8 doctors weighed in:

I've been diagnosed with adult stills disease, I've been on celabrex, naproxen, predisone n now sulindac, noneofthese relieve pain, wut should I take next?

8 doctors weighed in
Dr. Arthur Bobrove
Internal Medicine - Rheumatology
4 doctors agree

In brief: Adult Still Disease

Adult still's disease is notable for high fevers, rash, joint swelling and pain.
If pain is the prime symptom especially with swelling and tenderness, then emphasis should be on prevening joint damage as well as pain. Methotrexate alone or in combination with a biological medication such as antitnf or IV tocilizumabin are often effective.

In brief: Adult Still Disease

Adult still's disease is notable for high fevers, rash, joint swelling and pain.
If pain is the prime symptom especially with swelling and tenderness, then emphasis should be on prevening joint damage as well as pain. Methotrexate alone or in combination with a biological medication such as antitnf or IV tocilizumabin are often effective.
Dr. Arthur Bobrove
Dr. Arthur Bobrove
Thank
1 comment
Dr. Ed Friedlander
I'm not a rheumatologist but I'm fairly well-read and this would be my advice as well
Dr. Benjamin S. Frank
Internal Medicine - Rheumatology
3 doctors agree

In brief: Several good options

Adult still's will often require more powerful drugs than nsaids (several of which you list here).
Fortunately, many of these drugs are quite safe, and are almost certainly less worrisome than steroids (like prednisone). Methotrexate and tnf inhibitors might be considered. These widely-used rheumatologic drugs are often quite effective and are usually well tolerated.

In brief: Several good options

Adult still's will often require more powerful drugs than nsaids (several of which you list here).
Fortunately, many of these drugs are quite safe, and are almost certainly less worrisome than steroids (like prednisone). Methotrexate and tnf inhibitors might be considered. These widely-used rheumatologic drugs are often quite effective and are usually well tolerated.
Dr. Benjamin S. Frank
Dr. Benjamin S. Frank
Thank
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