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Suggest Anti-inflammatory Medication While Suffering With Arthritis
Question: After trying several different anti-inflammatory meds with GI side effects, I was able to tolerate the brand name Cataflam which I took for about 20 yrs. for arthritis (and I also have spinal stenosis). The brand name Cataflam was d/c about a yr ago. A local compounding pharmacy has made capsules of diclofenac for me however it causes reflux and I must take Prilosec (daily) to tolerate it. Because of the side effects that can cause, I would like something else. Do you know of another med that I might tolerate? I believe Cataflam is diclofenac potassium.
Brief Answer:
naproxen, ibuprofen, arcoxia, ketoprofen, meloxicam
Detailed Answer:
HI, thanks for using healthcare magic
This family of medications is called NSAIDs.
Other members of this family are: ibuprofen, naproxen, ketoprofen, indomethacin, arcoxia (etoricoxib),meloxicam.
As you stated , cataflam is diclofenac potassium. There is also diclofenac sodium, which is voltaren.
Arcoxia and celebrex are different from the other NSAIDs, they are not supposed to affect the stomach as much as the other NSAIDs because of the way that they work so you can try one of these or one of the other general NSAIDs to see if you react differently
Always use an NSAID with a meal or fluid so that the stomach is coated at the time. This reduces the GI effects.
You can also consider looking at your diet to see if there are any foods present that may also cause reflux and therefore worsen the effect of these medications
This would include spicy, acidic or fatty/fried foods.
I hope this helps, feel free to ask any other questions
naproxen, ibuprofen, arcoxia, ketoprofen, meloxicam
Detailed Answer:
HI, thanks for using healthcare magic
This family of medications is called NSAIDs.
Other members of this family are: ibuprofen, naproxen, ketoprofen, indomethacin, arcoxia (etoricoxib),meloxicam.
As you stated , cataflam is diclofenac potassium. There is also diclofenac sodium, which is voltaren.
Arcoxia and celebrex are different from the other NSAIDs, they are not supposed to affect the stomach as much as the other NSAIDs because of the way that they work so you can try one of these or one of the other general NSAIDs to see if you react differently
Always use an NSAID with a meal or fluid so that the stomach is coated at the time. This reduces the GI effects.
You can also consider looking at your diet to see if there are any foods present that may also cause reflux and therefore worsen the effect of these medications
This would include spicy, acidic or fatty/fried foods.
I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Naproxen is another I have already tried. Celebrex did not help. I have not tried regular Ibuprofen as a long-term (daily) solution. Do you feel that is "safer" than the other NSAIDS such as Cataflam?
I did look up your other suggestions on-line:
said Arcoxia is not available in the US.
Perhaps it might be best if I ask a pharmacist whether Ketoprofen or Meloxicam might be closest to Cataflam? Voltaren caused stomach upset.
In looking at your suggestions on line I also ran across Zipsor. Any familiarity with that one? You also mentioned the reflux may be due to food. I never had it until I changed to the straight diclofenac capsules. My diet has not changed.
I did look up your other suggestions on-line:
said Arcoxia is not available in the US.
Perhaps it might be best if I ask a pharmacist whether Ketoprofen or Meloxicam might be closest to Cataflam? Voltaren caused stomach upset.
In looking at your suggestions on line I also ran across Zipsor. Any familiarity with that one? You also mentioned the reflux may be due to food. I never had it until I changed to the straight diclofenac capsules. My diet has not changed.
Brief Answer:
ibuprofen considered low risk, zipsor is essentially same as cataflam
Detailed Answer:
HI
Sorry about the delayed reply
You may tolerate the ibuprofen better but unfortunately it is not possible to predict whether you would be able to take it consistently or if it would cause you problems. It is thought to have a lower risk compared to the others however.
Zipsor is diclofenac potassium , which means it has the same basic formulation as cataflam. There may be slight differences if the manufacturer is not the same as cataflam.
Your can consider trying this or the ibuprofen to see if either can be tolerated.
Diclofenac, naproxen and indomethacin have an intermediate risk.
Please feel free to ask anything else
ibuprofen considered low risk, zipsor is essentially same as cataflam
Detailed Answer:
HI
Sorry about the delayed reply
You may tolerate the ibuprofen better but unfortunately it is not possible to predict whether you would be able to take it consistently or if it would cause you problems. It is thought to have a lower risk compared to the others however.
Zipsor is diclofenac potassium , which means it has the same basic formulation as cataflam. There may be slight differences if the manufacturer is not the same as cataflam.
Your can consider trying this or the ibuprofen to see if either can be tolerated.
Diclofenac, naproxen and indomethacin have an intermediate risk.
Please feel free to ask anything else
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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