Rheumatoid arthritis and pregnancy
Renal function should be monitored in the elderly. rheumatoid arthritis and pregnancy Information-arthritis. In addition, prophylactic treatment to reduce risk of gastrointestinal ulceration, perforation and bleeding is recommended in patients > 60 years of age with: prior history of peptic ulcer disease; anticipated duration of therapy of > 3 months; moderate to high dose of NSAIDs; and, concurrent corticosteroids. Misoprostol, at a dose of 200 mg four times daily, constitutes effective anti-ulcer prophylaxis but is often poorly tolerated due to diarrhea. Omeprazole, and other proton pump inhibitors, are also very effective anti-ulcer prophylactic agents, although cost can be limiting. rheumatoid arthritis and pregnancy Diagnosing arthritis. The development of selective cyclooxygenase-2 (COX-2) inhibitors (see full discussion on COX-2 inhibitors) offers a strategy for the management of pain and inflammation that is likely to be less toxic to the GI tract. (top of section)Analgesic Agents Local analgesic therapies include topical capsaicin and methyl salicylate creams. Occasionally in late stage disease, patients will require narcotic analgesics to control pain. rheumatoid arthritis and pregnancy Rheumatoid-arthritis-and-wound-healing. Oral glucosamine and chondroitin sulfate have been shown (each individually) to have a mild to moderate analgesic effect in several double-blind, placebo-controlled studies. (top of section)(top of page) Intraarticular Therapies Judicious use of intra-articular glucocorticoid injections is appropriate for OA patients who cannot tolerate, or whose pain is not well controlled by, oral analgesic and anti-inflammatory agents. Periarticular injections may effectively treat bursitis or tendonitis that can accompany OA. The need for four or more intra-articular injections suggests the need for orthopedic intervention. Intraarticular injection of hyaluronate preparations has been demonstrated in several small clinical trials to reduce pain in OA of the knee.
Rheumatoid arthritis and pregnancy
Chest || Endometriosis-pain-treatment || Spleen pain || Appendix-pain