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Summary Table of Medication

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The following tables give an overview of some key facts about medication used to treat JIA (in alphabetical order). To find out more about these individual drugs, click on the drug name to go to our article about that drug.

Standard DMARDs and biologic drugs are slow-release drugs, so can take a few weeks to start to work (up to around 12 weeks, though improvement may be felt some time before then).

Standard disease modifying anti-rheumatic drugs (DMARDs)

Drug nameHow the drug is takenHow it worksAre blood tests mandatory?
Hydroxychloroquine (HCQ) TabletReduces over activity of the immune systemNo
Methotrexate (MTX) Liquid, tablet, syringeReduces over activity of the immune systemYes – regularly
Sulfasalazine (SSZ) TabletReduces over activity of the immune systemYes – initially regularly, then less frequently

Biologic drugs

Drug nameHow the drug is takenHow it worksAre blood tests mandatory?
Abatacept (ABA) InfusionReduces over activity of the immune system by targeting T-cellsYes- every 3 months 
Adalimumab (ADA) Syringe or penReduces over activity of the immune system by targeting TNFα cellsYes- every 3 months initially
Etanercept (ETN) Syringe or pen – can be once or twice weeklyReduces over activity of the immune system by targeting TNFα cellsYes- every 3 months initially
Tocilizumab (TCZ) Infusion or subcutaneously
 
In sJIA
patients weighing less than 30kg: 162mg every 2 weeks
Weighing 30kg or more: 162 mg weekly
Reduces over activity of the immune system by targeting IL6 cellsYes- every 3 months initially

Newly developed biologic drugs (only available from some specialist centres)

Drug nameHow the drug is takenHow it worksAre blood tests mandatory?
Canakinumab SyringeReduces overactivity of the immune system by targeting IL1 cellsYes- every 3 months initially

Updated: 24/12/2019