South African Rheumatism and Arthritis Association 2024 guidelines for the use of biologic and targeted synthetic disease-modifying antirheumatic drugs

Biologic and targeted synthetic disease-modifying antirheumatic drugs (b/tsDMARDs) target a specific pathway of the immune system, and are usually prescribed after failure of conventional synthetic disease-modifying antirheumatic drug therapy. The choice of b/tsDMARD depends on the disease...

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Main Authors: E van Duuren, J Potts, U Brijlal, S Botha, S Didi, K Makan, M van Dam, K Chinniah, B Hodkinson
Format: Article
Language:English
Published: South African Medical Association 2024-09-01
Series:South African Medical Journal
Subjects:
Online Access:https://samajournals.co.za/index.php/samj/article/view/2599
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author E van Duuren
J Potts
U Brijlal
S Botha
S Didi
K Makan
M van Dam
K Chinniah
B Hodkinson
author_facet E van Duuren
J Potts
U Brijlal
S Botha
S Didi
K Makan
M van Dam
K Chinniah
B Hodkinson
author_sort E van Duuren
collection DOAJ
description Biologic and targeted synthetic disease-modifying antirheumatic drugs (b/tsDMARDs) target a specific pathway of the immune system, and are usually prescribed after failure of conventional synthetic disease-modifying antirheumatic drug therapy. The choice of b/tsDMARD depends on the disease profile and comorbidities, patient preference, registered indications of the drugs, and risks associated with therapy. It is recommended that b/tsDMARDs for immune-mediated inflammatory rheumatic diseases are prescribed by a rheumatologist, and all patients must be included in the South African Rheumatism and Arthritis Association biologic registry. Knowledge of and vigilance for adverse events, particularly infections, associated with b/ts DMARD therapies are of paramount importance.
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publishDate 2024-09-01
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series South African Medical Journal
spelling doaj-art-a335d9f4c45948f2983e0551f3612ac52025-02-10T12:25:39ZengSouth African Medical AssociationSouth African Medical Journal0256-95742078-51352024-09-01114910.7196/SAMJ.2024.v114i10.2599South African Rheumatism and Arthritis Association 2024 guidelines for the use of biologic and targeted synthetic disease-modifying antirheumatic drugsE van Duuren0J Potts1U Brijlal2S Botha3S Didi4K Makan5M van Dam6K Chinniah7B Hodkinson8Jacaranda Hospital, Pretoria, South AfricaNetcare Greenacres Hospital, Gqeberha, South AfricaMediclinic Milnerton, Cape Town, South AfricaMediclinic Winelands Orthopaedic Hospital, Stellenbosch, South AfricaRheumatology Division, Department of Medicine, Groote Schuur Hospital and Faculty of Health Sciences, University of Cape Town, South AfricaDepartment of Medicine, Chris Hani Baragwanath Academic Hospital, University of the Witwatersrand, JohannesburgAxial Spondyloarthritis Association of South AfricaAhmed Al-Kadi Private Hospital, Durban, South AfricaRheumatology Division, Department of Medicine, Groote Schuur Hospital and Faculty of Health Sciences, University of Cape Town, South Africa Biologic and targeted synthetic disease-modifying antirheumatic drugs (b/tsDMARDs) target a specific pathway of the immune system, and are usually prescribed after failure of conventional synthetic disease-modifying antirheumatic drug therapy. The choice of b/tsDMARD depends on the disease profile and comorbidities, patient preference, registered indications of the drugs, and risks associated with therapy. It is recommended that b/tsDMARDs for immune-mediated inflammatory rheumatic diseases are prescribed by a rheumatologist, and all patients must be included in the South African Rheumatism and Arthritis Association biologic registry. Knowledge of and vigilance for adverse events, particularly infections, associated with b/ts DMARD therapies are of paramount importance. https://samajournals.co.za/index.php/samj/article/view/2599targeted synthetic therapybiologicSouth Africa
spellingShingle E van Duuren
J Potts
U Brijlal
S Botha
S Didi
K Makan
M van Dam
K Chinniah
B Hodkinson
South African Rheumatism and Arthritis Association 2024 guidelines for the use of biologic and targeted synthetic disease-modifying antirheumatic drugs
South African Medical Journal
targeted synthetic therapy
biologic
South Africa
title South African Rheumatism and Arthritis Association 2024 guidelines for the use of biologic and targeted synthetic disease-modifying antirheumatic drugs
title_full South African Rheumatism and Arthritis Association 2024 guidelines for the use of biologic and targeted synthetic disease-modifying antirheumatic drugs
title_fullStr South African Rheumatism and Arthritis Association 2024 guidelines for the use of biologic and targeted synthetic disease-modifying antirheumatic drugs
title_full_unstemmed South African Rheumatism and Arthritis Association 2024 guidelines for the use of biologic and targeted synthetic disease-modifying antirheumatic drugs
title_short South African Rheumatism and Arthritis Association 2024 guidelines for the use of biologic and targeted synthetic disease-modifying antirheumatic drugs
title_sort south african rheumatism and arthritis association 2024 guidelines for the use of biologic and targeted synthetic disease modifying antirheumatic drugs
topic targeted synthetic therapy
biologic
South Africa
url https://samajournals.co.za/index.php/samj/article/view/2599
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