The number of drugs used in the treatment of rheumatoid arthritis has
increased over the past 10-20 years, but there is still an urgent need
for more specific modalities with reduced side effects. The currently
available drugs treat the symptoms but do not affect the underlying d
isease. In spite of side effects, nonsteroidal anti-inflammatory drugs
are still the first-line therapy, but more physicians are using disea
se-modifying antirheumatic drugs earlier in the disease and combinatio
n therapies are also being investigated. New therapies that focus on s
pecific molecular or cellular targets are now in clinical trials and h
old promise for the future treatment of this disease.