Don't be bummed. YES they are NSAIDS BUT they are very slow release most of the med goes directly to the joint NOT the blood stream, so while they MAY have the same effect as oral, the usually don't (Remember most drug literature is CYA based on VERY low statistical occurrence) Make a LIST of the NSAIDS that have given you the most problems and those that have given you the least and spend a few minutes with a good pharmacist (he won't be at walgreens) There are at least two types of NSAIDS that are absorbed and used differently.
There are other options as well: Medications such as diclofenac, naproxen, ibuprofen, piroxicam, and other NSAIDs can be made into a treatment cream by an experienced compounding pharmacist, but you need a prescription from your doctor. If these are problem then there are salicylates (aspirin related) that can be made into creams as well. A good compounder can even add capsaicin which some studie have shown a 57% reduction in pain with a months uses. There are a number of recepies available. There are some actual Rx creams of this nature, but they have been in short supply, and some insurance companies have opted to reject because of some duplication of ingredients, so custom compounding (which is what pharmacists are actually trained to do) is a great option. A good one will customize for you. Before flector I had one with lidocaine, s and capiscan in it (lots of capiscan) I had to quit using because I put on 40# being unable to pass a mexican restraunt because of the capiscan. Don't give up?.... BTW community Clinics are a great resource as they are loathe to give out Opiads so really know the Alternatives.
Here a burst is 20mg of predi every morning for 4 days (at least 3 weeks apart) as necessary (increased pain levels) no ramp and no taper
Thx - worth a try for sure.
tntlamb said:
Don't be bummed. YES they are NSAIDS BUT they are very slow release most of the med goes directly to the joint NOT the blood stream, so while they MAY have the same effect as oral, the usually don't (Remember most drug literature is CYA based on VERY low statistical occurrence) Make a LIST of the NSAIDS that have given you the most problems and those that have given you the least and spend a few minutes with a good pharmacist (he won't be at walgreens) There are at least two types of NSAIDS that are absorbed and used differently.
There are other options as well: Medications such as diclofenac, naproxen, ibuprofen, piroxicam, and other NSAIDs can be made into a treatment cream by an experienced compounding pharmacist, but you need a prescription from your doctor. If these are problem then there are salicylates (aspirin related) that can be made into creams as well. A good compounder can even add capsaicin which some studie have shown a 57% reduction in pain with a months uses. There are a number of recepies available. There are some actual Rx creams of this nature, but they have been in short supply, and some insurance companies have opted to reject because of some duplication of ingredients, so custom compounding (which is what pharmacists are actually trained to do) is a great option. A good one will customize for you. Before flector I had one with lidocaine, s and capiscan in it (lots of capiscan) I had to quit using because I put on 40# being unable to pass a mexican restraunt because of the capiscan. Don't give up?.... BTW community Clinics are a great resource as they are loathe to give out Opiads so really know the Alternatives.
Here a burst is 20mg of predi every morning for 4 days (at least 3 weeks apart) as necessary (increased pain levels) no ramp and no taper
Oh about the sed rate thing. None of the docs I'm with use it around here as they think its pretty unreliable for DIAGNOSES. They use the CRP instead, but again usually only to measure the POSSIBLE effect of treatment. A decrease in levels MAY indicate a that the drugs are using. The sed rate is cheap and usually is done in conjunction with a blood count abnormality in eight WBC or RBC can be helpful to the Rheumys. Of course they are ALL different.