Steroids and anti-inflammatories

[christine2715]

I have GCA and taking 21 mg Pred and now have what seems to be bursitis which I had once years ago. Does anyone know if its ok to take Naproxene with Pred.

[PMRpro Ambassador]

You shouldn't really - it is an NSAID and thay are contraindicated with pred because the combination raises the risk of gastric problems including bleeding.

But PMR can be a symptom of GCA and bursitis can be part of PMR. So check with your doctor. I have had steroid injections for bursitis - keeps it local and works better.

[piglette]

My GP offered me Naproxen with pred and when I asked her about contra indications she said I could take a PPI with it. I actually declined the prescription in fact, but she seemed OK with it!

[PMRpro Ambassador in reply to piglette]

My mind has been boggling over a FB conversation (not PMR) but it's boggling even more now...

Did you know it is estimated that approximately a third of hospitalised patients are there because of drug interactions?

[HeronNS in reply to PMRpro]

Medical errors are estimated to be third leading cause of deaths in US according to a report from Johns Hopkins website.

[PMRpro Ambassador in reply to HeronNS]

Scary isn't it!

[christine2715 in reply to PMRpro]

Rang Doctors surgery who said I should ring the pharmacist and would not let me speak to the Doctor. The pharmacist said ok as long as I also took Lansoprazol. All the conflicting advice does make things difficult. Don't want to take any unnecessary risk. Will try paracetamol but know anti-inflamatories work best.

[piglette in reply to PMRpro]

There was an interesting programme on TV recently where a doctor joined up with a GP surgery to try and make it "drug free". The number of people on opiods for literally years was incredible, he was amazed the amount people were taking, also anti depressants. The doctor took a questionnaire on the NHS website to see if he had depression and based on his replies he did. He said it was rubbish he did not have depression, but the questionnaire had been set up by a drug company. Apparently anti depressants for 17-25 year olds has gone up fifty per cent in the last ten years.

[HeronNS in reply to piglette]

And shockingly at least some of these antidepressants increase likelihood of suicide by teens.

[PMRpro Ambassador in reply to HeronNS]

Even more shockingly - the pharmaceutical company KNEW that and held back or minimised that bit of information by mixing the age groups...

[HeronNS in reply to PMRpro]

Have you read Overdo$ed America by John Abramson?

youtube.com/watch?v=F2GcHqE...(Not working as expected?)

[PMRpro Ambassador in reply to HeronNS]

No - but having read reviews just now - yup, there are a lot of very gullible medically qualified people out there and there is a very high proportion in the USA. Unfortunately - too many patients are taken in too...

[Nap1 in reply to piglette]

It's not her body. She is not helping you. I get cortisone shots right into the bursa. Problem with that is it plays havoc with my sugar and I am trying to stay prediabetic without medicine. I'm sure the a1c will react shortly. I also take a PPI and have for many years for gerd and serious heartburn. You don't want to take PPIs they contributed to osteoporosis.

Prednisone is the most powerful form of an anti inflammatory drug available to us. You are lucky you don't have to take PPIs with it.

[Rose54]

Hi

I was on Naproxen before steroids, GP made me aware I must not take both.

[SusanEleven]

I take the occasional low-dose ibuprofen since Tylenol does nothing for me. This is only since my taper got to 6MG pred per day --- on very damp days my osteoarthritis can be nasty. I had forgetten that's what sent me to a rheum doc in the first place! It's back with a vengeance now that my pred is lower. On the plus side I have zero pain in the areas where I had all the PMR pain (neck, shoulders, groin/hips).