Best treatments for rheumatoid arthritis
92 products may treat rheumatoid arthritis, spanning FDA drug classes such as nonsteroidal anti-inflammatory drug, calcineurin inhibitor immunosuppressant, tumor necrosis factor blocker. The current highest-rated option is advil. Ranked below by our independent recall-safety rating (rated where FDA data exists) — not medical advice; always consult a professional.
Quick answer: Of the 92 drugs we list for rheumatoid arthritis, 53 are available as lower-cost generics, spanning classes such as nonsteroidal anti-inflammatory drug, calcineurin inhibitor immunosuppressant, tumor necrosis factor blocker. They’re ranked by each drug’s FDA recall-safety record — not clinical effectiveness for rheumatoid arthritis — so confirm the right choice with your prescriber.
Understanding rheumatoid arthritis
Rheumatoid arthritis (RA) is a chronic autoimmune disease in which the immune system, which normally protects the body from infection, attacks its own tissues, mostly the joints. This causes pain, swelling, stiffness, and loss of function. RA commonly affects the wrists, hands, and feet, often in a symmetrical pattern, and may also involve the elbows, shoulders, knees, and other joints. Beyond the joints, RA can cause problems in other areas of the body, such as the heart, lungs, blood, nerves, eyes, and skin. Typical symptoms include joint pain and tenderness, warmth and swelling, joint stiffness that lasts longer than 30 minutes (often after waking), fatigue, occasional low-grade fever, and loss of appetite; some people develop firm lumps under the skin called rheumatoid nodules. There is no single test for RA. Doctors diagnose it using a medical history, a physical exam, blood tests (such as rheumatoid factor and anti-CCP antibodies, plus inflammation markers), and imaging like X-rays, MRI, or ultrasound. Management combines medications, physical and occupational therapy, and regular monitoring, sometimes with surgery for damaged joints. This is general information, not medical advice.
First-line treatment
According to the 2021 American College of Rheumatology (ACR) guideline for the treatment of rheumatoid arthritis, methotrexate—a conventional disease-modifying antirheumatic drug (DMARD)—is the preferred initial treatment for DMARD-naive patients with moderate-to-high disease activity. The guideline strongly recommends methotrexate monotherapy over hydroxychloroquine or sulfasalazine, and over biologic or targeted synthetic DMARDs, generally starting with methotrexate alone rather than combination therapy. The guideline also strongly recommends a "treat-to-target" approach—systematically monitoring and adjusting therapy to reach low disease activity or remission—and strongly advises against longer-term (three months or more) glucocorticoids. A rheumatologist individualizes treatment based on disease activity, other health conditions, and patient preferences. This is general information, not medical advice.
Top-rated picks for rheumatoid arthritis: 1. Advil · 2. Amjevita · 3. Cyltezo
| # | Drug | Rating | Type | Form | Class | Generic? | Pharmacy pays | |
|---|---|---|---|---|---|---|---|---|
| 1 | 72/100 | Over-the-counter | Tablet | Nonsteroidal Anti-inflammatory Drug | Generic | $0 | View → | |
| 2 | 72/100 | Prescription | Injectable | — | No data | — | View → | |
| 3 | 72/100 | Prescription | Kit | — | No data | — | View → | |
| 4 | 72/100 | Prescription | System | Nonsteroidal Anti-inflammatory Drug | Generic | $146 | View → | |
| 5 | 72/100 | Prescription | Capsule | Calcineurin Inhibitor Immunosuppressant | Generic | $53 | View → | |
| 6 | 72/100 | Prescription | Kit | Tumor Necrosis Factor Blocker | No data | — | View → | |
| 7 | 72/100 | Over-the-counter | Tablet | Nonsteroidal Anti-inflammatory Drug | Generic | $0 | View → | |
| 8 | 72/100 | Prescription | Tablet | Nonsteroidal Anti-inflammatory Drug | Generic | $0 | View → | |
| 9 | 72/100 | Prescription | Injectable | — | No data | — | View → | |
| 10 | 72/100 | Prescription | Capsule | Antirheumatic Agent | No data | — | View → |
Narrow by drug class
Explore the class hubs: nonsteroidal anti-inflammatory drug · calcineurin inhibitor immunosuppressant · tumor necrosis factor blocker · folate analog metabolic inhibitor · janus kinase inhibitor · antimalarial · antirheumatic agent · aminosalicylate
Full ranking · 92 treatments
advil
Over-the-counterFDA-sourced
Advil (Ibuprofen) is a nonsteroidal anti-inflammatory drug used to treat Juvenile Arthritis, Rheumatoid Arthritis, Bursitis, Dysmenorrhea.
