Image description: A bottle of Ibuprofen containing 1000 tablets.
(Originally published earlier today on mastodon.social)
this post was submitted on 02 Mar 2024
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Sure, NSAIDS are great, but 99.9% of RA patients still shouldn't need 1000 tablets of half strength Ibuprofen if they are actually seeing their rheumatologist. We usually use coxibs for prolonged therapy supplementing with paracetamole or paracetamole codeine as needed. Most of the time pain control is achieved quickly via steroids and we generally recommend patients to try and avoid NSAIDS once they are started on steroids.
200mg is standard dose in the US. 400mg or more requires prescription. Common Rx are 800 and 1000 mg. However, people are not stupid and just take more than one if they need a bigger kick, just watch out for the side effects and avoid frequent use.
Not all of us have 100k lying around 😔
Yea, thats the one problem with RA we have, in fact, solved in the EU. 🤷🏻♂️
... and are American where the healthcare is mercenary
Nice to know I'm the 0.1% of some club. Wish it wasn't this one.
Prednisone helped out immensely, but that's a deal with the devil... Gonna pay for that if I stayed on it. Methotrexate was decent, but it would knock me on my butt and make me unreasonably short tempered the day after taking it (and that was splitting the dose up overnight). Biologics (Humira, Enbrel, Cimzia, Simponi Aria infusions) all worked for nine months, then I'd start flaring up after each dose. Rheum said my immune system was building up antibodies against the biologic proteins, and confirmed via one test (Enbrel, if I remember right, but I could be wrong).
On Rinvoq now. Does the job most days, but I'll still flare up once every couple months. Ibuprofen helps on those days. After seeing painkillers blow out my aunt's kidneys, I'm happy to stay off the ibuprofen as much as I can.