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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Safe To Take Nurofen Plus After A Regimen Of Prednisone For RA?

Just needing to know whether it is safe to take anti-inflammatories (Neurofen plus) after having followed a 9 day treatment of Prednisolone. for RA? Pain has continued (much lower levels) Panadeine Forte does help, but I am wondering whether Nurofen + may be able to work on the inflammation more effectively? Miriam 54...no other medication Thank you kindly
Tue, 14 Feb 2017
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Internal Medicine Specialist 's  Response
Hi Miriam,

Neurofen Plus (NSAID+Opioid combination) is relatively safe after steroid. Major concern is gastritis/peptic ulcer disease, as both ibuprofen and prednisolone can cause gastric irritation.

And yes, nurofen forte works better, but if you are prone for gastritis, better stick with Panadeine Forte as it is safer.

And regarding your arthritis, better use disease modifying drugs under care of rheumatologist, as in the long run, the disease needs to be controlled rather than just pain relief. Also long term use of analgesics is not safe.

Hope this helps.
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Is It Safe To Take Nurofen Plus After A Regimen Of Prednisone For RA?

Hi Miriam, Neurofen Plus (NSAID+Opioid combination) is relatively safe after steroid. Major concern is gastritis/peptic ulcer disease, as both ibuprofen and prednisolone can cause gastric irritation. And yes, nurofen forte works better, but if you are prone for gastritis, better stick with Panadeine Forte as it is safer. And regarding your arthritis, better use disease modifying drugs under care of rheumatologist, as in the long run, the disease needs to be controlled rather than just pain relief. Also long term use of analgesics is not safe. Hope this helps.