Treatment Plan

Primary Care:

• Rheumatology referral if suspected
• Trial NSAIDs 2-4 weeks
• If NSAIDs contraindicated: short-term co-codamol
• Arrange f/u: assess symptoms control, response to treatment, assess CVD risk, assess osteoporosis risk & ensure screening every 2 years. Arrange same-day ophthalmology if acute Uveitis is suspected

Psoriatic Arthritis specific:

• Again, refer if suspected and trial 2-4 weeks of NSAIDs
• Non-biological DMARDs: methotrexate, sulfasalazine
• Corticosteroid injections
• Targeted synthetic DMARDs: apremilast
• Biological DMARDs: infliximab, etanercept and adalimumab as adjuvants