<h3>Background</h3> Rheumatoid arthritis (RA) is a systemic, autoimmune disease in which chronic pain is a persistent symptom,<sup>1</sup> aditionally pain management remains as a serious public health issue. Pain is often disabling and can reduce the quality of life of a patient(.<sup>2</sup> <h3>Objectives</h3> To describe prevalence of analgesic usage in patients with rheumatoid arthritis and relationship with disease activity. <h3>Methods</h3> We collected data from the medical charts in a specialised RA centre conducted during 2017, we performed a descriptive analysis, we collected sociodemographic information, DAS28, and the prevalence of prescription of analgesic medications divided in three groups non opioid analgesics, opioid analgesics and NSAIDS. We calculated means, and standard deviations for continuous variables and categorical variables were presented as rates. We estimated the prevalence of comorbidities and evaluate independent associations calculating prevalence ratios. <h3>Results</h3> We included data from 6700 patients, 80% were women and 20% were men. Mean age was 59 years±13, 47% of all patients were between 60 and 80 years; The prevalence of use pain medications was 63.41%. Most of patients received non opioid analgesics 52% (paracetamol or dipyrone) followed by opioids 23% (codein or tramadol), 10% of patients had pain medication combination of non opioids plus opiods. See table 1. The prevalence of pain medications usage was associated with sex but not with disease activity see table 2. <h3>Conclusions</h3> Rheumatoid arthritis is a pain associated condition; two thirds of patients are using of pain medications mainly women; the most prescribed medication was paracetamol or opioids, coinciding with other studies.<sup>2</sup> This descriptive study is useful for further studies to develop in Latin America. <h3>References</h3> [1] Parker JC, Frank RG, Beck NC, Smarr KL, Buescher KL, Phillips LR, et al. Pain management in rheumatoid arthritis patients. Arthritis & Rheumatism. 1988;31(5):593–601. [2] Samison LH, Randriatsarafara FM, Ralandison S. Joint pain epidemiology and analgesic usage in Madagascar. The Pan African medical journal. 2017;26:77. <h3>Disclosure of Interest</h3> None declared