Re: last question on NSAIDS

[Guest guest]

,

couldn't tolerate Aleve or Ibu. She was put on Celebrex and was

switched to Arthrotec. She takes it as needed now. Ask the Dr about Flexaril as

this helped to.

I am not keen on the Kg's so Call the Pharmasist and ask them as they would

know more.

Aleve has Naproxen in it. I think it is a mixture of stuff. can't

take Naproxen either. If the side effects are headache call the Dr. Eat

something before taking any Drug now

Let me know how she does.

Keep up with the Home remedies lololol

Robbin

[Guest guest]

Hi . Not only do they still need regular lab work on just NSAIDS, but

they have bloodwork after the 1st month on a new NSAID. When my daughter started

on Salsalate, it was at the 1 month blood check that we found out her liver

does not tolerate that med. We took her off for 3 weeks and retested and her

liver enzymes were going down. We challenged her by starting again and checked

levels at 1 week and they had already shot up higher than the first test. So,

you still need to be careful even when " just on " NSAIDS. Good luck. Kim

In a message dated 7/11/2006 1:12:38 PM Central Standard Time,

sonia1md@... writes:

lastly, do those of you who have kids just on NSAIDS have to get any

regular lab work?

Thanks again for any advice. I appreciate you guys so much!

(Aundrea almost 11 sytemic jra)

[Guest guest]

Hi . On other NSAIDS she had her blood tested every 3 months. She has

been on Feldene, Relafan, Vioxx, Voltaren, and Sulindac, besides the Salsalate.

Funny, she has never been on Naproxen. The Salsalate is the only one that gave

her trouble with her liver enzymes, though. Others gave her different

trouble. I hope Aundrea doesn't have any trouble and that she feels better soon.

Kim

In a message dated 7/11/2006 4:28:50 PM Central Standard Time,

sonia1md@... writes:

Did your rheumy ever mention how frequent he planned to due lab work

for your dtr while on NSAIDS? With mtx Aundrea was getting checked

every 6-8 weeks. Just wondered how " ongoing " monitoring of labs

works...perhaps you dont know since they ended up having to

discontinue the meds with your dtr.

Thanks again,

(aundrea almost 11 systemic jra)

[Guest guest]

:

I don't know about the dosing. But YES Aleve is Over the counter naproxen,

just in lower doses. It is was we started on with Hannah (one tab twice daily,

she weight 60 pounds, 4 a day souds high to me), before being given prescription

Naproxen. Hope this helps.

sonia1md <sonia1md@...> wrote:

Sorry to bug you all with one more question but after nearly giving my

dtr toxic amounts of tylenol due to a error on orders I just want to

double check with you guys to see if this is the right amount of aleve.

Aundrea weighs 105 lbs. so that would be 47 kg..right?

She is to take 2 aleve (220mg each) 2 times daily. So that would be a

total of 880 mg. daily. Does all this sound within the normal limits

to you?

Also is Aleve the same thing as Naproxyn? From what I read it looks

like aleve is just a name brand of naproxyn...If so, it makes me

wonder how this will go...Drea was on naproxyn 3 years ago in high

regular doses and she had the dizziness, blurred vision, and stomach

aches, significant bruising etc.. It took her awhile to develop these

side effects and I am hoping that maybe it just wont happen this time.

What would be a different type of NSAID than " naproxyn " to treat JRA?

lastly, do those of you who have kids just on NSAIDS have to get any

regular lab work?

Thanks again for any advice. I appreciate you guys so much!

(Aundrea almost 11 sytemic jra)

Beth Yohnk

Happy Thoughts..Be Well

[Guest guest]

Aleve is the name brand OTC of naproxyn. It is, according to what a

pharmacist told me, the strongest NSAID available over the counter.

