Best treatments for rheumatoid arthritis
92 products may treat rheumatoid arthritis, spanning FDA drug classes such as antirheumatic agent, nonsteroidal anti-inflammatory drug, antimalarial. The current highest-rated option is cuprimine. 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, 55 are available as lower-cost generics, spanning classes such as antirheumatic agent, nonsteroidal anti-inflammatory drug, antimalarial. 50 of 92 carry a safety score, from 50 to 74 out of 100. 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. Cuprimine · 2. Advil · 3. Amjevita
| # | Drug | Rating | Type | Form | Class | Generic? | Pharmacy pays | |
|---|---|---|---|---|---|---|---|---|
| 1 | 74/100 | Prescription | Capsule | Antirheumatic Agent | No data | — | View → | |
| 2 | 72/100 | Over-the-counter | Tablet | Nonsteroidal Anti-inflammatory Drug | Generic | $0 | View → | |
| 3 | 72/100 | Prescription | Injectable | — | No data | — | View → | |
| 4 | 72/100 | Prescription | Tablet | Antimalarial | No data | — | View → | |
| 5 | 72/100 | Prescription | Kit | — | No data | — | View → | |
| 6 | 72/100 | Prescription | Solution | Angiotensin Converting Enzyme Inhibitor | Generic | $0 | View → | |
| 7 | 72/100 | Prescription | System | Nonsteroidal Anti-inflammatory Drug | Generic | $146 | View → | |
| 8 | 72/100 | Prescription | Capsule | Calcineurin Inhibitor Immunosuppressant | Generic | $49 | View → | |
| 9 | 72/100 | Prescription | Kit | Tumor Necrosis Factor Blocker | No data | — | View → | |
| 10 | 72/100 | Over-the-counter | Tablet | Nonsteroidal Anti-inflammatory Drug | Generic | $0 | 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
cuprimine
Boxed warningPrescriptionFDA-sourced
Cuprimine (Penicillamine) is an antirheumatic agent used to treat Rheumatoid Arthritis, Cystinuria, Hepatolenticular Degeneration, Lead Poisoning.
Price varies
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
chloroquine phosphate
PrescriptionFDA-sourced
Chloroquine Phosphate is an antimalarial used to treat Amebiasis, Rheumatoid Arthritis, Discoid Lupus Erythematosus, Avian Malaria.
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
epaned
Boxed warningPrescriptionFDA-sourced
Epaned (Enalapril Maleate) is an angiotensin converting enzyme inhibitor used to treat Rheumatoid Arthritis, Bartter Syndrome, Diabetic Nephropathies, Edema.
Pharmacy pays
From ~$0.07· 5 forms- Flector
- Gengraf
- Humira
- Junior Strength Advil
- Midol Liquid Gels
- Naproxen
- Orencia
- Penicillamine
- Restasis Multidose
- Riabni
- Rinvoq
- Rinvoq Lq
- Rituxan
- Sovuna
- Voltaren Arthritis Pain
- Xatmep
- Xifyrm
- Advil Liqui-Gels
- Advil Migraine Liqui-Gels
- Arava
- Cimzia
- Motrin Ib
- Motrin Migraine Pain
- Neoral
- Nuprin
- Sandimmune
- Tofidence
- Verkazia
- Vevye
- Erelzi
- Hyrimoz
- Cyclosporine
- Idacio
- Hulio
- Celecoxib
- Sulindac
- Azulfidine En-Tabs
- Daypro
- Feldene
- Ixifi
- Tyenne
- 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 cuprimine.
- What is the best-rated treatment for rheumatoid arthritis?
- By our independent recall-safety rating — not an efficacy measure — cuprimine 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 antirheumatic agent, nonsteroidal anti-inflammatory drug, antimalarial, angiotensin converting enzyme inhibitor, calcineurin inhibitor immunosuppressant. 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) ↗