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Arthritis Care of Texas Advanced Rheumatology

Medication library

Therapies we prescribe & administer

Plain-language guides to the therapies we use — what each one treats, how it is given, and how often. Use the finder to narrow the list by your condition and by how a medicine is taken: a pill, a self-injection at home, an injection in our office, or an IV infusion in our infusion suite.

Find a therapy

How it is given

Tymlos (abaloparatide) Osteoporosis Self-injection at home · Once daily Orencia (abatacept) Rheumatoid arthritis · Psoriatic arthritis IV infusion in our office, or self-injection at home · Monthly infusion, or weekly injection Humira (adalimumab) Rheumatoid arthritis · Psoriatic arthritis · Ankylosing spondylitis · Psoriasis Self-injection at home · Every 2 weeks Allopurinol Gout Pill · Once daily Amitriptyline Fibromyalgia · Chronic pain Pill · Once daily, in the evening Kineret (anakinra) Rheumatoid arthritis Self-injection at home · Once daily Saphnelo (anifrolumab) Lupus (SLE) IV infusion in our office · Every 4 weeks Otezla (apremilast) Psoriatic arthritis · Plaque psoriasis Pill · Twice daily Imuran (azathioprine) Lupus (SLE) · Rheumatoid arthritis · Polymyositis · Dermatomyositis Pill · Once or twice daily Benlysta (belimumab) Lupus (SLE) · Lupus nephritis IV infusion in our office, or self-injection at home · Monthly infusion, or weekly injection Fasenra (benralizumab) EGPA (a rare type of vasculitis) Self-injection at home, or injection in our office · Every 4 weeks at first, then every 8 weeks Bimzelx (bimekizumab) Psoriasis · Psoriatic arthritis · Ankylosing spondylitis · Axial spondyloarthritis Self-injection at home · Once a month Siliq (brodalumab) Plaque psoriasis Self-injection at home · Every 2 weeks Crysvita (burosumab) X-linked hypophosphatemia (XLH) · Tumor-induced osteomalacia Injection in our office · Every 2 to 4 weeks Ilaris (canakinumab) Gout flares · Still’s disease Injection in our office · A single injection when a flare occurs Cimzia (certolizumab) Rheumatoid arthritis · Psoriatic arthritis · Ankylosing spondylitis Self-injection at home · Every 2 weeks Ciclosporin Rheumatoid arthritis · Psoriatic arthritis · Lupus (SLE) Pill (capsules) · Twice daily Colchicine Gout flares Pill · At the first sign of a flare, as directed Cytoxan (cyclophosphamide) Lupus (SLE) · Vasculitis IV infusion in our office · In treatment cycles, as scheduled Prolia (denosumab) Osteoporosis Injection in our office · Every 6 months Sotyktu (deucravacitinib) Plaque psoriasis · Psoriatic arthritis Pill · Once daily Cymbalta (duloxetine) Fibromyalgia · Chronic muscle & joint pain Pill · Once daily Enbrel (etanercept) Rheumatoid arthritis · Psoriatic arthritis · Ankylosing spondylitis · Psoriasis Self-injection at home · Once weekly Uloric (febuxostat) Gout Pill · Once daily Simponi Aria (golimumab) Rheumatoid arthritis · Psoriatic arthritis · Ankylosing spondylitis IV infusion in our office · Every 8 weeks Tremfya (guselkumab) Psoriasis · Psoriatic arthritis Self-injection at home · Every 8 weeks, after starter doses Plaquenil (hydroxychloroquine) Lupus (SLE) · Rheumatoid arthritis Pill · Once daily Uplizna (inebilizumab) IgG4-related disease IV infusion in our office · Two starter infusions, then every 6 months Remicade (infliximab) Rheumatoid arthritis · Psoriatic arthritis · Ankylosing spondylitis IV infusion in our office · Every 8 weeks, after starter doses Taltz (ixekizumab) Psoriasis · Psoriatic arthritis · Ankylosing spondylitis Self-injection at home · Every 4 weeks, after starter doses Arava (leflunomide) Rheumatoid arthritis · Psoriatic arthritis Pill · Once daily Local Steroid Injections Inflamed joints & soft tissue · Osteoarthritis Injection in our office · As needed Nucala (mepolizumab) EGPA (a rare type of vasculitis) Injection in our office · Once a month Methotrexate Rheumatoid arthritis · Psoriatic arthritis · Vasculitis Pill, or weekly self-injection · Once weekly Savella (milnacipran) Fibromyalgia Pill · Twice daily Cellcept (mycophenolate) Lupus (SLE) · Systemic sclerosis · Vasculitis Pill · Twice daily Gazyva (obinutuzumab) Lupus nephritis (lupus affecting the kidneys) IV infusion in our office · A series of infusions, then every 6 months Olumiant (baricitinib) Rheumatoid arthritis Pill · Once daily Krystexxa (pegloticase) Chronic gout that has not responded to pills IV infusion in our office · Every 2 weeks Lyrica (pregabalin) Fibromyalgia Pill · Twice daily Rinvoq (upadacitinib) Rheumatoid arthritis · Psoriatic arthritis · Ankylosing spondylitis Pill · Once daily Skyrizi (risankizumab) Psoriasis · Psoriatic arthritis Self-injection at home · Every 12 weeks, after starter doses Rituxan (rituximab) Rheumatoid arthritis · Vasculitis · Lupus (SLE) IV infusion in our office · Two infusions, 2 weeks apart, repeated as needed Evenity (romosozumab) Osteoporosis Injection in our office · Once a month, for 12 months Kevzara (sarilumab) Rheumatoid arthritis · Polymyalgia rheumatica Self-injection at home · Every 2 weeks Cosentyx (secukinumab) Psoriasis · Psoriatic arthritis · Ankylosing spondylitis Self-injection at home · Once a month, after starter doses Spevigo (spesolimab) Generalized pustular psoriasis flares IV infusion in our office, or self-injection at home · A single infusion during a flare; monthly injections to help prevent flares Steroid Tablets Flares of inflammatory arthritis · Lupus (SLE) · Vasculitis Pill · As prescribed by your provider Sulfasalazine Rheumatoid arthritis · Psoriatic arthritis Pill · Twice daily Forteo (teriparatide) Osteoporosis Self-injection at home · Once daily Ilumya (tildrakizumab) Plaque psoriasis Injection in our office · Every 12 weeks, after starter doses Actemra (tocilizumab) Rheumatoid arthritis IV infusion in our office, or self-injection at home · Monthly infusion, or weekly injection Tonmya Fibromyalgia Tablet that dissolves under the tongue · Once nightly, at bedtime Stelara (ustekinumab) Psoriatic arthritis · Psoriasis Self-injection at home · Every 12 weeks, after starter doses Lupkynis (voclosporin) Lupus nephritis (lupus affecting the kidneys) Pill · Twice daily Xeljanz (tofacitinib) Rheumatoid arthritis · Psoriatic arthritis · Ankylosing spondylitis Pill · Once or twice daily

