RT Journal Article SR Electronic T1 Methotrexate for rheumatoid arthritis JF Drug and Therapeutics Bulletin JO Drug Ther Bull FD BMJ Publishing Group Ltd SP 17 OP 19 DO 10.1136/dtb.1995.33317 VO 33 IS 3 YR 1995 UL http://dtb.bmj.com/content/33/3/17.abstract AB Relevant BNF section: 10.1.3Treatment of patients with rheumatoid arthritis (RA) conventionally starts with an analgesic plus a non-steroidal anti-inflammatory drug (NSAID). Slow-acting antirheumatic drugs are being added at an increasingly early stage of the disease.1 When we reviewed slow-acting antirheumatics two years ago1 methotrexate had only recently been licensed in the UK for the treatment of RA. In the USA methotrexate is often preferred to traditional slow-acting antirheumatics such as gold, sulphasalazine and penicillamine. We examine the evidence.