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What is the best way to deal with the pain when nasaids no longer work?
Anon_81997 posted:
What is the best way to deal with the pain of RA & OA when nasaids no longer work and you are waitin for approval of medicine Which you may or may not get. That' s up to the drug co.
Scott Zashin, MD responded:
In RA patients, I often use corticosteroids like prednisone to help my patients until DMARDS or biologics work. They are given in place of NSAIDS. In OA, analgesics such as tylenol or tramadol are often used.
lkw787b replied to Scott Zashin, MD's response:
I have taken low dose prednisone (to treat antiphospholipid syndrome) but was told that I could only take it for three months since if on it too long it can have negative side fx: bloating (the doctor called it "Buffalo Neck") as well as loss of bone density.

I found that prednisone amped me up so was best taken first thing in the a.m.

Currently, to deal with the pain of osteoporosis/osteopenia I am taking one naproset in the a.m. and 2 advil p.m. at night. I'm also doing swim aerobics to help keep my joints active (this is done in a heated pool, which seems to help.)

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prednisolone may be more effective than prednisone in some patientsExpert
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