TABLE 10.

Therapeutic management of ReA

Therapy
Nonpharmacologic
Patient education
Management of extraarticular manifestations: use of topical corticosteroids, mydriatic agents, cycloplegics
Physical therapy
Occupational therapy
Pharmacologic
Acute presentation
NSAIDs: COX-1 and COX-2 inhibitors
Antibiotics: tetracycline, erythromycin, ciprofloxacin
Chronic or refractory presentation
Second-line or DMARDs: sulfasalazine, methotrexate, cyclosporine, gold salts, leflunomide, 6-mercaptopurine, levamisole, bromocriptine
Biological agents: infliximab, etanercept, adalimumab, thalidomide