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PATIENT CASE: Subjective: MM is a 52 y/o female patient who presents to your clinic after recently being in the hospital for a fall. She is relatively confused and was quickly discharged from the hospital. She is concerned about her rheumatoid arthritis medications r which she says the hospital changed.
Medication List: Methotrexate 10mg every day Leflunomide 2 grams every day Atorvastatin 40 mg every day (to treat high cholesterol) Lisinopril 5 mg every day (to treat high blood pressure) ProAir HFA (albuterol) 90mcg one inhalation twice a day (to treat asthma) Cetirizine 10mg every day (to treat allergies) Omeprazole 50mg four times a day (to treat GERD)
Question 1. MM wants to take an NSAID they found in the back of their medicine cabinet. How do NSAIDs work to treat Rheumatoid Arthritis?
Question 2. MM wants to know why they were discharged with only methotrexate and leflunomide, rather than any NSAIDs or steroids. What is the difference between those groups of medications when it comes to MM's therapy?
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