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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed Rheumatoid Arthritis, Prescribed Meloxicam. Have Gastrointestinal Problem. Any Supplement Substitute?

I have a back problem . My Doctor is said it is a rheumatoid arthritis.He gave me to take medication one of them is meloxicam 15mg. I hate pills . I take only supplements. I have a Gastrointestinal problem. And these pills make it worse. My question: is it a supplement substitute for these pills with horrible said effects????????






Mon, 19 Aug 2013
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General & Family Physician,  's  Response
Hello,
Welcome to Healthcaremagic.

Currently treatment for Rheumatoid arthritis aims at reducing the inflammation and symptoms and modifying the disease that help in remission and slowing the progression.

For these NSAIDS and DMARDS ( Disease modifying anti rheumatic agents ) as well as biologic agents are used.

Meloxicam is an NSAID and Better add some DMARDS like Methotrexate or Hydroxychloroquine etc..
All NSAIDS are prone to cause gastritis as it inhibit an enzyme called Cyclooxygenase.

Along with meloxicam you have to proton pump inhibitors like pantoprazole or omeprazole.
You can switch over to selective Cox-2 inhibitor like celecoxib or etoricoxib if you do not have any cardiovascular risks.
Selective COx-2 Inhibitors decrease the risk of gastritis compared to other NSAIDS.

In general, Moderate physical activity is essential in Rheumatoid arthritis.
It strengthen muscles and thus reduce stress on joint.
It also help in weight control

Hope this helps.
Take care.

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General & Family Physician,  Dr. Jose Ignacio Artero Munoz's  Response
For Rheumatoid Arthritis is necessary that you take anti-inflammatory drugs.
There are antiinflammatories latest generation called "coxibs" for example celecoxib or etoricoxib.These drugs relieve your pain and dont cause gastric side effects.I wish you good health.
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Diagnosed Rheumatoid Arthritis, Prescribed Meloxicam. Have Gastrointestinal Problem. Any Supplement Substitute?

Hello, Welcome to Healthcaremagic. Currently treatment for Rheumatoid arthritis aims at reducing the inflammation and symptoms and modifying the disease that help in remission and slowing the progression. For these NSAIDS and DMARDS ( Disease modifying anti rheumatic agents ) as well as biologic agents are used. Meloxicam is an NSAID and Better add some DMARDS like Methotrexate or Hydroxychloroquine etc.. All NSAIDS are prone to cause gastritis as it inhibit an enzyme called Cyclooxygenase. Along with meloxicam you have to proton pump inhibitors like pantoprazole or omeprazole. You can switch over to selective Cox-2 inhibitor like celecoxib or etoricoxib if you do not have any cardiovascular risks. Selective COx-2 Inhibitors decrease the risk of gastritis compared to other NSAIDS. In general, Moderate physical activity is essential in Rheumatoid arthritis. It strengthen muscles and thus reduce stress on joint. It also help in weight control Hope this helps. Take care.