Psoriatic Arthritis Medications: A Comprehensive Guide
By: Noah W Chung | PharmD
Psoriatic arthritis is an autoimmune condition that causes joint inflammation, skin symptoms, and pain. People searching for psoriatic arthritis prescriptions are often looking for detailed information about medication options, their effectiveness, potential side effects, and ways to manage costs. Many treatments, particularly biologics, can be expensive, which makes platforms like SaveHealth.com valuable for comparing pharmacy prices and finding affordable options for ongoing therapy.
This guide explores the most commonly prescribed medications for psoriatic arthritis, including DMARDs, biologics, and NSAIDs, while highlighting considerations for effectiveness, safety, and cost.
How Psoriatic Arthritis Medications Work
Medications for psoriatic arthritis aim to reduce inflammation, slow disease progression, and relieve pain. They work through different mechanisms depending on the drug class.
Major medication categories:
DMARDs (Disease-Modifying Anti-Rheumatic Drugs):
These slow disease progression and prevent joint damage. Examples include methotrexate and leflunomide.
Biologics:
Target specific components of the immune system to control inflammation. Examples include Skyrizi and Humira.
NSAIDs (Non-Steroidal Anti-Inflammatory Drugs):
Provide temporary relief from pain and stiffness without altering disease progression. Examples include naproxen and celecoxib.
Offer rapid symptom relief during flare-ups but are generally used short term.
Commonly known as phosphodiesterase-4 inhibitors, these drugs work by blocking the PDE-4 enzyme which ultimately helps to lower inflammation in the body. A frequent used example is Otezla.
SaveHealth.com can help patients find lower-cost options for these medications, making long-term treatment more accessible.
Top Psoriatic Arthritis Medications
The following medications are among the most commonly prescribed for psoriatic arthritis. They include both traditional and newer therapies.
DMARDs
Methotrexate:
Often first-line therapy for psoriatic arthritis. It slows joint damage and inflammation.
Leflunomide:
Useful for patients who cannot tolerate methotrexate.
Reduces joint inflammation and can improve skin symptoms.
Biologics
Skyrizi (risankizumab):
Targets interleukin-23, reducing inflammation and improving both joint and skin symptoms.
Humira (adalimumab):
TNF inhibitor that helps reduce pain and swelling.
Enbrel (etanercept):
TNF inhibitor that can slow joint damage and improve quality of life.
Stelera, Imuldosa, Otulfi, Pyzchiva, Selarsdi, Steqeyma (ustekinumab):
Targets IL-12 and IL-23 to control inflammation.
NSAIDs
Reduces pain and stiffness.
Offers pain relief with reduced gastrointestinal risk compared to traditional NSAIDs.
Corticosteroids
Provides rapid relief during flares but is not intended for long-term use due to side effects.
Psoriatic Arthritis Medication Comparison
Medication | Type | Administration | Key Benefit | Common Side Effects |
Methotrexate | DMARD | Oral/Injection | Slows disease progression | Nausea, liver issues, fatigue |
Leflunomide | DMARD | Oral | Reduces inflammation | Diarrhea, liver issues |
Sulfasalazine | DMARD | Oral | Joint and skin symptom improvement | Rash, nausea |
Skyrizi | Biologic | Injection | Controls joint and skin inflammation | Upper respiratory infections, injection site reactions |
Humira | Biologic | Injection | Reduces pain and swelling | Infection risk, injection site reactions |
Enbrel | Biologic | Injection | Slows joint damage | Injection site reactions, infections |
Biologic | Injection | Targets IL-12/23 | Infection risk, fatigue | |
Naproxen | NSAID | Oral | Pain and stiffness relief | Stomach upset, kidney issues |
Celecoxib | NSAID | Oral | Pain relief with reduced GI risk | Heart risk, GI risk |
Prednisone | Corticosteroid | Oral | Rapid symptom relief | Weight gain, bone loss, mood changes |
Otezla PDE-4 inhibitor Oral Significant joint relief Nausea, decreased in 16 weeks appetite, weight loss, anxiety, insomnia
SaveHealth.com can help patients compare prices for biologics and DMARDs, which are often the most expensive options, helping reduce out-of-pocket costs.
Common Side Effects of Psoriatic Arthritis Medications
Side effects vary depending on the type of medication and individual response.
DMARDs
Biologics
Increased risk of infections
Injection site reactions
Upper respiratory infections
NSAIDs
Stomach upset
Kidney issues
Increased bleeding risk
Corticosteroids
Bone loss
Mood changes
PDE-4 inhibitors
Gi side effects (Nausea, diarrhea, decreased appetite, abdominal pain, weight loss)
Headache, dizziness, insomnia, anxiety, nervousness
Infections (upper respiratory infections)
Cost and side effect management can be paired by exploring affordable alternatives using SaveHealth.com.
Choosing A Psoriatic Arthritis Medication
Selecting the appropriate psoriatic arthritis medication requires balancing effectiveness, side effect tolerance, convenience, and cost.
Factors to consider:
Severity of joint and skin symptoms
Past medication response
Risk of side effects
Administration preference (oral vs injection)
Insurance coverage and out-of-pocket cost
SaveHealth.com allows patients to compare pharmacy prices for DMARDs, biologics, and other medications to ensure ongoing treatment remains affordable.
Tips for Managing Psoriatic Arthritis Medication Costs
Psoriatic arthritis medications, particularly biologics and DMARDs, can be costly. Patients can reduce expenses by:
Comparing pharmacy prices using SaveHealth.com
Considering generic options for DMARDs
Exploring manufacturer savings programs
Reviewing insurance co-pay assistance
Planning prescriptions to avoid gaps in therapy
Even small monthly savings can make a significant difference for long-term disease management.
Psoriatic Arthritis Medications & Prescriptions
Psoriatic arthritis management involves a range of medications, including DMARDs, biologics, NSAIDs, and corticosteroids. Understanding options like Methotrexate, Leflunomide, Sulfasalazine, Skyrizi, Humira, Enbrel, Stelara, Naproxen, Celecoxib, and Prednisone helps patients select effective therapies for their condition. Cost remains a critical factor, and using platforms like SaveHealth.com to compare prices ensures patients can access essential medications without financial strain. Working closely with a healthcare provider while considering effectiveness, safety, and affordability can optimize long-term outcomes.
References
Mayo Clinic. Psoriatic Arthritis: Diagnosis and Treatment. https://www.mayoclinic.org/diseases-conditions/psoriatic-arthritis/diagnosis-treatment/drc-20354081
NYU Langone Health. Medications for Psoriatic Arthritis. https://nyulangone.org/conditions/psoriatic-arthritis/treatments/medication-for-psoriatic-arthritis
National Psoriasis Foundation. Oral Treatments. https://www.psoriasis.org/oral-treatments/
Arthritis Foundation. The First Medications for PsA. https://www.arthritis.org/health-wellness/treatment/treatment-plan/disease-management/the-first-medications-for-psa
Drugs.com. Psoriatic Arthritis Medications. https://www.drugs.com/condition/psoriatic-arthritis.html
PMC. Medication Management in Psoriatic Arthritis. https://pmc.ncbi.nlm.nih.gov/articles/PMC448054

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