Rheumatoid arthritis: No weight gain, hypertension from steroids

Evan Walker
Evan Walker TheMediTary.Com |
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Researchers say low doses of a type of steroid can benefit people with rheumatoid arthritis. RUBEN BONILLA GONZALO/Getty Images
  • About 18 million people worldwide have rheumatoid arthritis.
  • There are various medications — including steroids — used to treat symptoms, all with potential side effects.
  • Researchers from Charite – Universitätsmedizin Berlin report that the use of low-dose glucocorticoids to treat people with rheumatoid arthritis does not cause substantial weight gain or high blood pressure.

About Health Organization" rationale="Highly respected international organization">18 million people around the world have rheumatoid arthritis — an autoimmune disease where the body’s immune system attacks its own tissues and joints.

The ailment can cause inflammation and painful swelling in joints and other areas of the body.

There is currently no cure for rheumatoid arthritis. A rheumatologist can prescribe treatments to help ease the symptoms of the condition to help prevent damage to the body’s joints or other affected areas.

There are a variety of different drugs available to help with rheumatoid arthritis, including nonsteroidal anti-inflammatory drugs (NSAIDs), conventional and targeted synthetic disease-modifying antirheumatic drugs (DMARDs), biologic treatments, and steroids.

Sometimes people with rheumatoid arthritis are worried about taking steroids as they can sometimes have side effects such as weight gain, fatigue, mental health issues, and high blood pressure.

Now researchers from Charite – Universitätsmedizin Berlin in Berlin, Germany, are reporting that the use of low-dose glucocorticoids — a type of steroid hormone — to treat people with rheumatoid arthritis does not cause substantial weight gain or high blood pressure.

This study was recently published in the journal Annals of Internal Medicine.

Rheumatoid arthritis is a chronic inflammatory condition in which the body’s immune system mistakes its own tissues for foreign bodies.

This can cause inflammation and swelling in not just the body’s joints, but also other areas and organs such as the eyes, lungs, and heart.

Left untreated, rheumatoid arthritis can eventually lead to Health">bone erosion and Health">joint deformity.

Common signs of rheumatoid arthritis
Joint pain and swelling
Loss of appetite
Low-grade fever
Unexplained weight loss
Fatigue, loss of mobility

Symptoms of rheumatoid arthritis may not be as apparent at first but may worsen over time.

A person with the condition normally goes through periods of time where symptoms peak in what is known as a flare.

As the symptoms lessen due to treatment or other reasons, they enter remission. Most people with rheumatoid arthritis will experience cycles of flares and remission throughout their lives.

After reviewing this study, Dr. Medhat Mikhael, a pain management specialist and medical director of the non-operative program at the Spine Health Center at MemorialCare Orange Coast Medical Center in California, told Medical News Today he thought it was a good and encouraging study.

“A lot of people, when you talk about long-term use of steroids for treatment of an autoimmune disease (like) rheumatoid arthritis, they tend to shy away (and) get scared,” he explained. “There’s definitely bad media about steroids that it’s going to make you gain weight and change a lot of your physiology.”

“Showing that over 1,000 patients in 12 different European countries with the net result versus placebo gaining only an average over the two years of 2 pounds or 2.5 pounds and very minor changes or nothing of significance as far as blood pressure is a good encouraging point,” Mikhael added.

Medical News Today also spoke with Dr. David R. Karp, a professor and chief of the Rheumatic Diseases Division at UT Southwestern Medical Center in Dallas. He said there are pros and cons to this study’s approach, but it was reassuring to see that the effects of prednisone on weight and blood pressure were small.

“However, there was still more weight gain in people taking 7.5 mg of prednisone per day compared to taking only 5 mg per day,” he noted. “This bears out most rheumatologists’ feeling that the lowest dose of prednisone that a patient needs to control their symptoms is better and probably it is best to be off prednisone entirely if other drugs are working. Most rheumatologists would not treat their patients with prednisone alone because of possible side effects not measured in this study.”

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