Table 1: Relevant side effects from therapy [18].

Medication Clinical Side Effects and/or Abnormal Laboratory Values
Methotrexate Stomatitis, pneumonitis, pulmonary fibrosis
Elevated liver enzymes.
Sulfasalazine Abnormal liver function tests.
Leflunomide Abnormal liver function tests.
All biologic DMARDs Increased infection risk, both common (such as pneumonia, cellulitis, and urinary tract infection) and uncommon (such as tuberculosis and fungal infection).
Glucocorticoids Increased infection risk, hyperglycemia, hypertension, osteoporosis, weight gain, mood instability, psychosis, sleep disturbances [16].