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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Indocin A Good Alternative Of Vicadin?

Is Indocin a possible alternative for Vicadin? I have sleep apnea. The warnings are clear. When I was 30 (I m 63 now) I had a bout with Reiter s syndrome and the pain was terrible. My Dr. tried Indocin and it worked like magic. I had forgotten about that. Recently I have been diagnosed with Rheumatoid Arthritis. The pain is very disturbing and i v been gaining weight.
Mon, 17 Oct 2016
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Anesthesiologist,  's  Response
Hello,

I understand your concern. In your case, switching to Indocin would not be recommended. Indocin (Indomethacin) is a non steroidal anti inflammatory drug used for mild to moderate pain in inflammatory diseases such as arthritis. However, it has a long list of side effects, among which weight gain.
Vicodin, on the other hand, being a combination of Tylenol and an opioid carries the risk of addiction. But this drug is more suitable for moderate to severe pain, nevertheless, only recommended for short term use.
Treatment and pain management of Rheumatoid Arthritis includes an array of alternatives that you and your doctor together have the possibility of finding and choosing what works best for you.
Non-steroidal anti inflammatory (NSAID) drugs such as naproxen, ibuprofen and celecoxib are good long term pain management alternatives. Topical medication such as NSAID and lidocaine creams are very good alternatives, with fewer side effects. Heat and cold patches are also proven to be effective in reducing pain in rheumatoid arthritis.

Wishing you good health and all the best.
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Is Indocin A Good Alternative Of Vicadin?

Hello, I understand your concern. In your case, switching to Indocin would not be recommended. Indocin (Indomethacin) is a non steroidal anti inflammatory drug used for mild to moderate pain in inflammatory diseases such as arthritis. However, it has a long list of side effects, among which weight gain. Vicodin, on the other hand, being a combination of Tylenol and an opioid carries the risk of addiction. But this drug is more suitable for moderate to severe pain, nevertheless, only recommended for short term use. Treatment and pain management of Rheumatoid Arthritis includes an array of alternatives that you and your doctor together have the possibility of finding and choosing what works best for you. Non-steroidal anti inflammatory (NSAID) drugs such as naproxen, ibuprofen and celecoxib are good long term pain management alternatives. Topical medication such as NSAID and lidocaine creams are very good alternatives, with fewer side effects. Heat and cold patches are also proven to be effective in reducing pain in rheumatoid arthritis. Wishing you good health and all the best.