NSAIDs Worsen OA: If I Were an NSAID KOL, I'd Be Pissed...
NSAIDs May Worsen Arthritis Inflammation
/PRNewswire/ -- Taking anti-inflammatory pain relievers like ibuprofen and naproxen for osteoarthritis may worsen inflammation in the knee joint over time,...
www.prnewswire.com
"For the study, 277 participants from the Osteoarthritis Initiative cohort with moderate to severe osteoarthritis and sustained NSAID treatment for at least one year between baseline and four-year follow-up were included in the study and compared with a group of 793 control participants who were not treated with NSAIDs. All part...
Source: Student Doctor Network - November 23, 2022 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
NSAIDs
Wondering what’s peoples go to NSAID for patients, why do you like it, assuming they have tried ibuprofen and naproxen already. Or do most people find trying a different NSAID typically doesn’t help many people. (Source: Student Doctor Network)
Source: Student Doctor Network - November 30, 2020 Category: Universities & Medical Training Authors: dipriMAN Tags: Pain Medicine Source Type: forums
Tension PTX
You've done a bowel case for a perfed DU in an otherwise young healthy guy who took too much naproxen...
At the end of the case, you put in a triple lumen with ultrasound, but still manage to get a little hole in the pleura...
Patient extubated and in PACU, develops shortness of breath... can anyone walk me through the physiology of how this patient could develop a tension PTX if he's spontaneously breathing and not positive pressure ventilated... ?
[URL...
Tension PTX (Source: Student Doctor Network)
Source: Student Doctor Network - July 23, 2019 Category: Universities & Medical Training Authors: CodeBlu Tags: Anesthesiology Source Type: forums
Multiple questions regarding pharmacist practice
Hey guys. Warning beforehand. These are some questions I came across over the past few months. It’s going to be long, and I’m a newbie—an overthinking one especially! so if it seems dumb to you, please don’t waste your time. I thank u all in advance for any help!
1) when i get rxs for like naproxen or ibuprofen and the pt is already on aspirin 81, i never call lol. I call on class D and x interactions. Lexi shows this interaction as D-consider modification for aspirin w/nsaid but i never...
Multiple questions regarding pharmacist practice (Source: Student Doctor Network)
Source: Student Doctor Network - February 14, 2018 Category: Universities & Medical Training Authors: MARX22 Source Type: forums
Exam Room 2: "I'll swallow this whole bottle of Aleve unless you RX."
38 yo male with cervicalgia and headaches status post ACDF C4-C5; C5-C6 cervical fusion X 2. PCP stopped opioid RX'ing "due to changes in the law." Wife reports that patient is burning through 1 bottle of Aleve every 3 days (8-12 tablets per day). Botox done elsewhere not effective. Occ NB's done elsewhere not effective. Ditto for dryineedling, acupuncture, Reiki, TPI's. Previously tolerant to oxy 60 mg QD and Soma TID.
What's your next move? (Source: Student Doctor Network)
Source: Student Doctor Network - January 23, 2018 Category: Universities & Medical Training Authors: drusso Source Type: forums
Referral: Medicaid, Fibro, EDS, PTSD...
30 year old female on disability with 3 kids: OXY/APAP 10/325 four QD, Mobic 15 mg, Lyrica 300 mg BID, OTC Aleve, & Seroquel QHS.
What's your next move...
View attachment 215823 (Source: Student Doctor Network)
Source: Student Doctor Network - March 7, 2017 Category: Universities & Medical Training Authors: drusso Source Type: forums
NSAIDs inhibit ovulation
I think this is worth posting in the Pregnancy forum, as people with CF are often put on a regimen of Ibuprofen. It was not one of the three NSAIDs tested, but it's perhaps relevant nonetheless, especially at the CF dose. And even for CFers not trying to conceive, this may help understand your cycle and it's relationship to your meds (as well as things like weight, stress, and infection).
http://www.medscape.com/viewarticle/846552
"The women were assigned to one of four treatment regimens: diclofenac 100 mg/day, naproxen 500 mg twice daily, etoricoxib 90 mg/day, or placebo.... 'All control patients on placebo ovul...
Source: Cystic Fibrosis Pregnancy Forum - November 17, 2015 Category: Respiratory Medicine Authors: Melissa75 Tags: Pregnancy Source Type: forums
Chronic pain, opiates, and working?
I have a unique situation being that I'm 28 years old and suffering from chronic pain. I have confirmed bulging discs in my neck with bone spurs, degenerative disc disease, torn right hip labrum, post-op for left hip labral tear, and hypermobility syndrome. If you've never torn your hip labrum, it can be incredibly painful and disabling. It has made me couch-bound for the past few years. I could barely walk around to even do the household chores :(
I've had two surgeries on my hips, and will be needing another one in a few months. I have been going through this for the past 4 years, so I'm hoping this is the last h...
Source: Student Doctor Network Forums - February 9, 2013 Category: Universities & Medical Training Authors: chibipinkneko Tags: Pharmacy Source Type: forums
