Doctor insights on:
Rheumatoid Arthritis And Enteric Coated Aspirin Allergy
What is the difference in 81 enteric coated aspirin and 81 non enteric coated...is their any interference with other meds if enteric coated?
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
No difference: Enteric coated medications are coated to limit stomach upset. The effect on the kidneys is unaffected by enteric coating. If you take the medication, i.e.aspirin, as recommended you should be safe vis a vis effect on the kidneys. In the absence of pre existing renal disease, only an overdose is risky. ...Read more
Polycythemia vera dx 2006. Take daily 81mg aspirin. Gastro believes it caused ulcer and inflammation in ilium. Any substitution for baby aspirin?
See hematologist: Polycythemia can now be treated with new disease-specific agents. Aspirin may reduce the risk of thrombosis, but does not reduce the red blood cell count. P. vera at age 27 is very rare. Have you been properly diagnosed? If you haven't seen a hematologist recently, you ought to. ...Read more
No need to avoid: Allergic reactions to shellfish (shrimp, crab, lobster, oysters, etc) are due to ige allergic antibody to the meat/muscle protein called tropomyosin. Adverse reactions to Celebrex (celecoxib) and other nsaids are unrelated to this and have a different mechanism of triggering allergic type reactions. There should be no connection between the two. ...Read more
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 moreSee 1 more doctor answer
Which is more affective pain management of a gouty foot flare-up, Naproxen or Celebrex (celecoxib)? (along with Colchicine) Allipurinol already prescribed.
Probably naproxen: Naproxen has been used for many years to treat acute episodes of gout-colcichine has been used longer but has more side effects if pushed.Celebrex (celecoxib) is an N SAID too but used more for having less gastrointestinal side effects. So the person who knows best with your history is the prescribing. Doctor. ...Read moreSee 1 more doctor answer
Any vitamins, supplements, etc. that help w/ rheumatoid arthritis pain? Used to take Plaquenil, (hydroxychloroquine) don't like it. The joint pain is getting unbearable.
Tiaprof. Acid , mefenamic acid, diclofenac, meloxicam, peroxicam, celecoxib, which of this nsaids is safest for peptic ulcer and wich safest for child?
Which anti-inflammatory is more effective for hallux pain - voltaren, exxiv (etoricoxib), ipobrufen, arthrotec, (diclofenac and misoprostol) other? Uric acid is normal, no swell.
YES!: Fish oil and flaxseed oil contain 3-omega fatty acids which improve inflammation, make the blood less likely to clot, and inprove certain aspects of metabolic syndrome, including raising good cholesterol (hdl), and lowering triglycerides. Remeber, inflammation in the body increases Insulin resistance. All thes effects are best potentiated with omega-3 intake of 1500mg per day and higher! ...Read more
What are the results of tramadol hydrochloride/diclofenic sodium enteric coated tablets/ entrocalm loperamide capsules o/d?
If you are having: thoughts about killing yourself, get seen at the nearest emergency room now. Have a friend or relative drive you or call 911 for emergency services for transport. You can call the National suicide hotlines 24/7 at 1-800-suicide (1-800-784-2433) or 1-800-273 – talk (1-800-273-8255) for support. ...Read more
Reye's syndrome: Aspirin is not recommended for any children due to its association with reye's syndrome that can lead to liver failure. Plenty of other meds work well and are safe if given in the recommended doses such as tylenol (acetaminophen) or ibuprofen. Naproxen is a good medication for temporary relief but it does not put the disease into remission. Effective treatment is weekly low dose Methotrexate and a tnf inhibitor. ...Read moreSee 1 more doctor answer
Interaction between Xarelto and Colchicine.I read that Colchicine affects the platelets ,more likely to bleed?I take 3 Colchicine for gout flares.
Interaction: Your pharmacist can be very helpful in answering any questions related to your medications. If you're under effective treatment for gout, you shouldn't have any gout flares. If you do and only took colchicine for a few doses,I wouldn't expect a major problem because you also take xarelto daily. Your pharmacist can confirm this for you. ...Read more
Most patients need a: Psoriatic arthritis can be a very inflammatory disease. We all want pain relief for our patients, but rheumatologists understand the need to reduce inflammation, because it portends coniued damge to joints, as well as much earlier cardiac disease. My personal favorites: sulfasalazine with methotrexate, the latter given sc. Some, albeit few, patients need tnf-alpha inhibitors. ...Read more
Unpredictable reactions to Aspirin including: 1) acute asthma in persons with nasal polyps and persistent asthma; 2) anaphylactic reactions; 3) hives and/or angioedema; 4) flare of hives in 25% of persons with chronic hives. Skin or blood tests are of no help with diagnosis. Usually not believed to be ige mediated, but instead related to lipoxygenase ...Read more
Allergies occur when your immune system is triggered by envirionmental factors it should ignore--for example, pollen in the air, or dander on a cat or dog--and creates cells to fight against them. An allergic reaction typically causes itching, congestion, or drainage, and ...Read more
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