When do you consider DMARD therapy in patients with persistent oligoarticular JIA who continue to flare in adulthood?

Hey there! I think the question you're asking is when to think about moving past NSAIDs or corticosteroid injections and towards DMARDs?

If that isn't your question, please clarify.

If it is your question, then my answer would be if you're thinking about DMARDs, you should start DMARDs. I don't consider NSAIDs as adequate therapy for any type of arthritis (except maybe mild sacroiliitis), and if they are continuing to flare, then I would use the same treatment paradigms you use for your RA patients and start MTX ASAP to prevent joint damage.