What medicine should I take for bone and joint pain? Analysis of hot topics on the Internet in the past 10 days
Bone and joint pain is a common problem that plagues middle-aged and elderly people and sports people. Recently, there has been a lot of discussion on the Internet about "what medicine to take for bone and joint pain". This article will combine the hot content of the past 10 days to sort out authoritative medication recommendations and precautions for you.
1. The top 5 medications for bone and joint pain are hotly discussed across the Internet
| Drug type | Representative medicine | Applicable symptoms | Hot discussion index |
|---|---|---|---|
| NSAIDs | Ibuprofen, diclofenac | acute pain/inflammation | ★★★★★ |
| Glucosamine | Glucosamine sulfate | cartilage repair | ★★★★☆ |
| COX-2 inhibitors | celecoxib | People with gastrointestinal sensitivities | ★★★☆☆ |
| Chinese patent medicine | Xianling Gubao Capsules | osteoporosis pain | ★★★☆☆ |
| topical patch | Flurbiprofen gel patch | Local joint swelling and pain | ★★☆☆☆ |
2. Medication Guidelines for Different Causes
1.Osteoarthritis medication
• Acetaminophen is preferred (≤3g daily)
• Switch to NSAIDs (such as loxoprofen sodium) when the effect is not good
• The recommended course of combined use of glucosamine is 3-6 months
2.Gouty arthritis medications
• Acute phase: colchicine + NSAIDs
• Chronic phase: allopurinol/febuxostat (needs to monitor uric acid)
3.Rheumatoid Arthritis Medications
• Basic medication: methotrexate
• Biological agents: TNF-α inhibitors (need to strictly follow medical advice)
3. Key points of recent expert consensus
| Suggested content | Issuing agency | Date |
|---|---|---|
| Use diclofenac with caution in patients over 65 years of age | Rheumatology Branch of Chinese Medical Association | 2023-10-15 |
| Evidence upgrade for glucosamine + chondroitin sulfate combination therapy | International Society for the Study of Osteoarthritis | 2023-10-18 |
| Recommended pain assessment tool VAS scale | National Health Commission Pain Quality Control Center | 2023-10-20 |
4. Medication precautions
1.Be wary of drug interactions
• Aspirin and ibuprofen should not be taken together
• Avoid NSAIDs in anticoagulated patients
2.Medication for special populations
• Celecoxib is contraindicated in pregnant women
• Patients with renal insufficiency need to adjust the glucosamine dose
3.Latest research trends
• On October 16, a sub-journal of The Lancet pointed out: Long-term use of NSAIDs may increase cardiovascular risk
• Domestic clinical trials on October 19th showed that the effectiveness of curcumin adjuvant treatment increased by 27%
5. Lifestyle Suggestions
1. For every 1kg of weight loss, the knee joint load is reduced by 4kg.
2. Recommend low-impact sports such as swimming and cycling
3. Supplement vitamin D 800IU daily (especially in areas with insufficient sunshine)
Summary:Medications for bone and joint pain need to be comprehensively selected based on the specific cause, age and complications. Recent hot spots show that personalized treatment and combined medication plans have become new trends. It is recommended that patients formulate medication plans under the guidance of doctors and regularly evaluate the efficacy.
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