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Copyright ©2014 Baishideng Publishing Group Inc.
World J Orthop. Jul 18, 2014; 5(3): 292-303
Published online Jul 18, 2014. doi: 10.5312/wjo.v5.i3.292
Table 2 Common rheumatoid arthritis medications and perioperative considerations
RA medicationPreoperative action
NSAIDsDiscontinue 3-5 half-lives before surgery
CorticosteroidsAdminister perioperative stress doses
MethotrexateDiscontinue for 6-8 wk if possible
Biologic agents (TNF-α and interleukin-1 antagonists)Discontinue preoperatively and hold until 10-14 d post-surgery