{"id":5803,"date":"2009-07-01T12:35:36","date_gmt":"2009-07-01T12:35:36","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/reurat\/"},"modified":"2025-05-14T19:09:22","modified_gmt":"2025-05-14T19:09:22","slug":"reurat","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/reurat\/","title":{"rendered":"Recomendaciones ACR 2008 para el Tratamiento de la Artritis Reumatoide"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<ul>\n<li>Iniciando el tratamiento con metotrexato o Arava (leflunomida) fue recomendado para la mayor\u00eda de los pacientes con Artritis Reumatoide (AR).<\/li>\n<li>metotrexato m\u00e1s Plaquenil (hidrocloroquina) fue recomendada para los pacientes con artritis reumatoide con moderada a elevada actividad de la enfermedad.<\/li>\n<\/ul>\n<p><!--more--><\/p>\n<ul>\n<li>La combinaci\u00f3n de 3 f\u00e1rmacos antirreum\u00e1ticos modificadores de la enfermedad &#8211; DMARDs &#8211; (metotrexato m\u00e1s hidrocloroquina y sulfasalazina) fue recomendado para pacientes con moderado o elevados niveles de actividad de la enfermedad y factores que sugieran un pobre pron\u00f3stico (curso predictivo de la enfermedad).<\/li>\n<\/ul>\n<ul>\n<li>Tratamiento con bloqueadores del Factor de Necrosis Tumoral (FNT) [Enbrel (etanercept), Remicade (infliximab), o Humira (adalimumab)] m\u00e1s metotrexato es recomendable para pacientes con artritis reumatoide temprana (s\u00edntomas por menos de 3 meses) solo cuando existe actividad elevada de la enfermedad y el paciente nunca ha sido tratado con DMARDs<\/li>\n<li>Para pacientes con artritis reumatoide con moderada a larga duraci\u00f3n de la enfermedad, los bloqueadores del FNT fueron recomendados para aquellos en quienes fallo la obtenci\u00f3n de una respuesta satisfactoria de la terapia con metotrexato.<\/li>\n<li>Orencia (abatacept) y Rituxan (rituximab) deben ser reservados para pacientes con al menos moderada actividad de la enfermedad y pobre pron\u00f3stico de la enfermedad siguiendo el tratamiento con metotrexato u otros DMARDs que permitan una respuesta inadecuada al tratamiento.<\/li>\n<li>El tratamiento con metotrexato, Arava, o DMARDs biol\u00f3gicos (Enbrel, Remicade, Humira, Orencia, o Rituxan) no se debe comenzar o ser reanudado en pacientes con una infecci\u00f3n bacteriana activa, infecci\u00f3n viral activa por herpes zoster, tuberculosis activa o latente, o Hepatitis B o Hepatitis C aguda o cr\u00f3nica.<\/li>\n<li>Los bloqueadores de FNT no deben ser prescritos en pacientes con artritis reumatoide con antecedente de insuficiencia cardiaca, linfoma, esclerosis m\u00faltiple u otras patolog\u00edas desmielinizantes.<\/li>\n<li>metotrexato, Arava o minociclina no deben ser iniciados o retomados para el tratamiento de la artritis reumatoide en pacientes que planeen embarazarse o durante el embarazo o lactancia.<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">Los expertos del American College of Rheumatology (ACR) esperan actualizar con regularidad las recomendaciones cuando nuevas evidencias cient\u00edficas est\u00e9n disponibles.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Saag KG, Teng GG, Patkar NM, Anuntiyo J, Finney C, Curtis JR, Paulus HE, Mudano A, Pisu M, Elkins-Melton M, Outman R, Allison JJ, Suarez Almazor M, Bridges SL Jr, Chatham WW, Hochberg M, MacLean C, Mikuls T, Moreland LW, O&#8217;Dell J, Turkiewicz AM, Furst DE; American College of Rheumatology. American College of Rheumatology 2008 recommendations for the use of nonbiologic\u00a0 and biologic disease-modifying antirheumatic drugs in rheumatoid arthritis. Arthritis Rheum. 2008 Jun 15;59(6):762-84.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18512708\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado: Jul 1, 2009<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Iniciando el tratamiento con metotrexato o Arava (leflunomida) fue recomendado para la mayor\u00eda de los pacientes con Artritis Reumatoide (AR). metotrexato m\u00e1s Plaquenil (hidrocloroquina) fue recomendada para los pacientes con artritis reumatoide con moderada a elevada actividad de la enfermedad.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[45],"tags":[2072,423,1069,1068,200,382,1291,1289,1070,261,2073],"class_list":["post-5803","post","type-post","status-publish","format-standard","hentry","category-rheumatology","tag-2072","tag-acr","tag-arthritis","tag-artritis","tag-recomendaciones","tag-recommendations","tag-reumatoide","tag-rheumatoid","tag-rheumatology","tag-tratamiento","tag-treatments"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - 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