How to remember the DMARDS commonly used in rheumatoid disease?
There’s a special place, where all of the people suffering from crippling rheumatoid arthritis can go for treatment. It’s a huge golden pyramid with a log flume running down from the top.
- Leflunemide (pyrimidine synthesis inhibitor)
- pyramid also describes the therapeutic pyramid of drugs in rheumatoid arthritis
At the top is a meth addict with spina bifida who tells you when you can ride the flume. He shouts go, and turns on a huge hydro-chlorine hose that fires you down the chute. The chlorine is to keep the mosquitos away.
- Methotrexate (folate antagonist)
- Hydroxychloroquine (antimalarial)
At the bottom you land in a huge pit full of aspirin pills that stink of sulphur, each of which is the same size as a thigh of pure chicken.
- Sulfasalazine (5-ASA salicylate)
- Azathioprine (purine analogue)
It’s a suitably weird story, feel free to make up your own….