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Doctor insights on: Patient 2 Is Being Treated For Rheumatoid Arthritis With Prednisone How Does This Change T

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What is the recommended prednisone reccomended for a sever rheumatoid arthritis flare-up?

What is the recommended prednisone reccomended for a sever rheumatoid arthritis flare-up?

No Magic Dose: Crazy as it sounds, there is no single specific dose. Your rheumatologist (you should definitely have one if you have ra) will listen to your story to get an idea of the severity, and over time will learn what doses work for you. I tell my students that I use the force, and they laugh, but I'm kinda serious. ...Read more

Dr. Thomas Namey
2,427 doctors shared insights

Arthritis (Definition)

A condition where there is progressive degeneration of one or more joints. Symptoms may include joint pain, swelling, decreased motion, and stiffness. The two most common types of arthritis are osteoarthritis, which is associated first with articular cartilage breakdown with a component of inflammation, and rheumatoid arthritis, which is a systemic autoimmune disorder that affects joint linings first and secondarily ...Read more


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Any explanation to why I am not feeling relief on 20mg daily prednisone for rheumatoid arthritis or lupus symptoms/pain?

Any explanation to why I am not feeling relief on 20mg daily prednisone for rheumatoid arthritis or lupus symptoms/pain?

Couple: Of possibilities. If this is your regular pain involving multiple joints and not controlled by the dose that usually controls your flares you might need a higher dose of Prednisone along with a different agent- Plaquenil/ Methotrexate for example. If this time the pain is different or involving only a joint or other organs it may be due to a different condition and you will need to see your doc. ...Read more

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In treating Rheumatoid Arthritis, what are the pros/cons of managing it long-term with Prednisone vs. DMARDs? Do all DMARDs increase cancer rates?

In treating Rheumatoid Arthritis, what are the pros/cons of managing it long-term with Prednisone vs. DMARDs? Do all DMARDs increase cancer rates?

See details: Prednisone has major side effects far worse than DMARDs and it does not prevent joint damage. There is a very small increase risk of lymphoma with some DMARDs. As a rheumatologist I try to never use prednisone long term. ...Read more

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My wife developed a dry cough. She has Rheumatoid Arthritis. She is on a biologic, methotrexate, and prednisone. What are possible causes for her coughing?

My wife developed a dry cough. She has Rheumatoid Arthritis. She is on a biologic, methotrexate, and prednisone. What are possible causes for her coughing?

Dry cough: She is at higher risk of infection of course. Has she travelled? Fever? Could be viral, bacterial or less likely fungal. Sorry I cannot give a more detailed answer without more information! ...Read more

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I have rheumatoid arthritis, I take prednisone every 3rd day, leflunomide every day, and tramadohl for pain. Everynight around 2-3am, I wake up in terrible pain in my knees and hips. Sometimes includes my hand and finger joints. I have to take more tramad

I have rheumatoid arthritis, I take prednisone every 3rd day, leflunomide every day, and tramadohl for pain. Everynight around 2-3am, I wake up in terrible pain in my knees and hips. Sometimes includes my hand and finger joints. I have to take more tramad

The : The effective "treatment window" for your pain medications (tramadol or vicodin) is about 4 to 6 hours. If you take your last painkiller about the time you go to bed, you may simply be running out the clock on these particular medications. A longer-acting painkiller might get you through the night, or at least give you a couple more hours of sleep before you're awakened by your painful joints. Alternatively, a dose of a nonsteroidal anti-inflammatory (celebrex, naproxen, ibuprofen, etc.) at bedtime might extend your sleep time. Ice and/or warm packs could be of benefit, too.
Discuss your options with your doctor. He/she might have additional suggestions (e.g., changing your Prednisone dosage or schedule).
I hope you find a solution to this problem soon! ...Read more

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Dx of rheumatoid arthritis. Taking Enbrel and occasionally prednisone burst pack. Chronic debilitating pain, not EVEN touched by OTC meds, or ensaids. Please help!!!!!!

Dx of rheumatoid arthritis. Taking Enbrel and occasionally prednisone burst pack. Chronic debilitating pain, not EVEN touched by OTC meds, or ensaids. Please help!!!!!!

Sound like: You need to have a frank discussion with your Rheumatologist1 the treatment of RA has advanced greatly over the past decade. Biological therapy and combination of various medications usually result in control of pain and joint damage! SPEAK OUT!!

Hope this helps and BE WELL!
Dr Z ...Read more

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I'm using plaquenil (hydroxychloroquine) 200mg and prednisone 10mg for rheumatoid arthritis, can I take vitamin C while using these medications.

