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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Rheumatoid Arthritis. Taking Hydroquin, Zyloric. Liquid Accumulation In Knee. Suggestion?

Dear dr.
I am a patient oa rheaumetoid airtheritis I had experienced pain in almost all of my joints except my spinal cord I usually take HYDROQUIN ZYLORIC NUCOXIA MR / INDOCAP SR / LOFECAM 8 MG These medicines I take once a day at night and FOLITRAX 20 MG ONCE A WEEK .
there has been accumulation of liquid in my right knee and my doctor has taken it out with a syringe and injected the medicine thereafter . It is been 5 years since I m suffering from this disease can you suggest me any other medicine or exercise to relieve ny pain .kindly help. Mail me at YYYY@YYYY
Sangeeta
Tue, 9 Jul 2013
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hi, thanks for writing to HCM.
Rheumatoid arthritis (RA) is a chronic disease affecting all the synovial joints and will lead to deformities in advanced stages.
I dont understand the reason why you are taking 3 different pain killers at night (nucoxia mr, indocap sr & lofecam). These drugs will produce lot of side effects used over a period of time (I dont know since how long you have been taking them). I suggest you to stop all the pain killers mentioned above and take only paracetamol extended release tablets ( Lanol -ER) daily as this will produce far lesser side effects.
DMARD's ( Disease modifying antirheumatic drugs) form the main stay of treatment in RA. Among all the DMARD's, METHOTREXATE will produce good therapeutic effect and is fast acting also. LEFLUNAMIDE is another newer drug that works effectively for RA. Anyway, all these DMARD,s are to be taken only after consulting an orthosurgeon/ rheumatologist as they to produce lot of side effects.
Inorder to prevent deformities of joints, regular physiotherapy is a must by way of stretching and passive / active movements.
Hope this information is helpful
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Have Rheumatoid Arthritis. Taking Hydroquin, Zyloric. Liquid Accumulation In Knee. Suggestion?

Hi, thanks for writing to HCM. Rheumatoid arthritis (RA) is a chronic disease affecting all the synovial joints and will lead to deformities in advanced stages. I dont understand the reason why you are taking 3 different pain killers at night (nucoxia mr, indocap sr & lofecam). These drugs will produce lot of side effects used over a period of time (I dont know since how long you have been taking them). I suggest you to stop all the pain killers mentioned above and take only paracetamol extended release tablets ( Lanol -ER) daily as this will produce far lesser side effects. DMARD s ( Disease modifying antirheumatic drugs) form the main stay of treatment in RA. Among all the DMARD s, METHOTREXATE will produce good therapeutic effect and is fast acting also. LEFLUNAMIDE is another newer drug that works effectively for RA. Anyway, all these DMARD,s are to be taken only after consulting an orthosurgeon/ rheumatologist as they to produce lot of side effects. Inorder to prevent deformities of joints, regular physiotherapy is a must by way of stretching and passive / active movements. Hope this information is helpful