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

Answered by Dr. Divya Agarwal and medically reviewed by iCliniq medical review team.

 

New
Do you have a question on Ankylosing Spondylitis or Etoricoxib? We have medical experts to help you right away. Ask a Doctor Now »
 

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.


Related Questions:
Can HLA B27 positve male with ankylosing spondylitis affect his children?
Are Wysolone, HCQS, Saaz and Shelcal safe during pregnancy?
I am having pain in spine, upper back and numbness in fingers. Kindly advice.
 

Dr. Divya Agarwal
MBBS., MD MEDICINE., DNB RHEUMATOLOGY
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

 

Thank you doctor,

Shall I continue Saaz? My SGOT levels are increasing.

 

Dr. Divya Agarwal
MBBS., MD MEDICINE., DNB RHEUMATOLOGY
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

 
 
Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.

Related Questions & Answers


I have pain and numbness in hands and feet due to SPA. What to do?
Query: Hi doctor, I am suffering from SPA rheumatism and the doctor has prescribed Salazopyrin, Sulfasalazine for more than 10 years. I am not taking it continuously. Now, these days, I have pain in my hand, wrist, and my feet also have numbness.  Read Full »
Dr. Ashaq Hussain Parrey
Rheumatologist

Answer: Hello, Welcome to icliniq.com. I went through your post. You are suffering from spondyloarthropathy. However, small joint involvement like hand and feet joints are rare in SPA. You should restart Sulfasalazine 1 g morning, evening and do a C-reactive protein and ESR and preferably take Naproxin 50...  Read Full »
 
Whom should I consult for my neck pain?
Query: Hi doctor,I am a 45 year old diabetic woman. Since past two months, my right-hand thumb is paining. I am unable to hold or grip anything. From past one month, I am having pain in the neck and headache as well which is not going. Now since last week, the pain in my thumb spread to my pinky finger, ...  Read Full »
Dr. Abhinav Gupta
Diabetologist

Answer: Hi,Welcome to icliniq.com.For neck pain, maintain correct posture. Sit straight and do not use laptops and mobiles.Go for x-ray cervical spine, lateral and anteroposterior view.For thumb pain, I suggest Etoricoxib 90 mg. If the pain does not subside, then seek orthopedic consultation.Get your thyr...  Read Full »
 
What are the best exercises for ankylosing spondylitis with Andersson lesion?
Query: Dear doctor, Can you tell me which exercises are the best to do when one is having ankylosing spondylitis with an Andersson lesion apart from any outdoor exercises?  Read Full »
Dr. Palanikumar Chellamuthu
Orthopaedician And Traumatologist

Answer: Hi, Welcome to icliniq.com. You have to inform us of your age, duration of symptoms, whether you are on any medical management, the extent of your body joints and spine involvement, etc. Considering all these have been done, I would suggest you concentrate on deep breathing exercises and pranayam...  Read Full »
 
 

Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.
 

Ask a Doctor Online

* guaranteed answer within 4 hours
 

Most Viewed


Streakiness seen in X-ray of lower lung. Could this be IPF?
Hello doctor, I am a 62-year-old male. I went for a routine X-ray, and the radiologist found some streakiness in the lo ...Read more »
How can I manage headache and depression caused due to abuse?
Hello doctor, I am very much feeling depressed due to some health issues. I am having a constant headache due to abuse. ...Read more »
Meprate 10 MG Tablet - Uses, Side Effects, Substitutes, Compositions, Dosage
Meprate is a progestin (a form of progesterone), which is used as a contraceptive pill. It inhibits ovulation by inhibit ...Read more »
 
 

Also Read Answers From