Medication families, compared

Many arthritis medicines come in families — drugs that work in a similar way. Seeing them side by side makes it easier to understand the choices your provider may discuss with you. Within a family, the medicines differ mainly in how they are given and how often.

TNF inhibitors

These biologics block TNF, a protein that drives joint inflammation and damage. They are long-standing treatments for rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis — given by self-injection or IV infusion, depending on the drug.

IL-17 inhibitors

These biologics block interleukin-17 (IL-17), a protein that drives the skin plaques of psoriasis and inflammation in the joints and spine. All are self-injections; they differ mainly in how often they are taken.

IL-23 inhibitors

These biologics block interleukin-23 (IL-23), a protein that helps drive psoriasis and psoriatic arthritis. They are known for strong skin clearing and long gaps between doses — every 8 or 12 weeks for most. Stelara (ustekinumab) blocks IL-12 as well as IL-23.

IL-6 inhibitors

These biologics block interleukin-6 (IL-6), a protein involved in joint inflammation, pain, and fatigue in rheumatoid arthritis. One is given by monthly infusion or weekly self-injection; the other by self-injection every two weeks.

Targeted pills — JAK, TYK2 & PDE4

These pills work inside cells to quiet specific inflammation pathways — no injections involved. The JAK inhibitors (Olumiant, Rinvoq, Xeljanz) are taken once or twice daily; Sotyktu targets a related pathway (TYK2) once daily; Otezla (a PDE4 blocker) is taken twice daily.

B-cell & lupus therapies

These treatments calm the parts of the immune system that drive lupus — B cells (the white blood cells that make antibodies) and interferon (a messenger protein). They include infusions given in our clinic, a self-injection option, and a twice-daily pill for lupus that affects the kidneys.

Conventional DMARDs

DMARDs — disease-modifying anti-rheumatic drugs — are the long-standing foundation of arthritis care. Most are daily or weekly pills that calm the immune system, and they are often combined with a biologic for stronger control.

Other biologics & specialty therapies

Targeted treatments for less common conditions: a T-cell biologic for arthritis, IL-1 blockers, antibodies that lower eosinophils (a type of white blood cell) for rare types of vasculitis, a treatment for a rare psoriasis emergency, and a monthly injection for a rare inherited bone condition (XLH).

Gout medicines

Gout care has two parts: calming a flare that is happening now, and lowering uric acid — the substance that forms the crystals that cause gout — to prevent future attacks. This family includes daily preventive pills, a flare pill, an in-office injection, and an infusion for severe gout that pills cannot control.

Bone medicines

These medicines protect bones in osteoporosis: some slow bone loss, and others help build new bone. Two are given in our office — one every 6 months, one monthly for a year — and two are daily self-injections at home. Treatment is guided by DEXA bone density scans, which we perform in-house.

Fibromyalgia & pain medicines

These medicines calm the overactive pain signaling behind fibromyalgia. They act on nerve pain pathways, or on serotonin and norepinephrine — chemical messengers involved in pain and sleep. Most are pills taken once or twice daily; Tonmya is a newer option that dissolves under the tongue at bedtime.

Steroids

Steroids copy the body’s own anti-inflammatory hormone and calm inflammation quickly. Tablets are used for flares and short courses; injections place the medicine directly into an inflamed joint or soft tissue during an office visit.

Medication guides are educational and are not a substitute for your provider’s instructions. Dosing, screening tests, and monitoring are individualized — your care team will review the specifics of any therapy with you before it starts.