Beyond that, you need a prescription, which is where Celebrex, Vioxx,

Arthrotec, etc., comes next. Yes, when was just on Celebrex at the

start, he had to have blood work done about every 3 months or so. A

little less than when they added MTX to the mix; then it was every 6 to

8 weeks. They check the liver levels I know for sure. did bruise

much easier when he was on the NSAID's. The dr really wanted to get him

off of the high doses of that I remember. He would rather he was on a

DMARD (like MTX) alone than use NSAID's so much. The longer they are on

the more risk of stomach problems as you know. Plus anything else they

can affect. Hope this helps some, Michele ( 19, spondy)

________________________________

From: [mailto: ] On

Behalf Of sonia1md

Sent: Tuesday, July 11, 2006 12:52 PM

Subject: last question on NSAIDS

Sorry to bug you all with one more question but after nearly giving my

dtr toxic amounts of tylenol due to a error on orders I just want to

double check with you guys to see if this is the right amount of aleve.

Aundrea weighs 105 lbs. so that would be 47 kg..right?

She is to take 2 aleve (220mg each) 2 times daily. So that would be a

total of 880 mg. daily. Does all this sound within the normal limits

to you?

Also is Aleve the same thing as Naproxyn? From what I read it looks

like aleve is just a name brand of naproxyn...If so, it makes me

wonder how this will go...Drea was on naproxyn 3 years ago in high

regular doses and she had the dizziness, blurred vision, and stomach

aches, significant bruising etc.. It took her awhile to develop these

side effects and I am hoping that maybe it just wont happen this time.

What would be a different type of NSAID than " naproxyn " to treat JRA?

lastly, do those of you who have kids just on NSAIDS have to get any

regular lab work?

Thanks again for any advice. I appreciate you guys so much!

(Aundrea almost 11 sytemic jra)

[Guest guest]

, I understood what you meant. I didn't think you were being insensitive

at all. My daughter had less problems from her Plaquenil than she did from

all the NSAIDS she was on. When she was on Plaquenil we didn't have to add

anything additional, except dilating her eyes every 6 months, and she didn't

have

any side effects. Kim

In a message dated 7/11/2006 5:53:44 PM Central Standard Time,

sonia1md@... writes:

By the way, in my previous posts when I said " just nsaids " I never

meant to imply that to minimize their signifcance or seriousness..I

was just not wanting monitoring results for combined treatment plans

of dmards/nsaids but rather for nsaids only...Seems like I came off

a bit insensitive though and I would never want that!

[Guest guest]

Hi . n is prescribed 500mg of naprosyn twice a day. At

the time of the prescription she weighed 104. On a side note-n

has always said that when she is having pain from a flare that

naprosyn doesn't do squat, and she won't even take the naprosyn.

She is now under control with mtx. Good luck.

On Jul 11, 2006, at 10:52 AM, sonia1md wrote:

> Sorry to bug you all with one more question but after nearly giving my

> dtr toxic amounts of tylenol due to a error on orders I just want to

> double check with you guys to see if this is the right amount of

> aleve.

>

> Aundrea weighs 105 lbs. so that would be 47 kg..right?

>

> She is to take 2 aleve (220mg each) 2 times daily. So that would be a

> total of 880 mg. daily. Does all this sound within the normal limits

> to you?

>

> Also is Aleve the same thing as Naproxyn? From what I read it looks

> like aleve is just a name brand of naproxyn...If so, it makes me

> wonder how this will go...Drea was on naproxyn 3 years ago in high

> regular doses and she had the dizziness, blurred vision, and stomach

> aches, significant bruising etc.. It took her awhile to develop these

> side effects and I am hoping that maybe it just wont happen this time.

>

> What would be a different type of NSAID than " naproxyn " to treat JRA?

>

> lastly, do those of you who have kids just on NSAIDS have to get any

> regular lab work?

>

> Thanks again for any advice. I appreciate you guys so much!

>

> (Aundrea almost 11 sytemic jra)

>

>

>

[Guest guest]

Thanks Kim...I asked my husband if the doc mentioned any lab work

and he didn't, so I wasn't sure what the protocol was. I will ask

to have the labs done in a month. We just had labs done two weeks

ago so we will have a baseline at least.