I'm using plaquenil (hydroxychloroquine) 200mg and prednisone 10mg for rheumatoid arthritis, can I take vitamin C while using these medications.

Yes: Vitamin c is fine to take while taking these medications. Not sure why you would take it, though. Recent studies have shown that your food should provide you with enough vitamins so if your food is inadequate, dietary modifications are necessary to get it where it should be. ...Read more

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Had a bad flare.doc put me on prednisone cause X-ray showed inflamation.waiting on blood test for rheumatoid arthritis.is it norm to still feel bad?

Had a bad flare.doc put me on prednisone cause X-ray showed inflamation.waiting on blood test for rheumatoid arthritis.is it norm to still feel bad?

Yes: RA is not diagnosed be a blood test or X- Ray. The diagnostic criterea include lab as well as the duration of symptoms and the features on your physical examination. Make sure you are diagnosed by someone with experience in this disease. ...Read more

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I am on prednisone an, d plaquenil (hydroxychloroquine) for rheumatoid arthritis. I woke up with a horrible headache and my eyes hurt to move them around. Is this serious?

I am on prednisone an, d plaquenil (hydroxychloroquine) for rheumatoid arthritis. I woke up with a horrible headache and my eyes hurt to move them around. Is this serious?

HA ; eye issues: I am not certain whether your headache and eye troubles have to do with either rheumatoid arthritis or any medication you listed. Plaquvenil is known to affect the retina of the eye but in a more chronic fashion rather than acute. You may be having a migraine headache or another type of headache (cluster) but without further questioning and examining you, it's hard to tell. Don't delay, go see doc. ...Read more

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85% neutrophils and 9.9% lymphocytes and 12.9 WBC (normal range 4.0-10.0) I have rheumatoid arthritis, and was recently on a prednisone taper.

85% neutrophils and 9.9% lymphocytes and 12.9 WBC (normal range 4.0-10.0) I have rheumatoid arthritis, and was recently on a prednisone taper.

Steroid effect: Can cause increased neutrophils, and decreased lymphocytes, will take its time, no need to worry ...Read more

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I'm taking plaqeunil, mobic, (meloxicam) prednisone for rheumatoid arthritis. Can I use phentermine for weight loss while on these other medications?

I'm taking plaqeunil, mobic, (meloxicam) prednisone for rheumatoid arthritis. Can I use phentermine for weight loss while on these other medications?

Weight medications: The easy answer is "yes." however 1) the weight gain tendency caused (primarily) by Prednisone will continue, so consider finding an effective regimen for your RA and pain that doesn't cause weight gain. 2) Phentermine generally only works well for a short period. Most people who use it find that it wears off after several weeks or months. There may be better weight options besides phent. ...Read more

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When will bip be available to rheumatoid arthritis patients?

When will bip be available to rheumatoid arthritis patients?

Hopefully soon: Binding immunoglobulin protein has been given to the first human trials at Guys Hospital, London. It helped rheumatoid arthritis without serious side effects. It is very low in the joints of patients with R.A. It will take larger numbers of patients in other centers and then will need F.D.A. approval for the U.S. Probably several years away. Looks promising. ...Read more

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Does food affect rheumatoid arthritis patients?

Does food affect rheumatoid arthritis patients?

No: People will try to tell you that certain foods help or flare ra. There are no controlled scientific studies to support those opinions. ...Read more

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Is it safe for patients with rheumatoid arthritis exercise?

Yes and no: It is important for people with rheumatoid arthritis to exercise, but it's also very important that they use correct body mechanics so they don't injure themselves. It is a good idea to talk with your rheumatologist or a physical therapist about what exercises are best for you to do and what you should avoid. ...Read more

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Is zostavax effective for rheumatoid arthritis patients?

Is zostavax effective for rheumatoid arthritis patients?

EFFECTIVE BUT: Yes it is effective to prevent Herpes Zoster even for Rheumatoid Arthritis Patients as long as they are not immunosuppressed
If immunosuppressed due to therapy than you can not give this vaccine as there is risk of disseminated Herpes Zoster. It is contraindicated ...Read more

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Why do people with rheumatoid arthritis get scleritis so often? My mom has RA and also always seems to have eye problems, particularly scleritis flare-ups. Why is this so common in RA patients? .

Why do people with rheumatoid arthritis get scleritis so often? My mom has RA and also always seems to have eye problems, particularly scleritis flare-ups. Why is this so common in RA patients?
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Not too common: The sclera, just like the joint lining, is a connective tissue. The same immune response can happen in the eye as well. Scleritis is becoming more rare as the tnf medications (humira, cimzia, (certolizumab pegol) Remicade but not enbrel) decrease scleritis greatly. ...Read more

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Is it safe a chronic use of ppi as prophylactic for nsaids induced ulcer for patients taking nsaids for rheumatoid arthritis and osteoarthritis pain?