Pharmacy pays
From ~$0.03· 7 formsamjevita
Boxed warningPrescriptionFDA-sourced
Amjevita (Adalimumab-Atto) is a medication used to treat Juvenile Arthritis, Rheumatoid Arthritis, Ulcerative Colitis, Crohn Disease.
Price varies
cyltezo
Boxed warningPrescriptionFDA-sourced
Cyltezo (Adalimumab-Adbm) is a medication used to treat Juvenile Arthritis, Rheumatoid Arthritis, Ulcerative Colitis, Crohn Disease.
Price varies
flector
Boxed warningPrescriptionFDA-sourced
Flector (Diclofenac Epolamine) is a nonsteroidal anti-inflammatory drug used to treat Juvenile Arthritis, Rheumatoid Arthritis, Dysmenorrhea, Inflammation.
Pharmacy pays
~$146.33 /30
Save up to 99% in classgengraf
Boxed warningPrescriptionFDA-sourced
Gengraf (Cyclosporine) is a calcineurin inhibitor immunosuppressant used to treat Rheumatoid Arthritis, Focal Segmental Glomerulosclerosis, Systemic Lupus Erythematosus, Myasthenia Gravis.
Pharmacy pays
From ~$44.37/30· 3 formshumira
Boxed warningPrescriptionFDA-sourced
Humira (Adalimumab) is a tumor necrosis factor blocker used to treat Juvenile Arthritis, Rheumatoid Arthritis, Ulcerative Colitis, Crohn Disease.
Price varies
- Junior Strength Advil
- Naproxen
- Orencia
- Penicillamine
- Restasis Multidose
- Riabni
- Rinvoq
- Rinvoq Lq
- Voltaren Arthritis Pain
- Advil Liqui-Gels
- Advil Migraine Liqui-Gels
- Arava
- Chloroquine Phosphate
- Cimzia
- Cuprimine
- Epaned
- Midol Liquid Gels
- Motrin Ib
- Motrin Migraine Pain
- Neoral
- Nuprin
- Rituxan
- Sandimmune
- Sovuna
- Tofidence
- Verkazia
- Vevye
- Xatmep
- Xifyrm
- Erelzi
- Hyrimoz
- Idacio
- Tyenne
- Cyclosporine
- Hulio
- Azulfidine En-Tabs
- Celecoxib
- Daypro
- Feldene
- Ixifi
- Sulindac
- Xeljanz
- Methotrexate Lpf
- Methotrexate Preservative Free
- Aleve
- Avtozma
- Azulfidine
- Caldolor
- Cambia
- Celebrex
- Cequa
- Coxanto
- Depen
- Diclofenac Potassium
- Ec-Naprosyn
- Elyxyb
- Enbrel
- Eticovo
- Hadlima
- Hydroxychloroquine Sulfate
- Inflectra
- Jylamvo
- Kevzara
- Kineret
- Licart
- Naprelan
- Naprosyn
- Naproxen Sodium
- Neoprofen
- Olumiant
- Plaquenil
- Qamzova
- Rasuvo
- Remicade
- Renflexis
- Ridaura
- Simlandi
- Thalomid
- Tofacitinib Citrate
- Vasotec
- Vazalore
- Vyscoxa
- Yuflyma
- Yusimry
- Zipsor
- Zymfentra
Frequently asked
- What treats rheumatoid arthritis?
- Our catalog lists 92 products that may treat rheumatoid 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 advil.
- What is the best-rated treatment for rheumatoid arthritis?
- By our independent recall-safety rating — not an efficacy measure — advil ranks highest among the products we list for rheumatoid 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 rheumatoid arthritis?
- Treatments for rheumatoid arthritis span FDA drug classes including nonsteroidal anti-inflammatory drug, calcineurin inhibitor immunosuppressant, tumor necrosis factor blocker, antirheumatic agent, janus kinase inhibitor. 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.
- Rheumatoid Arthritis (overview), NIAMS (NIH) ↗
- Rheumatoid Arthritis: Diagnosis, Treatment, and Steps to Take, NIAMS (NIH) ↗
- Rheumatoid Arthritis, MedlinePlus (U.S. National Library of Medicine) ↗
- 2021 American College of Rheumatology Guideline for the Treatment of Rheumatoid Arthritis, Fraenkel et al. (ACR) ↗