A member asked:

62yr male w/gerd & arthritis. 1 dr said take arthrotec, another said arthrotec was hard on kidneys & liver & to take advil (ibuprofen) with maloxx. please advise.

A doctor has provided 1 answer

Different suggestion: Misoprostil and diclofenac are the active ingredients in Arthrotec (diclofenac and misoprostol). Diclofenac is the NSAID for arthritis and misoprostil is used to prevent NSAID ulcers. Studies show short term protection is about equal for misoprostil and omrprazole, but misoprostil has a higher relapse rate and more side effects. Maalox reduces heartburn but does not protect from ulcers, so your NSAID plus Omeprazole best.

Answered 7/17/2014

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