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. 1976 May 1;1(6017):1052–1054. doi: 10.1136/bmj.1.6017.1052

Azathioprine and penicillamine in treatment of rheumatoid arthritis: a controlled trial.

H Berry, S P Liyanage, R A Durance, C G Barnes, L A Berger, S Evans
PMCID: PMC1639855  PMID: 773500

Abstract

Sixty-five patients, 33 receiving azathioprine and 32 receiving penicillamine, took part in a one-year, single-blind external-observer trial designed to compare the efficacy and toxicity of these two drugs in the treatment of rheumatoid arthritis. By six months there was a significantly greater rise in haemoglobin and fall in erythrocyte sedimentation rate among those receiving penicillamine, and by one year this difference remained only in the increase in haemoglobin levels. Fifteen patients, 10 on azathioprine and 5 on penicillamine, had to stop treatment because of side effects; 90 single side effects occurred, 48 in those on penicillamine and 42 in those on azathioprine. After one year both drugs were similar in efficacy and toxicity, but longer-term trials are needed. Both drugs were effective.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Controlled trial of D(-)penicillamine in severe rheumatoid arthritis. Lancet. 1973 Feb 10;1(7798):275–280. [PubMed] [Google Scholar]
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