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Q. I am suffering from ankylosing spondylitis. Kindly suggest new medications.

Answered by
Dr. Divya Agarwal
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 28, 2018 and last reviewed on: Oct 09, 2018

Hello doctor,

I am suffering from ankylosing spondylitis (HLA B27 positive and Rh factor negative) since 10 years, now on Saaz-DS, SI joints are fused. Movement restrictions of neck, forward bending and morning stiffness with sciatica. Kindly suggest the new medications and NSAIDs. I have attached HLA B27 with recent blood reports.

Dr. Divya Agarwal

Rheumatology
#

Hello,

Welcome to icliniq.com.

The NSAIDs you can take are Etoricoxib 90 mg once daily or Diclofenac 75 mg twice daily. You can try this out and see which one helps more. Once your pain is controlled, you can try to reduce the dose to alternate days or even lesser depending on your pain.

Folic acid supplementation at 5 mg daily and vitamin D supplementation at 60K weekly for two months and then monthly should also continue.

Please do regular physical exercises.

For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist


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Thank you doctor,

Shall I continue Saaz? My SGOT levels are increasing.

Dr. Divya Agarwal

Rheumatology
#

Hello,

Welcome back to icliniq.com.

I suggest you continue for the time being. However, the liver test may be repeated every four to six weeks. If the range is not crossing twice the upper limit of normal, then we can consider continuing the drug.

For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist


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