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#ACR19 Review Course — Update in RA Therapy 2019 — Dr. Michael Weinblatt.

My notes in thread ⬇️⬇️⬇️
SQ MTX offers the advantage of delivering 100% of the med to the patient.

Split dose oral MTX also increase bioavailability >28% over single dose.

Also important to make sure you escalate the dose of MTX up to 20-25mg/wk.
#ACR19
2/3 of patients don’t achieve low disease activity or remission on MTX alone. These pts need another agent.

Keeping them on MTX increases the efficacy of some biologics (TNFi, RTX) and helps prevent drug-blocking antibodies.

#ACR19
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