Treatment strategies in rheumatoid arthritis

Abstract

In this editorial, the author goes through the consecutive steps of rheumatoid arthritis (RA) treatment. In brief, the recent European recommendations are presented, followed by some strategic points of methotrexate (MTX) therapy. The initiation, maintenance and switch of biological therapy are discussed. After remission or low disease activity (LDA) is reached, tapering or discontinuation of biologics may be considered. Finally, the author reviews the most relevant clinical and biological markers of personalized treatment.