Arava

Arava: Targeted Immunomodulation in Rheumatoid Arthritis and Psoriatic Arthropathy – A Clinical Reassessment So you want the real story on Arava. Not the glossy brochure version, but what happens when you actually prescribe this thing for a decade and watch patients cycle through it. I’ve been using leflunomide since my fellowship days at the rheumatology clinic, and honestly, my relationship with this drug has been complicated. It’s not the first-line powerhouse that methotrexate is, but it’s not the useless also-ran some critics claim either.