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Sunday, March 22, 2015

Medications

There are 5 different categories of medications that aybe prescribed or suggested by Rheumatologists to assist in the management of Ankylosing Spondylitis (AS):

  • Non-Steriod Anti-inflammatory Drugs (NSAIDs) - Ibuprofen, Naproxen, Diclofenicac (eg Voltaren), Indomethacin,  Piroxicam, Sulindac & Celecoxib.
  • Disease Modifing Anti-Rheumatic Drugs (DMARDs) Traditional Non-Biological Methotrexate & Sulfasalazine.
  • DMARDs Biological/TNF blockers - Adalimumab, Etanercept, Golimumab & Infliximab.
  • Steriods/Corticosteroids - Prednisone, Prednisolone & Triamcinolone. 
  • Analgesic - Paracetamol, Opiod Analgesics (contains codeine), Tramadol & Morphine

NSAIDs & Steroids are used to reduce inflammation. While Steroids are strong and generally used for short term treatments, NSAIDs are more used for a longet term, though can have side affects.

DMARDs work on the autoimmune system rather then directly on the inflammation. The TNF Blocker DMARDs work better then the Traditional, for spinal specific inflammation.  

Analgesics are used only for pain relief, because they have no anti-inflammatory effects.

Always consult with your Rheumatologist or General Practitioner regarding drugs and supplements to manage your AS or other medical conditions.