Is it safe a chronic use of ppi as prophylactic for nsaids induced ulcer for patients taking nsaids for rheumatoid arthritis and osteoarthritis pain?

Great idea: Recent study: "proton pump inhibitors decrease the risk of bleeding ulcers in high-risk NSAID or Aspirin users with very recent ulcer bleeding by approximately 75–85%., recent head-to-head randomized comparison of two preventive strategies (proton pump inhibitor plus non-selective NSAID vs. Cox-2-specific inhibitor)".
Hope it helps. ...Read more

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Being treated for rheumatoid arthritis my elbows will ache sometime. It feels like the pain travels to my wrist at the same time. Is this normal?

Being treated for rheumatoid arthritis my elbows will ache sometime. It feels like the pain travels to my wrist at the same time. Is this normal?

Yes.: The radial, ulnar ; median nerves r in proximity to the elbow, ; the inflammatory process can irritation can effect the nerves and give u referred pain down the arm ; into the hand ; wrist. ...Read more

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I'm being treated for rheumatoid arthritis the pain is getting worse toes, ankles, feet, hands, fingers and wrist. My RA level now 176 is this normal?

There are: Many markers titer slab results and scores used by physicians to monitor effectiveness of treatment for RA but arguably the most important one is your symptoms. If you feel you are getting worse call your tbeumstogust. Modifications in your medication regimen may be needed but do not alter this without discussion. ...Read more

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Should I be treated for rheumatoid arthritis if my RA factor is reactive, my ccp antibodies r a weak positive, my CRP is slightly elevated& pain?

Should I be treated for rheumatoid arthritis if my RA factor is reactive, my ccp antibodies r a weak positive, my CRP is slightly elevated& pain?

See your doc: This is a decision that needs to be made by you and your rheumatologist. Nsaids are fine for the pain, but don't overdo it. See your doc to make sure of your diagnosis before considering any treatment regimen. There is a new medication on market called vimovo (esomeprazole and naproxen) check this out has naproxyn 375 with esmoprezole 20mg might be able to help your arthritic pain. ...Read more

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Doctor says inflammatory Rheumatoid arthritis but not sure which one. Many symptoms of IBS. Are the two related? Are there medications that treat both

Doctor says inflammatory Rheumatoid arthritis but not sure which one. Many symptoms of IBS. Are the two related? Are there medications that treat both

Not related: And I am not aware of a medication(s) that would treat/control both conditions. You want to see a rheumatologist to sort it out and define what exactly do you have so you can start the right treatment, good luck ...Read more

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Can you tell me how is rheumatoid arthritis treated using traditional medicine?

See details: There are numerous meds known as disease modifying agents that are used to treat RA. These include methotrexate, Plaquenil, (hydroxychloroquine) Sulfasalazine and numerous biologic agents. ...Read more

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How is juvenile rheumatoid arthritis treated?

How is juvenile rheumatoid arthritis treated?

Many ways!: First, it is no longer called juvenile rheumatoid arthritis, but juvenile idiopathic arthritis, because it is not rheumatoid arthritis in children! There are so many treatments available, using several meds in tandem as therapy. It is almost always remittable. See a rheumatology specialist! ...Read more

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Is fibrous ankylosis can be treated with some surgery method to restore the full mobility of joint in rheumatoid arthritis?

Is fibrous ankylosis can be treated with some surgery method to restore the full mobility of joint in rheumatoid arthritis?

It might respond to: Platelet rich plasma. Injected into the joint.

Find a doctor who does prolotherapy and most of them do platelet rich plasma into the joint. Surely worth a try to the alternative is fusion or total joint replacement and you are too young for the later visit www.Getprol. Com or www.Aaomed/org for info and a doctor. ...Read more

Dr. Thomas Namey
2,568 doctors shared insights

Prednisone (Definition)

Prednisone is a synthetic cortisone. The body makes cortisone, a natural hormone made in adrenal glands. The body converts it to Hydrocortisone to become active. 25 mg of cortisone has about same effect as 5 mgm prednisone. The average person would produce 3-6 mg of pred daily. So why use a substitute? The synthetic has more anti-inflammatory effect; but has less effect ...Read more


Dr. Barbara Lavi
40 doctors shared insights

Rheumatism (Definition)

"rheumatism" is an older term, not used much today. Most people are referring to pain and swelling in the joints when they use this term. People may mean something different when they use this term in contrast to when they refer ...Read more