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Real members of myRAteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A myRAteam Member asked a question 💭
Grantsboro, NC
June 14
 · 
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Great question! Both Rituxan (rituximab) and methotrexate are used to treat RA, but they work differently and are typically used at different stages of treatment.

Methotrexate is usually the first medication doctors try for moderate to severe RA. It works by calming the immune system to reduce inflammation and slow joint Show Full Answer

Great question! Both Rituxan (rituximab) and methotrexate are used to treat RA, but they work differently and are typically used at different stages of treatment.

Methotrexate is usually the first medication doctors try for moderate to severe RA. It works by calming the immune system to reduce inflammation and slow joint damage. About 60% of people with RA have taken it at some point.

Rituxan is a biologic drug, typically used when other treatments like methotrexate haven't worked well enough. It targets specific immune cells called B cells, which produce antibodies that attack healthy tissue in RA. So it's less about which is "better" and more about where you are in your treatment journey:

- Methotrexate is typically the starting point
- Rituxan is often considered when methotrexate or other treatments haven't provided enough relief

The best choice really depends on your specific situation, disease activity, and how you've responded to previous treatments. A rheumatologist is the best person to help figure out the right path forward for you.

June 14

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