can you suggest tablets or injection for Rheumatoid Arthritis patient

Hello Dr. Oded Kimhi, This is Jordan Menezes from India (Mumbai). My sister Allwyna Menezes (age 34) having Rheumatoid Arthritis. I tried many dr. and their medicines from India but not effective so I come to know about you. I have attached her blood test report + ESR count. Base on that can you suggest tablets or injection which I can get from Israel (my friend live in Israel) & give here to my sister. Let me know if you need more details. I am not able to upload file (the select a file option is not working on website). Please give me alternative link to upload or email address. Looking forward to good news from you. My contact details: Number / WhatsApp:- +91 9850230650 Email:- [email protected]

Thanks for the reply.... I have converted reports to txt format that you can read here. Medicines that have been tried:-------------------------- Ans: 1- dxn spirulina / DXN RG/GL 2- ayurvedic medicine 3- normal pain killer tablets The sate of her joints:----------------------------- Ans: Patient With Complaints:------------------------- 1) H/O Pain in joints = Yes 2) HO More Pain in small joints of hand and feet = Yes 3) H/O Pain in large joints of extremites and cervical vertebral joint = Yes 4) H/O Early Moring pain and Cold season = No 5) H/O Low grade fever =Yes 6) H/O Weakness = Yes 7) HO Rash on the body = No The lab results---------------------------- Ans: Past Histoery:------------ HO Diabetes = No H O Hypertension & IHD = No H/O Major Illness in the Past = No H O Kochs = No General Esaminations:---------------- Pt Conscious = Yes Pulse 80 / min Pt. Toxic = No B.P. 100 / 70 Orientation With Time & Space =Yes Icterus =No. Pallor =No Cyanosis = No Lymphadenopathy= No ****************COMPLETE BLOOD COUNT +FSR************************ Investigatoin RESULI Unit Reference range Haemoglobin : 6.9 gm% 11.5-18.5 R.B.C COUNT : 3.11 x10 6/cmm 4.2 5.4 PCV : 20.3 % 37-47 MCV : 65.27 fl 78-100 MCH : 22.19 Pg 27-32 MCHC : 33.99 % 31-36 RDW-CV : 24.7 % 11.5-14.6 RDW-SD : 64.4 fl 37-54 W.B.C. Count : 4520 /cmm 4000 11000 Neutrophils : 67.5 % 40-75 Eosinophils : 0.1 % 0-6 Basophils : 0.1 % 0-1 Lymphocytes : 29.2 % 20-45 Monocytes : 3.1 % 0-10 Neutrophils (ABS COUNT) : 3051.00 /cmm 2000-7000 Eosinophils (ABS COUNT) : 4.52 /cmm 20-500 Basophils (ABS COUNT) : 4.52 /cmm 20-500 Lymphocytes (ABS COUNT) : 1319.84 /cmm 1000-3000 Monocytes (ABS COUNT) : 140.12 /cmm 200 1000 Platelet Count : 3.62 x 10^5/cmm 1.5 - 4.50 MPV : 9.3 fl 6.5-11.0 PDW : 15.3 % 9-17 PCT : 0.34 % 0.2 - 0.5 E.S.R : 140 mm 0-13 **************************END OF REPORT************************************** let me know if you need any more details. please suggest tablets or injection for her

Hi Dr, Thanks for the reply. I can understand she should be examine by physically & investigate and treat. Perhaps I need to check in India (Mumbai) only for best treatment. Thank you for your valuable time and looking my problems. God bless you.