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Suggest Medication For Ankylosing Spondylitis

Posted on Mon, 4 Jul 2016

Question: What medication should i follow for Ankylosing Spondylits?
Last time i had my blood check, the CRP(c-Reactive Protien) value was 18 mg/L (nomal should be >3.0 mg/L)

Answered by Dr. Naval Mendiratta (44 minutes later)

Brief Answer:
Ankylosing spondylitis

Detailed Answer:
good evening

thank you for writing on health care magic

Well, the treatment for Ankylosing spondylitis does depend on a few factors, on how strong of a treatment is needed. some. people have a mold variant while. others have aggressive one. I would lime to ask you a few. more queries before guiding you further:

1. any history of other joint involevement other than spine?

2. duration of morning stiffness?

3. any pains in the night while turning position?

4. any time. you had painful red eyes?

5. any history of loose stools. or blood in stools?

6. he many pain killers you take in a week?

do let me know these queries

would guide you further from here

regards
Dr naval

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Naval Mendiratta (1 hour later)

1. I think only spine is affected as I feel pain only in back and neck.

2. Morning stiffness only goes after a dose of Indocap 25mg. But stiffness doesn't vanishes completely and I cannot bend completely with the help of back.

3. Yes I feel pain while changing positions. I sleep on my stomach.

4. No painful red eyes.

5. No problem with stools.

6. I take one cap of Indocap 25mg in morning, one in afternoon. At night I take one cap of Indocap SR.

Answered by Dr. Naval Mendiratta (5 hours later)

Brief Answer:
Management of ankylosing spondylitis

Detailed Answer:
Good evening

Well, your disease does look mildly active. With the symptoms of early morning stiffness, night pains and raised CRP and considering the dose of indocap you are taking( 125 mg)

1. I would suggest you switch to Tablet Nucoxia 90 mg...Which is once a day medicine and is longer acting...

2. Include aerobic exercises in your daily routine...Swimming/Brisk walk along with some yoga. That is more beneficial than painkillers

3. If it still doesnt improve on tapering the pain killers, we can try with SUlphasalazine. It is known to work in spine affected due to ankylosing spondylitis. But for that, you will need a rheumatologist presciption.

I hope the information was useful

DO let me know for more queries

Regards
Dr Naval

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Naval Mendiratta (6 minutes later)

So I should stop Indocap and Take Nucoxia 90 mg?

Answered by Dr. Naval Mendiratta (21 hours later)

Brief Answer:
Nucoxia

Detailed Answer:
good evening

sorry for the late reply. had a long duty

well yeah you should try with Nucoxia and see if it is effective. if tolerated it is a better drug than indocap

do let me know for more queries

regards
Dr naval

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Naval Mendiratta (13 minutes later)

Thanks a lot Dr. Naval. I took a tablet today. I feel its better than Indocap.

Answered by Dr. Naval Mendiratta (21 hours later)

Brief Answer:
Further course

Detailed Answer:
good evening

well that s good.. continue it for 2 weeks.. and then reduce it to 60 mg... meanwhile seek an appointment with a rheumatologist

do let me know for. more queries

regards
Dr naval

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar