OSTEOARTHRITIS Flashcards
T/FTreatment of DJD improves pain and reverses damage to joint
False, improves pain but does not reverse damage
What are non pharmacological tx for DJD?
weight loss
exercise
patient education
What are drugs for tx of DJD?
NSAIDS
acetaminophen, tramadol, doluxetine
corticosteroid injections
If patient is at risk for GI bleed, what do you use?
celecoxib - COX 2 I
H2 antagonist or a proton pump inhibitor like misoprostol
Why is exercise helpful in DJD?
nutrient supply to joint is dependent upon movement
When should you use corticosteroid injections?
patients failing tx with NSAIDS or acetaminophen, tramadol
-acute flares
How many steroid injections should you limit yourself to?
no more than 2 injections per joint per year
What is the benefit of using HA injections?
it provides additional pain control
What is 1st line tx fo DJD?
acetaminophen 4 mg BID daily
What is 2nd line tx for DJD?
topical NSAID patches
-provides localized pain relief and prevents GI effects
Who benefits from NSAID patches?
people over 75
-ketoprofen most commonly used
What is 3rd line tx?
celecoxib, COX 2 inhibitor
What are other therapies?
Tramadol
Duloxetine: as add on therapy
what is alternative 1st line tx for DJD?
corticosteroid injections for knee and hip
T/F Acetaminophen is less effective than NSAID’s but it has less GI risks
TRUE
