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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can you suggest me what medicines to take for rheumatoid arthritis chronic problem?

sir,
can u suggest me what medicines to take in the case of rheumatoid arthirities chronic problem of say 12 years previously i have also gone for arthoscopy synovectomy about 6 yrs ago in left knee everything was fine then now i am having severe pain in mostly all of my joints i am taking nice painkiller to come out of pain .I want your advice i stay in agartala if u have any remedy for me reply i will consult u privately in the chamber




sir how i will pay u
Mon, 29 Apr 2013
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Internal Medicine Specialist 's  Response
Hi
At first I am to say that there is no cure of rheumatoid arthritis.The main aim of treatment is is to reduce joint inflammation and pain, maximize joint function, and prevent joint destruction and deformity.Optimal treatment for the disease involves a combination of medications, rest, joint-strengthening exercises, joint protection, and patient (and family) education.Two classes of medications are used in treating rheumatoid arthritis: fast-acting "first-line drugs" which includes Nonsteroidal Analgesics like Acetylsalicylate (aspirin), naproxen (Naprosyn), ibuprofen , and etodolac etc., and Cortcosteroids like Prednisolone, Methylprednisolone etc., and slow-acting "second-line drugs" (also referred to as disease-modifying antirheumatic drugs or DMARDs), such as methotrexate , and hydroxychloroquine etc., promote disease remission and prevent progressive joint destruction.Newer "second-line" drugs (DMARDs) for the treatment of rheumatoid arthritis include leflunomide and the "biologic" medications etanercept , infliximab, etc., You had Synovectomy which helps to reduce joint destruction if done early. You are taking Nise (Nimesulide) tablet to reduce pain, but Nimesulide is banned by FDA. As a Doctor I cannot advise you any medication at present without seeing and examination and necessary investigations are needed to asses the severity of the illness to write a prescription as treatment is to be individualised. If want you can email me at drmrsing@sify.com stating details of your illness and recent investigation reports .
Regards
Ranjit
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