Question

A 67-year-old with poorly controlled RA on methotrexate and frequent infections asks about long-term steroids. What is the guideline stance?

Accepted Answer

Chronic steroids should be minimized/avoided; use DMARD escalation instead

Answer

Long-term oral glucocorticoids are strongly recommended

Answer

Use steroids to bridge therapy for ≥12 months

Answer

Steroids are safer than biologics

Answer

Stop all DMARDs and use NSAIDs only

Practice question

A 67-year-old with poorly controlled RA on methotrexate and frequent infections asks about long-term steroids. What is the guideline stance?