Nonsteroidal anti inflammatory drugs (NSAIDs) are commonly used to treat the pain and swelling of arthritis and other musculoskeletal conditions. NSAIDs come in prescription form (e.g. Celebrex, Mobic) and over the counter (e.g. aspirin, ibuprofen). Studies have shown that about 30% of people with some form of arthritis use over-the-counter NSAIDs on a daily basis. Many other people take a combination of prescription and OTC NSAIDs daily to manage their pain, even though long term NSAID use can lead to gastrointestinal problems and overuse can lead to drug toxicity. A recent study published in the February issue of Arthritis & Rheumatism found an association between dual use of NSAIDs and poorer health status. The study defined dual use as taking two NSAIDS, either prescription or OTC, at least twice a week during the month before the study survey was conducted. 182 patients in a managed care organization participated in the study. Of these patients, half had either rheumatoi...
Have you ever had an extraordinary pain that doesn't respond to medication, one that has a team of doctors scratching their heads as they start the pharmacologic dart game? I have. It's a thrilling MS tale of pain, drugs, more pain and more drugs, and even more pain and even more drugs rounding it off with some relief, some breakthrough pain and ultimately some breakthrough revelations.
Let's go back to the year 2005. I was in the last year of a master's degree program at New York University. With a family, a commute and MS, I had to keep pinching myself to prove that I was really pulling it off. Unfortunately, my self-inflicted reminder was replaced with one that forced me to be acutely aware of every moment of every day.
As the story begins I'm on a train pulling into Penn Station. Reading a book, keeping to myself, when all of a sudden every muscle in my foot cramps up and the pain... come to think of it, it started very gradually - a cramping that would c...
Medications to have at home
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Semrad CE, Powell DW. Approach to the patient with diarrhea and malabsorption. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 143.
Boes CJ, Capobianco DJ, Cutrer FM, et al. Headache and other craniofacial pain. In: Bradley WG, Daroff RB, Fenichel GM, Jankovic J, eds. Neurology in Clinical Practice . 5th ed. Philadelphia, Pa: Butterworth-Heinemann; 2008:chap 73.
Atopic dermatitis. In: Habif TP, ed. Clinical Dermatology . 5th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 5.
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