Did your rheumy ever mention how frequent he planned to due lab work

for your dtr while on NSAIDS? With mtx Aundrea was getting checked

every 6-8 weeks. Just wondered how " ongoing " monitoring of labs

works...perhaps you dont know since they ended up having to

discontinue the meds with your dtr.

Thanks again,

(aundrea almost 11 systemic jra)

>

> Hi . Not only do they still need regular lab work on just

NSAIDS, but

> they have bloodwork after the 1st month on a new NSAID. When my

daughter started

> on Salsalate, it was at the 1 month blood check that we found out

her liver

> does not tolerate that med. We took her off for 3 weeks and

retested and her

> liver enzymes were going down. We challenged her by starting again

and checked

> levels at 1 week and they had already shot up higher than the

first test. So,

> you still need to be careful even when " just on " NSAIDS. Good

luck. Kim

>

> In a message dated 7/11/2006 1:12:38 PM Central Standard Time,

> sonia1md@... writes:

> lastly, do those of you who have kids just on NSAIDS have to get

any

> regular lab work?

>

> Thanks again for any advice. I appreciate you guys so much!

>

> (Aundrea almost 11 sytemic jra)

>

>

>

[Guest guest]

Well at least the dose seems to be the right amount...(by the way

our Miss n is a pretty tiny little thing isn't she!) lol I

always assumed she must be really tall give her athletic abilities

in track..maybe I am wrong and she is petite.

Is n currently on Naproxyn and mtx..Does she have any side

effects when taking that dose of naproxyn?

I must say that Aundrea is really looking good today. Much less

joint pain/stiffness. She is pale but thats often what happens when

taking meds. We'll see how things go. Personally, I was ready to

just go straight to mtx because I know it works and I felt that we

could probably find some sort of anti-nausea med to help her.

I guess a month isn't to long to wait and see what happens.

(aundrea almost 11 systemic jra)

-- In , Price <bc.price@...> wrote:

>

> Hi . n is prescribed 500mg of naprosyn twice a day.

At

> the time of the prescription she weighed 104. On a side note-

n

> has always said that when she is having pain from a flare that

> naprosyn doesn't do squat, and she won't even take the

naprosyn.

> She is now under control with mtx. Good luck.

>

>

>

> On Jul 11, 2006, at 10:52 AM, sonia1md wrote:

>

> > Sorry to bug you all with one more question but after nearly

giving my

> > dtr toxic amounts of tylenol due to a error on orders I just

want to

> > double check with you guys to see if this is the right amount

of

> > aleve.

> >

> > Aundrea weighs 105 lbs. so that would be 47 kg..right?

> >

> > She is to take 2 aleve (220mg each) 2 times daily. So that would

be a

> > total of 880 mg. daily. Does all this sound within the normal

limits

> > to you?

> >

> > Also is Aleve the same thing as Naproxyn? From what I read it

looks

> > like aleve is just a name brand of naproxyn...If so, it makes me

> > wonder how this will go...Drea was on naproxyn 3 years ago in

high

> > regular doses and she had the dizziness, blurred vision, and

stomach

> > aches, significant bruising etc.. It took her awhile to develop

these

> > side effects and I am hoping that maybe it just wont happen this

time.

> >

> > What would be a different type of NSAID than " naproxyn " to treat

JRA?

> >

> > lastly, do those of you who have kids just on NSAIDS have to get

any

> > regular lab work?

> >

> > Thanks again for any advice. I appreciate you guys so much!

> >

> > (Aundrea almost 11 sytemic jra)

> >

> >

> >

>

>

>

>

[Guest guest]

--- Hey ,

Im glad that the rheumy got back to you and that Drea is having a

better day today.

Nick is on relafen for his NSAID, we switched just over a month ago.

