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Re: Thoughts on Ibuprofen for arthritic pain + doses » jono_in_adelaide

Posted by ed_uk2010 on December 10, 2013, at 14:38:58

In reply to Re: Thoughts on Ibuprofen for arthritic pain + doses, posted by jono_in_adelaide on December 9, 2013, at 20:15:40

Hi Phillipa,

I suggest the same as Jono, but the naproxen dose won't necessarily need to be 500mg twice a day. 250mg two or three times a day can work well for some people. If the pain is bad, you can take 500mg twice a day intially and then reduce (if possible) down to the lowest dose which is effective for you.

....and yes, you should also take omeprazole or a related drug to protect your stomach. The risk of bleeding into the stomach is increased by SSRIs, and pts over 60 should always taken a gastro-protective to prevent this.

Caution with naproxen in asthma, established cardiovascular disease, kidney impairment and history of peptic ulcers.

Naproxen starts to relieve pain after a few hours, but the full anti-inflammatory effect in arthritis may take a couple of weeks. If it has not helped after this time, it must be stopped, in which case you can try something else.

 

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