, I would choose a non-TNF inhibitor as the risk for TB rea...
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