anti inflammatories so confused

I am still having major back pain.  Went to my primary today and she suggested Celebrex.  She said I need an anti inflammatory along with a muscle relaxer.  I always avoid them with UC because I though we can't take them. 

I called my GI and he made me nervous about taking it too.  He said if it's a short course like 3 to 5 days ..hopefully you would not have a flare of UC because of it.  He said I'll keep my fingers crossed that it will work and you have no issues.

What are we supposed to use in our case?  I usually just suffer through it but it's been 2 weeks and driving is so painful.  I cannot take care of my kids or do houswork the way I normally do.  I need to heal asap.

What the heck to do???

 

For my back pain I take Tylenol Arthritis. It helps a bit.

i can also second Voltaren gel. this stuff is amazing and we currently have 6 tubes of it in my house because everyone uses it. ever since UC diagnosis, i have had a lot of joint pains and also chest inflammation. i just rub this on my skin and it helps so much. it doesn't go through the digestive system which i think is the main problem with nsaids. depending on how often you use it, one tube can last for a while. i would use it once per day and you only need a small amount because it spreads very easily.

also, it works for any random injuries. i hit my arm on a bunch of metal baking sheets and felt like my bicep was gonna explode. i thought about going for an xray but just decided to use Voltaren. before i used it, i couldn't straight out my elbow. within an hour, my arm was feeling so much better.

Thanks everyone.  I am doing all I can.  Chiro, PT, muscle relaxers, now I added Lidocaine patch today..barely doing anything.  I also am taking magnesiium.   Oh and I'm definately up and about.  Mom of 2 you can't like down much.  I try to do my exercises in between things.  Especially if the spasms get bad.  Also dealing with a child on the spectrum who tantrums is making it rough.

I still haven't tried the Celebrex but I think I have to soon.  My GI said a short course 3 to 5 days and hopefully it won't cause issues. 

Anyone else try it and have it work with no ill effects?

I am just starting to see almost no bleeding so I'm afraid.  But this is 2 weeks already and I have things planned long ago for this coming weekend.

 

In my case, only abortive that works with my migraine is a NSAID. Now I have reached to a point that if I use any OTC NSAID (i.e. Aspirin, Voltaren, Advil, Aleve), I start bleeding profusely within 4 hours and then I am on Pred course. I have tried MANY triptans but all failed.

My Neuro suggested me Celebrex but I was shocked to know the cost of this.

My great PCP gave me Rx for Nabumetone 750mg and life has been good for almost a year now :) Why don't you give a try to Nabumetone before going for this big gun (aka deep hole in your pocket)?

I started it today at 200mg. Also had another PT session and they put me in traction. Feel slightly better. Will try for maybe 5 days and see what happens. Took med with a lot of food as doc suggested. Thanks for your input

@ kloe,
Do you know rationale behind taking Omez before Naproxen?

deltaforce said...
@ kloe,
Do you know rationale behind taking Omez before Naproxen?

See article below. I don't think there is any evidence to support its effectiveness in people with IBD but if you're going to take an NSAID anyway, it probably wouldn't hurt to try.




Use of Omeprazole With NSAID Could Prevent Ulceration
: Presented at ACG

By Danny Kucharsky

PHILADELPHIA, PA -- October 23, 2007 -- The risk of gastroduodenal ulceration associated with nonsteroidal anti-inflammatory drugs (NSAIDs) can be reduced by 75% in healthy individuals aged 50 to 75 years if they take proton pump inhibitor (PPI) omeprazole 20 mg daily for 1 week, according to a randomised, double-blind, placebo-controlled study.

Gastroduodenal complications of NSAIDs are a significant cause or morbidity and limit patient compliance with NSAIDs even during short-term treatment, noted study investigators Lawrence Cohen, MD, Associate Clinical Professor of Medicine/ Gastroenterologist, Mount Sinai Hospital, New York, New York, United States.

Because of cardiovascular concerns regarding COX-2 selective NSAIDs, focus has been put on nonselective NSAIDs, such as naproxen, he said during his presentation here on October 14 at the American College of Gastroenterology (ACG) Annual Scientific Meeting. However, the benefits of short-term proton pump inhibition in otherwise healthy older individuals are unproven.

The study's primary endpoint was the incidence of endoscopic ulceration (erosions or ulcerations) at endoscopy.

Patients in the single-site study had not used an NSAIDs in the previous 2 weeks or a PPI in the previous 60 days. All 70 patients received naproxen 500 mg twice daily for 6.5 days and were randomised to omeprazole 20 mg daily (n=35) or placebo (n=35). Patient demographics were similar in both groups.

Overall, 66 patients completed the study. Fewer patients in the naproxen plus omeprazole group developed gastroduodenal ulceration compared with the naproxen plus placebo group (11.8% vs 46.9%, RR =.25, P =.002).

Naproxen plus omeprazole patients also experienced less NSAID-induced dyspepsia, especially non-pain symptoms such as bloating, than those taking naproxen plus placebo.

Dr. Cohen said the results of the study are similar to those of a previously reported study that showed reduced NSAID-induced ulceration associated with PPIs when used for secondary prevention by arthritis patients.

The researchers concluded that coadministration of a PPI in relatively healthy patients aged 50 to 75 requiring short-term non-specific NSAID therapy may be worthwhile.

The study was supported by Pfizer.

[Presentation title: Primary Prevention by Omeprazole 20 mg Daily of the Adverse Gastrointestinal Effects of Short-Term Non-Steroidal Anti-Inflammatory Drug Use in Healthy Subjects: A Randomized, Double-Blind, Placebo-Controlled Study. Abstract 32]