Suffering from spondylytis, taking Sazo, Pand from Alkem. Suggest?

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Posted on Wed, 18 Sep 2013 in Lupus
Question: hi
i am suffering from ankylosing spondylytis, aged 30 and i had an attack ten days back and started taking the below medicine and i was feeling good for last 8 days but now after stop painkillers its same problem. these medicine were prescribed by orthologist from kolkata

what should i do now, change medicine? any instant solution
my last test was HLB 27 POSITIVE

SAZO 500 from wallace pharma
PAND FROM ALKEM
INMECIN R FROM BM PHARMECUTICALS

Regards
XXXXXXX


doctor
Answered by Dr. Divya Agarwal 11 hours later
Brief Answer:
NSAIDs is the treatment for AS.

Detailed Answer:
Hello XXXXXXX

The pharmacological treatment for AS is basically NSAIDs (painkillers). Diclofenac sodium, ibuprofen, etoricoxib, etc., are widely used in by doctor. It has to be taken under guidance of a rheumatologist.

As the other treatments are recommended only if you are not responding to the above medication.
Apart from this there is guidance to do exercises for the back and also aerobic exercises which will help you with the pain and stiffness.

So I suggest you get in touch with a rheumatologist at the earliest in order to start proper treatment.

Let me know if you need clarifications.

Best of luck and regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Divya Agarwal 12 hours later
Hi

what should be the diet for AS Treatment

did i need to go for any blood test like RA FACTOR or uric acid test.

becoz the pain is also extending towards ankle

what precuation should be taken to stop this attack.. which comes in a year

what are the new treatment is available for AS

and you have not mentioned any medicine for decreasing the inflamatory in the body.

Regards
XXXXXXX s
doctor
Answered by Dr. Divya Agarwal 10 hours later
Brief Answer:
Sulfasalazine, Infliximab

Detailed Answer:
Hi,

You don't need to go for any other tests, as they are not related to AS.

Also there is no specific diet for AS, you need to follow a balanced healthy diet.

The medicine for decreasing inflammation is NSAIDs,
if the disease is going to peripheral joints like ankles then it is recommended to start taking medication like sulfasalazine in doses of atleast 2 grams per day.
Also the NSAIDs will help you with the pain and swelling in ankles also.

As far as the newer treatments, there is a class of drugs called biologics and the prototype of this is a molecule called infliximab, this is used in conditions which are refractory to the routine medicines.
However they are frightfully expensive, so that is another consideration.

As far as precautions are concerned there are none as such, except that you should be exercising regularly, taking medication as advised by your doctor and thats about it.

please feel free to clear any doubts you may have.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Divya Agarwal 15 hours later
Hi

Thanks for your reply !!!

Today i have consultation with a rhemutologist.

and prescribed medicine like-tab TORCOXIA BCD and tab RABETOR for next ten days

and asked to do with following test

XRAY-PBH VIEW,CXR PA VIEW
BONE PROFILE,URIC ACID
AND SEMEN TEST,if they will start sulfasalazine medicine

they also told me there are side effects of sulfasalazine, which reduce the sprem count. so what is your opinion on that

and is the treatment going on right direction?

And i have taken Saz 500 two tablet in last 10 days with my old prescription.

Regards

XXXXX
doctor
Answered by Dr. Divya Agarwal 7 hours later
Brief Answer:
Treatment going right.

Detailed Answer:
Hi,

The approach seems to be fine.

Yes, sulfasalazine can decrease the sperm count in some cases but the good part is that it is totally reversible, so once you stop taking the drug, your sperm count comes back to normal.
since they have started an NSAID it is right.

And the tests are basically, routine tests.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
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Dr. Divya Agarwal

Rheumatologist

Practicing since :1999

Answered : 608 Questions

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