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By Carol & Richard Eustice, About.com Guides to Arthritis since 1997

Second Course of Methotrexate May Be Effective Despite Ineffective First Course

Saturday February 25, 2006
Rheumatoid arthritis patients who have not responded to their first course of methotrexate, especially if the first course was a low-dose (10 mg or less per week), may still derive benefit from a second course of methotrexate.

Arthritis Research and Therapy published study results from researchers at the Medical University of Vienna. The researchers concluded that re-treatment with methotrexate may be a treatment option of value, especially for patients who cannot use other disease-modifying medications, especially the newer biologic drugs.

In the study, 79 patients had a second methotrexate treatment that lasted at least a year, having stopped their first treatment for side effects or ineffectiveness. 53.2 percent found their second course with methotrexate effective.

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