International Journal of Public Health Excellence (IJPHE)
Vol. 2 No. 1 (2022): June-December

A Narrative Review: Efficacy and Safety the Used of Corticosteroids as an Adjunct Therapy for Rheumatoid Arthritis

Hendra Herman (Unknown)
Irma Rachma Hanifah (Unknown)
Kamri, Andi Maulana (Unknown)



Article Info

Publish Date
29 Dec 2022

Abstract

Rheumatoid Arthritis (RA) is an autoimmune disease characterized by inflammation of the joints. The selection of corticosteroids with broad indications is used as an adjunct therapy because of its anti-inflammatory activity and immune suppression. The research aimed to determine the efficacy and safety profile of corticosteroids in rheumatoid arthritis patients. The method used was a literature review with a narrative review design based on inclusion and exclusion criteria through the PubMed and Google Scholar databases. The results showed that the Prednisone group with varying doses of 5 mg; 6.25 mg; 10 mg gave better efficacy than the placebo group or Methotrexate monotherapy against disease activity with the DAS28 parameter. Prednisone safety was observed from the side effects, hypertension; hyperglycemia and adverse events, headache; reported diarrhea. The review show that the use of Prednisone tab 10 mg/day provided the best efficacy in the first 3 months (p<0.001) with the DAS28 parameter which achieved the greatest clinical remission. The side effects of Prednisone could not be concluded between the effect of dose and the level of drug safety.

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Journal Info

Abbrev

ijphe

Publisher

Subject

Health Professions Medicine & Pharmacology Nursing Public Health

Description

International Journal of Public Health Excellence (IJPHE), ISSN 2809-9826 (online) has a subject area as follows, but is not limited to the following health areas that are reproduction health, medical service, health statistics, health management, oral hygiene, medical bio, civilized environmental ...