If you’ve been told you have arthritis, the first thing you’ll hear is about medication. The good news is there are many options, and you don’t have to stay in pain for good. Below is a quick rundown of the most common drug families, when they’re used, and practical tips to keep you safe.
NSAIDs (non‑steroidal anti‑inflammatory drugs) like ibuprofen or naproxen are often the first line. They cut pain and swelling by blocking the chemicals that cause inflammation. Take them with food, watch your stomach, and avoid them if you have kidney problems.
Corticosteroids such as prednisone work fast to calm severe flare‑ups. They’re powerful, but long‑term use can thin bones and raise blood sugar, so doctors usually keep the dose low and limit the time you’re on them.
DMARDs (disease‑modifying antirheumatic drugs) slow the disease itself, not just the symptoms. Methotrexate is the most common, taken once a week. It can protect joints for years, but you’ll need blood tests to check liver function.
Biologics are a newer class that target specific parts of the immune system. Drugs like adalimumab or etanercept are given by injection and are great for moderate to severe rheumatoid arthritis. They can increase infection risk, so keep vaccinations up to date.
Analgesics such as acetaminophen relieve pain without reducing inflammation. Safe for most people, but high doses can harm the liver, so stick to the recommended limit.
Start with a clear conversation with your doctor. Tell them about any other meds you’re on, allergies, and health issues like ulcers or diabetes. Your doctor will weigh the benefits against possible side effects.
Consider lifestyle. If you need a drug that works quickly for occasional flare‑ups, an NSAID or short‑term steroid might be best. If you have persistent joint damage, a DMARD or biologic could be worth the extra monitoring.
Don’t forget non‑drug options. Physical therapy, weight control, and low‑impact exercise can boost the effect of medication and sometimes let you lower the dose.
Keep a medication log. Write down when you take each pill, any side effects, and how your joints feel. This record helps you and your doctor spot patterns and adjust treatment.
Finally, be proactive about safety. Get regular blood work if you’re on methotrexate or biologics, watch for signs of infection (fever, sore throat), and use stomach‑protecting meds if your doctor recommends them for NSAIDs.
Arthritis can be tough, but the right medication mix can keep you moving and pain‑free. Use this guide to ask the right questions, stay on top of side effects, and partner with your healthcare team for a plan that fits your life.