I dont know if its the relafen or that his remicade infusions are

now at the right interval for him, but Nick has had his best month

ever.

He is not having any issues with the relafen dose hes on, 500mg once

a day but can take another 250mg in the evening if hes having a

tough day. I have not had to give him anymore than the 500mg. Its

working very well. Only downside is that its the size of a horse

pill!!!

Just another possiblity I wanted to let you know about if the Aleeve

doesnt work. ive been very happy with the relafen so far.

Hugs Helen and (8,systemic)

Atlanta bound in the morning!!!

In , mnmomof1@... wrote:

>

> Hi . On other NSAIDS she had her blood tested every 3 months.

She has

> been on Feldene, Relafan, Vioxx, Voltaren, and Sulindac, besides

the Salsalate.

> Funny, she has never been on Naproxen. The Salsalate is the only

one that gave

> her trouble with her liver enzymes, though. Others gave her

different

> trouble. I hope Aundrea doesn't have any trouble and that she

feels better soon. Kim

>

> In a message dated 7/11/2006 4:28:50 PM Central Standard Time,

> sonia1md@... writes:

> Did your rheumy ever mention how frequent he planned to due lab

work

> for your dtr while on NSAIDS? With mtx Aundrea was getting checked

> every 6-8 weeks. Just wondered how " ongoing " monitoring of labs

> works...perhaps you dont know since they ended up having to

> discontinue the meds with your dtr.

>

> Thanks again,

> (aundrea almost 11 systemic jra)

>

>

>

[Guest guest]

Good Grief,

Seems like the poor girl was on every NSAID ever made. Thanks again

for the info.

By the way, in my previous posts when I said " just nsaids " I never

meant to imply that to minimize their signifcance or seriousness..I

was just not wanting monitoring results for combined treatment plans

of dmards/nsaids but rather for nsaids only...Seems like I came off

a bit insensitive though and I would never want that!

Like I said before our struggles with nsaids were far greater than

with mtx and my husband said he felt safer when she was on mtx

because it seems to create greater monitoring than with nsaids..I

believe he may be right.

Anyway, thanks again you were extemely helpful.

(aundrea almost 11 systemic jra)

>

> Hi . On other NSAIDS she had her blood tested every 3 months.

She has

> been on Feldene, Relafan, Vioxx, Voltaren, and Sulindac, besides

the Salsalate.

> Funny, she has never been on Naproxen. The Salsalate is the only

one that gave

> her trouble with her liver enzymes, though. Others gave her

different

> trouble. I hope Aundrea doesn't have any trouble and that she

feels better soon. Kim

>

> In a message dated 7/11/2006 4:28:50 PM Central Standard Time,

> sonia1md@... writes:

> Did your rheumy ever mention how frequent he planned to due lab

work

> for your dtr while on NSAIDS? With mtx Aundrea was getting checked

> every 6-8 weeks. Just wondered how " ongoing " monitoring of labs

> works...perhaps you dont know since they ended up having to

> discontinue the meds with your dtr.

>

> Thanks again,

> (aundrea almost 11 systemic jra)

>

>

>

[Guest guest]

good..glad we were on the same page..sometimes with email you never

know if you might come across wrong. :-)

sonia-

-- In , mnmomof1@... wrote:

>

> , I understood what you meant. I didn't think you were being

insensitive

> at all. My daughter had less problems from her Plaquenil than she

did from

> all the NSAIDS she was on. When she was on Plaquenil we didn't

have to add

> anything additional, except dilating her eyes every 6 months, and

she didn't have

> any side effects. Kim

>

> In a message dated 7/11/2006 5:53:44 PM Central Standard Time,

> sonia1md@... writes:

> By the way, in my previous posts when I said " just nsaids " I never

> meant to imply that to minimize their signifcance or

seriousness..I

> was just not wanting monitoring results for combined treatment

plans

> of dmards/nsaids but rather for nsaids only...Seems like I came

off

> a bit insensitive though and I would never want that!

>

>

>