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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pain And Redness In Palms

My wife had an attack of viral fever recently. The aftermath has left her with debilitating pain in her joints and an allergic reaction on her palms, which are painful and red especially at night. Blood tests have cleared her of any virus except slightly elevated uric acid and CRP level of 9.The doctor has prescribed Arcoxia and Doloneurobion for the pain which really hasn t helped. Yesterday she had a tablet of Xevor which has improved the situation considerably. She is planning to continue with with this. She is also on long term dosage of Nexium 40 mg and Inderal 40 mg per day. What is the dosage and duration that she can continue Xevor? Is it safe with her existing medication? Will the joint pains leave any residual disfigurement?
Mon, 1 Jun 2020
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Pediatrician 's  Response
Hi,

Can you mention the level of uric acid? Rash and arthritis caused by viral fever is usually short lasting. Rash should disappear in 1-2 weeks and arthritis(joint pain) in 2-4 weeks. As the arthritis is non-destructive type, no residual deformity is expected.

Xenovir(levocetizine) can be taken 5m at bet time, for 5-7 days. This will help to reduce rash related discomfort. No significant interaction with nexium/inderal.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Muhammed Aslam TK
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Suggest Treatment For Pain And Redness In Palms

Hi, Can you mention the level of uric acid? Rash and arthritis caused by viral fever is usually short lasting. Rash should disappear in 1-2 weeks and arthritis(joint pain) in 2-4 weeks. As the arthritis is non-destructive type, no residual deformity is expected. Xenovir(levocetizine) can be taken 5m at bet time, for 5-7 days. This will help to reduce rash related discomfort. No significant interaction with nexium/inderal. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Muhammed Aslam TK