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Best treatments for psoriatic arthritis

24 products may treat psoriatic arthritis, spanning FDA drug classes such as phosphodiesterase 4 inhibitor, tumor necrosis factor blocker, interleukin-17a antagonist. The current highest-rated option is orencia. Ranked below by our independent recall-safety rating (rated where FDA data exists) — not medical advice; always consult a professional.

Quick answer: Of the 24 drugs we list for psoriatic arthritis, none are yet flagged as generics in our price data, spanning classes such as phosphodiesterase 4 inhibitor, tumor necrosis factor blocker, interleukin-17a antagonist. They’re ranked by each drug’s FDA recall-safety record — not clinical effectiveness for psoriatic arthritis — so confirm the right choice with your prescriber.

Rated against independent regulatory sources·Last updated August 22, 2026·How we rate

Understanding psoriatic arthritis

Psoriatic arthritis is a chronic, inflammatory, immune-mediated condition in which an overactive immune system causes problems in the joints and the places where tendons and ligaments attach to bone. It affects some people who have psoriasis, though the joint and skin problems do not always appear at the same time; according to NIAMS, psoriatic arthritis develops on average about 7 to 10 years after skin symptoms begin, and it affects men and women equally. Common features include joint pain, stiffness, and swelling, fatigue, sausage-like swelling of a whole finger or toe, tenderness where tendons meet bone, nail changes such as pitting, and sometimes eye inflammation (uveitis). Because there is no definitive test, clinicians diagnose it through a physical exam, imaging (x-ray, ultrasound, or MRI), and blood tests to help rule out conditions such as rheumatoid arthritis. There is no cure, but NIAMS notes treatments can slow its progression, lessen pain, and protect the joints, and that early treatment is associated with better outcomes. Management is individualized, often by a rheumatologist. This is general information, not medical advice.

First-line treatment

Approaches vary by disease severity. NIAMS notes milder disease may be managed with over-the-counter anti-inflammatory and pain medications and corticosteroid injections into affected joints, while more severe disease is treated with disease-modifying antirheumatic drugs (DMARDs), biologic therapies, or oral "targeted" therapies. For treatment-naive patients with active disease, the 2018 American College of Rheumatology / National Psoriasis Foundation guideline makes a notable recommendation: "a TNF alpha inhibitor biologic agent is recommended over an oral small molecule as a first-line option in treatment-naive patients with active PsA." The guideline also notes that "certain situations may require an alternate treatment course," so a rheumatologist individualizes therapy to each patient. This is general information, not medical advice.

Top-rated picks for psoriatic arthritis: 1. Orencia · 2. Otezla · 3. Otezla XR

Top-rated treatments for psoriatic arthritis, ranked by pharmaranks score
#DrugRatingPharmacy pays
172/100View →
272/100View →
372/100View →
472/100View →
570/100View →
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770/100View →
868/100View →
968/100View →
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Full ranking · 24 treatments

BRISTOL MYERS SQUIBB logo

orencia

PrescriptionFDA-sourced

72/100

Orencia (Abatacept) is a medication used to treat Juvenile Arthritis, Rheumatoid Arthritis, Psoriatic Arthritis.

(4 data points)
arthritis, juvenilearthritis, rheumatoidarthritis, psoriatic

Price varies

View details →
#1 of 5 in Phosphodiesterase 4 Inhibitor

otezla

PrescriptionFDA-sourced

72/100

Otezla (Apremilast) is a phosphodiesterase 4 inhibitor used to treat Psoriatic Arthritis.

(6 data points)
phosphodiesterase 4 inhibitorarthritis, psoriatic

Price varies

View details →
#1 of 5 in Phosphodiesterase 4 Inhibitor

otezla xr

PrescriptionFDA-sourced

72/100

Otezla XR (Apremilast) is a phosphodiesterase 4 inhibitor used to treat Psoriatic Arthritis.

(6 data points)
phosphodiesterase 4 inhibitorarthritis, psoriatic

Price varies

View details →

wezlana

PrescriptionFDA-sourced

72/100

Wezlana (Ustekinumab-Auub) is a medication used to treat Ulcerative Colitis, Crohn Disease, Psoriasis, Psoriatic Arthritis.

(6 data points)
colitis, ulcerativecrohn diseasepsoriasis

Price varies

View details →

cimzia

Boxed warning

PrescriptionFDA-sourced

70/100

Cimzia (Certolizumab Pegol) is a tumor necrosis factor blocker used to treat Rheumatoid Arthritis, Crohn Disease, Ankylosing Spondylitis, Psoriatic Arthritis.

(1 data points)
tumor necrosis factor blockerarthritis, rheumatoidcrohn disease

Price varies

View details →
NOVARTIS logo

cosentyx

PrescriptionFDA-sourced

70/100

Cosentyx (Secukinumab) is an interleukin-17a antagonist used to treat Ankylosing Spondylitis, Psoriatic Arthritis.

(13 data points)
interleukin-17a antagonistspondylitis, ankylosingarthritis, psoriatic

Price varies

View details →

Frequently asked

What treats psoriatic arthritis?
Our catalog lists 24 products that may treat psoriatic arthritis, based on NIH RxClass (MED-RT “may treat”) drug-classification data — not the verbatim FDA label. They're rated where FDA recall-safety data exists; the current top-rated option is orencia.
What is the best-rated treatment for psoriatic arthritis?
By our independent recall-safety rating — not an efficacy measure — orencia ranks highest among the products we list for psoriatic arthritis. Always consult a professional.
How are these treatments ranked?
By our independent score, currently based on FDA regulatory recall-safety data (the methodology blends additional sources as they come online). See the How we rate page.
What types of drugs treat psoriatic arthritis?
Treatments for psoriatic arthritis span FDA drug classes including phosphodiesterase 4 inhibitor, tumor necrosis factor blocker, interleukin-17a antagonist, interleukin-12 antagonist, interleukin-23 antagonist. Compare every option side by side, ranked by independent rating, above.

Treatment associations are derived from NIH RxClass (MED-RT “may treat”) drug-classification data — not the verbatim FDA label. This is general reference, not medical advice — always consult a licensed professional.

Sources

The clinical overview above is written from these authoritative public-health and medical-society sources, independently reviewed against each.