Osteoarthritis Flashcards
1
Q
mx of osteoarthritis?
A
all: weight loss, local muscle strengthening exercises, general aerobic fitness
first-line analgesia: paracetamol + TOPICAL NSAIDs (only if OA of knee or hand)
second-line: oral NSAIDs/COX-2, opioids, capsaicin, intra-articular steroids
2
Q
what should be co-prescribed with NSAIDs and COX-2 inhibitors?
A
PPI
3
Q
when should NSAIDs and COX-2 inhibitors be avoided?
A
if pt takes aspirin
4
Q
non-pharm tx for OA?
A
supports and braces
TENS
shock-absorbing insoles or shoes
5
Q
what if conservative methods fail in OA mx?
A
consider joint replacement
6
Q
what’s glucosamine?
A
normal constituent of glycosaminoglycans in cartilage and synovial fluid
7
Q
role of glucosamine in OA mx?
A
modest pain relief in knee OA but shouldn’t be prescribed due to limited cost efficacy
