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Dr. Manuela Pedra-Nobre , M.D.

Rheumatologist

Dr. Manuela Pedra-Nobre is a rheumatologist practicing in Westfield, NJ. Dr. Pedra-Nobre specializes in the treatment of musculoskeletal diseases and systematic autoimmune conditions that can affect the bones, muscles or bones. Eventually, if not treated, these illnesses can also impact the skin, eyes, nervous system and internal organs. Dr. Pedra-Nobre treats diseases similar to orthopedists but does not perform surgery. Often times, research is conducted to find potential alternatives for the patients illness.
35 years Experience
Dr. Manuela Pedra-Nobre, M.D.
  • Westfield, New Jersey
  • Facultad De Medicina Y Odontologia (Santiago De Compostela, Spain)
  • Accepting new patients

Rheumatoid Arthritis

I infer that you hare been seen by a rheumatologist, since you are on two medication that, although safe, need to have rheumatologist follow up for surveillance. Hydroxycloroquine READ MORE
I infer that you hare been seen by a rheumatologist, since you are on two medication that, although safe, need to have rheumatologist follow up for surveillance.
Hydroxycloroquine can give , central nervous system symptoms and may be the cause of drowsiness or hypoglycemia which in turn will make you drowsy as well.Anemia may also be a cause of the symptoms as well. Regarding the excessive sweating you should make note of the time of the day when symptoms appear and please take the temperature.
Please also note that sulfasalazine for rheumatoid arthritis is taken twice a day ( not three times a day).
I advise you to discuss the symptoms with your rheumatologist so he can advise after performing the pertinent test.

Thank you for the question.


Manuela Pedra-Nobre, MD
President, North Jersey Rheumatology Center