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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest alternate options for Tylenol and anti-inflammatory drugs to treat a muscle inflammation

Answered by
Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 15969 Questions

Posted on Fri, 12 Oct 2018 in Lupus
Question: I am a pretty healthy 72 year old female and I have osteoarthritis. I have been taking an anti-inflammatory drug and I recently went to a Rheumatologist. He did blood work and my BUN was slightly elevated as well asmy Creatinine Serum. Was told to stop anti-inflammatory drugs and take Tylenol. Tylenol doesn't help my joint or muscle pain at all. Please advise.
Answered by Dr. Michelle Gibson James 35 minutes later
Brief Answer:
Opioids, topical pain killers and physiotherapy

Detailed Answer:

Unfortunately, as you stated, Tylenol does not work as well as the anti-inflammatory medicines.

In terms of medications, other than Tylenol, the only other options would be topical medications/rubs/sprays and opioids eg Codeine, Tramadol, Hydrocodone etc.Topical pain medicines include Voltaren gel and Capsaicin.

Physiotherapy and surgery of certain affected joints Example: knee or hip replacements are the only other non medication options.Physiotherapy would help to strengthen the muscles and ligaments around the affected joints which would help to stabilize and reduce your pain.

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

Dr. Michelle Gibson James,
General & Family Physician

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

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