Saw my GP this morning for advice on knee flare up 11 weeks after total knee replacement. Advised I should go back to taking ibuprofen as that works well for my knee pain. Prescribed double dose of omeprasole which she assured me would not result in any gastric reflux. Took first with quite a bit of food but still have reflux. Pain not much improved.
I think I’m right in saying pred should be taken a few hours away from NSAIDs?
Would ranitidine be a better stomach protector, if omeprasole does not help?
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Mary63
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One of the side effects of Omeprasole is muscle aches and pains just like PMR.
Why are you having a knee flare up after a total knee replacement?
I would be asking for an immediate appointment with the Orthopaedic surgeon who did the replacement.
I only ask because about 10 years ago a friend had a knee replacement and then had trouble, he went back to the surgeon and it was something to do with the 'cement' (I think that was the word used) and it had to be done again.
Because they are both liable to cause stomach problems.
I used Ibuprofen gel when I was on Pred - but sparingly and only once a day (okayed by pharmacist) - but tablets taken regularly are not a good idea.
As jinasc says your knee problem should be addressed by the surgeon - do you still have release paperwork - it should tell you on that who to contact if you have problems.
I do take aspirin occasionally for headaches, although I try not to. Have been using the tried and true method of eating a little plain full fat yoghurt at the same time (as I do with my calcium at bedtime) and feel this helps line the stomach along with whatever other snack I might also eat at the time.
I realise you have made a decision to contact surgeon(?). But in the meantime perhaps you need to build antacid up before you take ibuprofen. Also try the gastric resistant pred if you haven't.
I had ppi for 15years for aspirin and since I tapered off last year i still get reflux occasionally. I also take ibuprofen occasionally for other ongoing issues and always line my stomach with antacid and food prior to ibuprofen. I do have a pack of ppi left and had to take one twice. I try and get the 12hour nurofen so it needs that protection across the 12 hours but at least its fewer pills to take. A tiny, tiny, tiny bit of capsaicin cream might be an alternative but if you put too much on it can burn and you can't take it off. Water makes it burn more. Hence the tiny's.
Yes I have contacted surgeon, and hope I will hear back soon .
I was on omeprasole and ibuprofen and food to try to line stomach for 8 weeks post op. And then gave ibuprofen and omeprasole up. It’s only 3 weeks ago but I can’t remember the details. I was convinced that far from helping omeprasole was making reflux worse.
Tried ibuprofen omeprasole and food again today. Knee pain maybe slightly easier but reflux dreadful. . In case my theory on omeprasole is correct I am going to give ibuprofen a go tomorrow, taking it with a meal.
Hi Mary, about 6 months after my TKR, i still had pain around my new knee. Returned to surgeon, and after xrays and exam, he told me it was soft tissue pain, and not the knee appliance. I found it helpful to use ice pack and topical rubs. I expect my pain was due to the healing process, post trauma of the surgery. Took about a year to remit.
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