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Dr. Andrew Rynne

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Reflux Attack, Have Degenerative Spinal Condition. Was On Meloxicam. Prescribed Naproxen And Buprenorphine. Which Would Be Better Option?

I have been taken off Meloxicam 15mg daily today, and prescribed Naproxen 4x250mg daily. Some while ago I suffered a serious reflux attack and am taking 15mg of Lanzaprazole ever since. My GP suggests increasing to 30mg because of the Naproxen. I fear Naproxen must be bad for me if such a change is needed.. You may need to know that I am on Buprenorphine 20mg/per hour patches . I have a degenerative spine condition and have twice had spinal surgery. Paul Benson, 64 years of age.
Thu, 7 Nov 2013
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Neurologist 's  Response
Hi,
Thank you for posting your query.

It is unfortunate that you have severe pain, requiring naproxen, and you are developing side effects due to naproxen.

In your case, etoricoxib may be a better option to relieve the musculoskeletal pain, as it does not cause severe gastrointestinal side effects.

If you have nerve pain, then, pregabalin or gabapentin would be better alternatives.

I hope it helps. Please get back if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

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Reflux Attack, Have Degenerative Spinal Condition. Was On Meloxicam. Prescribed Naproxen And Buprenorphine. Which Would Be Better Option?

Hi, Thank you for posting your query. It is unfortunate that you have severe pain, requiring naproxen, and you are developing side effects due to naproxen. In your case, etoricoxib may be a better option to relieve the musculoskeletal pain, as it does not cause severe gastrointestinal side effects. If you have nerve pain, then, pregabalin or gabapentin would be better alternatives. I hope it helps. Please get back if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, India Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in