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Mainstream Medications for Scleroderma and Other Rheumatic Diseases
This page was written by Janey Willis and has not yet been medically edited. See Disclaimer.
Overview of Mainstream Medications
DMARDs
Glucocorticoid, Steroids
Immunosuppressants
IVIg (Intravenous Immunoglobulin)
NSAIDs
Statins
Overview of Mainstream Medications
Mainstream medications are the pharmaceuticals that are normally prescribed by rheumatologists for the treatment of scleroderma and other rheumatic diseases. These include DMARDs, immunosuppressants, NSAIDs, statins, and steriods. Which medication to use is dependented upon factors such as the patient, the symptoms, the doctors, and in some cases, the patient's insurance company (what is approved and what isn't).
All of these mainstream medications can have serious side effects. Before using a drug, talk to your doctor and pharmacist about the potential side effects and any symptoms that may require immediate attention.
Also, provide a list of all medications to ensure that your new medication does not interfere or react with a medication you are already taking. You should always check for yourself by researching a new medication at drugs.com or rxlist.com.
Clinical Trials and Open Enrollments for Scleroderma ISN.
DMARDs (Disease-Modifying Anti-Rheumatic Drugs)
DMARDs are Disease-Modifying Anti-Rheumatic Drugs used for a variety of conditions from Irritable Bowel Disease to scleroderma. DMARDs include immunosuppressants, anti-malarial drugs, anti-inflammatory metals, and biologic agents. ISN.
Overview of DMARDs
Combination Therapy with DMARDs
Biologic Agents
Antimalarials (Plaquenil, Hydroxychloroquine)
Medicinal Metals
Sulfasalazine
Glucocorticoid, Steroids (Prednisone)
Glucocorticoids are any of a group of steroid hormones, such as cortisone, that are produced by the adrenal cortex and have anti-inflammatory properties. Corticosteroids (such as prednisone) strongly increase the short-term risk of developing scleroderma renal crisis (kidney failure). (Also see: What is Scleroderma?)
Overview
Use with Autoimmune Diseases
General Side Effects
Weight Gain with Prednisone
Osteoporosis
Renal Crisis
Additional Risks
Immunosuppresants
Immunosuppressants are medications that suppress or prevent the immune response. Immunosuppressants are used to prevent rejection of a transplanted organ and to treat autoimmune diseases such as scleroderma, psoriasis, rheumatoid arthritis, and Crohn's disease. They are also referred to as immunodepressants.
Overview of Immunosuppressants
Azathioprine (Imuran)
Cyclophosphamide (Cytoxan)
Cyclosporine
Methotrexate
Mycophenolate mofetil (Cellcept)
Warnings and Risks of Immunosuppressants
Chemo Brain
IVIg (Intravenous Immunoglobulin)
IVIg (Intravenous Immunoglobulin) is a blood product extracted from the plasma of about 20,000 blood donors. It contains the pooled human immunoglobulin Type G (IgG) which are antibodies of the immune system. IVIg is used to treat immune deficiencies and autoimmune and inflammtory diseases.
NSAIDs, Anti-Inflammatories, Pain Medications
NSAIDs (Nonsteroidal anti-inflammatory drugs) are normally used to treat inflammation and mild to moderate pain. The work by inhibiting Cox-1 or Cox-2 enzymes. Common anti-inflammatory drugs (aspirin, ibuprofen, and naproxen) act by blocking the action of both the COX-1 and COX-2 enzymes. COX-2 inhibitors (Celebrex) selectively block only COX-2.
Overview of NSAIDs
FDA Warnings
Possible Side Effects
Cox-2 Inhibitors

Statins
Statins are a class of drugs that lowers the level of cholesterol in the blood by reducing the production of cholesterol by the liver. Recent findings have shown statins to offer some relief to patients with scleroderma and other rheumatic diseases. ISN.
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