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Suggest treatment for arthritis pain

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Posted on Sat, 5 Apr 2014
Question: i 'm 73 male good heatlth except arthritis which exhibits as stiffness particularly in morning or after exercise. was taking percocet 10-325 4 per day for two years and was getting relief, but tolerance was buidling up - so as not to take high doses and to "get off " percocets, i worked with suboxone dr to take 8/2mg twice daily. it has provided about 60% of pain relief of percocet. i have not had any opiates for 75 days and have no creavings for them. what can i take with suboxone to get more relief from the arthritis which is chronic and constant- the suboxone gives about 60% relief. are nsaids a good option?
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Answered by Dr. Rohit Gulati (30 hours later)
Brief Answer: you can take pregabalin Detailed Answer: hi, you can start taking Acetaminophen/paracetamol 500 mg upto 3 times a day scheduling it approximately every 8th hourly. you shall get benefit with this. you can also take pregabalin 75 mg once daily but have to be careful as this may decrease pain but may also increase sedation at least for first 72 hours. hope this helps.
Above answer was peer-reviewed by : Dr. Shanthi.E
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Follow up: Dr. Rohit Gulati (56 minutes later)
past use of lyrica and neurotin and celebrex provided no relief which lead dr/self to the percocet route. tramadol was effective with constipation a moderate problem. can tramadol be safely prescribed with suboxone-rate/dosage? other options? thanx XXXX
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Answered by Dr. Rohit Gulati (5 hours later)
Brief Answer: tramadol is safe. Detailed Answer: Hi XXXXXXX yes, Tramadol is safe. Along with this Acetaminophen (Tylenol) 650 mg taken every 6th hrly shall help. You can take a combination of these two salts and take them three times a day after prescription from your doctor.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Rohit Gulati

Pain Medicine & Palliative Care Specialist

Practicing since :1999

Answered : 252 Questions

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Suggest treatment for arthritis pain

Brief Answer: you can take pregabalin Detailed Answer: hi, you can start taking Acetaminophen/paracetamol 500 mg upto 3 times a day scheduling it approximately every 8th hourly. you shall get benefit with this. you can also take pregabalin 75 mg once daily but have to be careful as this may decrease pain but may also increase sedation at least for first 72 hours. hope this helps.