Hi doctor,
I am a 39-year-old male. I have been diagnosed with mechanical low back pain and SI joint pain. My doctor has advised me to take Nucoxia 60 once daily for three months. Is it safe to take Nucoxia an anti-inflammatory medicine for such a long period of three months? The doctor has not prescribed any antacids. Should I take some antacid like Omeprazole with this? All blood tests LFT, KFT, and hemogram are normal. I am also taking Eltroxin 125 mg as I have had hypothyroidism for the past 10 years. Please advise on the long-term safety of Nucoxia 60.
Hi,
Welcome to icliniq.com.
You have mentioned that you have been diagnosed as a case of mechanical back pain. Since your question is specific for Nucoxia, I can tell you that Etoricoxib is actually a COX-2 inhibitor which is definitely safer than conventional NSAIDs (non steroidal anti-inflammatory drugs). But, it should not be taken continuously for a period of three months. Also, you do not necessarily need an antacid with it, because it does not cause any acidity. But, if your are prone for it then there is no harm in taking an antacid like Omeprazole or Pantoprazole along with it. What I would advise to you is to take it for three to four weeksand then switch your medicine to an opioid like Tramadol, etc., and if needed then a muscle relaxant can be added on SOS basis (as and when necessary). Also, since your diagnosis is mechanical back pain, it needs more modification in your lifestyle, gentle anti-inflammatory medication for two to three weeks, adequate calcium and vitamin D intake, and regular and intensive physical therapy. Also, I would like to see your investigations such as x-ray and MRI scans if available for more discussion on your back pain.
Thank you.
CBC, ESR and CRP
MRI films
Follow up with investigations/SOS
As advised
Regarding follow up:Follow up after 2-3 weeks/SOS
Follow with with a personal appointment for a thorough physical examination and further advice
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