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RE: Reducing Vioxx

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Janet,

The research is clear that for some people there is a dose related increase

in hypertension with Vioxx. If you haven't tried Bextra yet, the newest of the

2's, which has been out over a year now, it may be worth asking your MD

about. Blood pressure increases with Bextra are not as common and its very

specific for the 2 enzyme.

Hope this helps,

Dave in NC

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Hi to all at RISG

Re janet's email

I was taking Vioxx for six months or so during 2002. I have never had

blood pressure problems but I was feeling really lousy one day (not

normal AS feelings) and went to see my doctor. She took my blood

pressure and almost had a fit. She ordered me off work and told me to

come back next day. The blood pressure was still high. She sent me to

the cardiac unit at the local hospital and I had a monitoring unit

fitted for 24 hours or so, which was great fun. Everyone was puzzled

because I've never had blood pressure problems. She decided to inform

my Rheumy about the problems and he phoned me and said I was to

discontinue the Vioxx. I am now taking Celebrex. Sometimes it is a

matter of finding (approximating) our way towards a drug that might work

with me or you but perhaps not with other people. I don't know how you

are managing on a reduced dose of Vioxx. I sometimes wish I could have

Indomethacin again but I am now prohibited from having that. In the

UK's National Health Service - something I do support- it is difficult

to get anti-tnf treatment because of the cost. So, I take Celebrex -

until that raises some problems - Tramadol, Dothiepin (I don't know what

this is called in US) an anti-depressant that is used to relax muscles

and help with sleep at night, Omeprazole (Losec). Isn't it odd, despite

the claims of 2, that I still have to take Omeprazole on a regular

basis. I would like to know if anyone else has to do the same.

Many regards and apologies for not writing of late,

in London

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Dear Janet,

I had to eliminate Arava which I took at night for pain and stiffness. I

continued on the Vioxx in the morning. I sympathize with you. You are relating

exactly how I felt and still feel a lot of the time. I have found that water

exercise....going to the local recreation department's class of " aquanautics "

has increased my strength and flexibility. I feel a lot better after the class.

It is only $3 a session so I will continue as long as the weather is not

freezing! Thanks again for your help with the Enbrel appeal. Just wish the

medicine worked for me and was side effect free! I guess that is a wish we all

have with whatever we are taking! Debby

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My daughter, who is only 22 developed high blood pressure while taking Celebrex

for a herniated disc in her back. She has a history of kidney infections as a

infant/toddler that made her very ill. She had surgery to correct to cause of

the infections when she was 4. We were told she would be at risk for high blood

pressure as she got older. We blamed her medical history for the high blood

pressure. However now that she is not taking Celebrex, she no longer has high

blood pressure. She also had problems with asthma which she had not had

previously.

Kay Braddock

Speedway German Wirehaired Pointers

Paint Horses

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Thanks, Dave. I tried Bexta last summer and it just didn't work as well for

me as Vioxx. That's the frustrating thing, I've never found anything as

effective as Vioxx. Although I was more flared up last summer, so it might

be worth trying again. The next time I see my doc. I will ask him for

samples of Bextra. Last summer, he had boxes and boxes. I wonder if he'd

let me take Vioxx and Bextra. Probably not.

Regards,

Janet in SF

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in London,

Thanks for sharing your experience. I guess Vioxx can be really dangerous.

I'm glad my rheumatologist caught it before my blood pressure got

dangerously high. It's interesting how we go through such similar things on

different continents.

I'm having a hard time with the lower dose of Vioxx. I'm having a lot more

pain in my knees. When I call my rheumy to find out about my blood work, I

will tell him and ask what we can do. I've never tried Celebrex.

I'm on Vioxx and prednisone, and I also take Prilosec and Zantac for the

heartburn. I think the Prilosec is similar to what you take for heartburn.

I think my heartburn is mostly from the prednisone, because I wasn't on

Prilosec or Zantac before I started taking prednisone.

Regards,

Janet in SF

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Hi, Janet and All,

My name is Dianne. I am new to your group. At this time, I am not

(yet?) diagnosed with AS, but do have Lupus SLE, and RA (Rheumatoid

Arthritic) along with Hashimoto's Thyroiditis. Three auto-immune disorders.

Yuck! The problem is that there is more going on with me and my doctors are

working with me to find answers.

The Thyroid is now managed with Armour Thyroid and the results have

been pretty good -- not great.

Because RA and Lupus both " Flare " unpredictably, so my doctor

started me on Celebrex 100 mg per day over a year and a half ago. There has

been some elevation in my BP, but since is was quite low before, the

elevation only took me to " normal " .

When the pain becomes really nasty, I have a prescription for

Darvocet to take, but at the same time, I raise the Celebrex dose by

doubling it. If those two together do not handle things, then I call the

doctor and let him decide what to do. He has had me go as high as 600 mg

per day on the Celebrex, but only for 48 hours -- tops. I monitor my BP at

home and there have been no further rises.

Medications are not a " one size fits all " thing, which defies what

the television ads would have us believe.....

Dianne

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Yes, I too thought Vioxx was reasonable good as an anti-inflammatory but

it did not work for me because of the blood pressure problem. However,

I don't think a reduced dose is a viable alternative because the

inflammation will increase and that leads to problems in the joints, not

just increased pain. I hope you do get a useful alternative.

Regards

in London

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Thanks for the input, Dianne. It sounds like you have a really good doctor.

I will call my rheumatologist today and tell him the problems lowering the

Vioxx are causing me.

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Hi, Janet,

Well, I think my doctor is terrific. I let him know that he is

appreciated, too.

Let us know how you end up handling this situation with the Vioxx.

Dianne

----- Original Message -----

From: " , Janet " <jturner@...>

> Thanks for the input, Dianne. It sounds like you have a really good

doctor.

> I will call my rheumatologist today and tell him the problems lowering the

> Vioxx are causing me.

>

>

---

Outgoing mail is certified Virus Free.

Checked by AVG anti-virus system (http://www.grisoft.com).

Version: 6.0.505 / Virus Database: 302 - Release Date: 7/30/03

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