Mushonga mukuru mushonga uye unosanganisira corticosteroid kurapa, mushonga wecortisone. Kurapa uku kunoshanda zvakanyanya, kunoderedza zvakanyanya njodzi yevascular complications izvo zvinoita kuti chirwere ichi chive chakakomba. Kurapa uku kunoshanda nekuti cortisone ndiyo yakasimba kwazvo inorwisa-kuzvimba mushonga inozivikanwa, uye chirwere cheHorton chirwere chinoputika. Mukati mevhiki, kuvandudzwa kwatova kukuru uye mukati memwedzi wekurapa kuzvimba kunowanzo kudzora.

An antiplatelet kurapwa inowedzerwa. Izvi ndezvekudzivirira maplatelet ari muropa kuti asaunganidzwe uye zvichikonzera kuvharika kunovharira kutenderera mutsinga.

Kurapa ne cortisone kunotanga padanho rekurodha, zvino, kana kuzvimba kuri kudzorwa (sedimentation rate kana ESR yadzokera kune yakajairwa), chiremba anoderedza chiyero checorticosteroids mumatanho. Anotsvaka kuwana hushoma hunoshanda kuti adzikise zvisingadiwi mhedzisiro yekurapa. Paavhareji, kurapwa kunotora makore maviri kusvika matatu, asi dzimwe nguva zvinokwanisika kumisa cortisone nekukurumidza.

Nekuda kwemhedzisiro inogona kukonzera kurapwa uku, vanhu vari pakurapa vanofanirwa kutariswa zvakanyanya panguva yekurapwa. Kunyatsotarisirwa kunofanira kubhadharwa kune vakwegura kuitira kudzivirira kuwedzera kweropa (hypertension), A osteoporosis (chirwere chepfupa) kana chirwere chemaziso (glaucoma, cataract).

Pamusana pematambudziko anokonzerwa necorticosteroid therapy, dzimwe nzira dziri kuongororwa dzakadai semethotrexate, azathioprine, synthetic antimalarials, cyclosporin, uye anti-TNF α, asi hazvina kuratidza kushanda kwepamusoro.