29th September 2020

A 55-year-old woman presents to rheumatology clinic with a 6-month history of bilateral wrist and feet pain

A 55-year-old woman presents to rheumatology clinic with a 6-month history of bilateral wrist and feet pain and swelling of fingers in both hands. She gets particularly stiff in the morning, which lasts for hours after waking up but eases at the end of the day. Lab results show rheumatoid factor 2u/ml (normal range 0-20u/ml), anti-CCP antibodies 35 (normal range 0-20u/ml). What treatment is best to help slow down disease progression? 

For the patient above, please select the SINGLE most appropriate treatment. Select ONE option from the list above.