Kindly suggest new medications for ankylosing spondylitis.

Question

Hello doctor,

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

Answer 1

Hello,

Welcome to icliniq.com.

The NSAIDs you can take are Etoricoxib 90 mg once daily orDiclofenac75 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.

Thank you.

For more information consult a rheumatologist online

Answer 2

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.

Thank you.