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From the 2003 Drug Guide
Whoever said this familiar phrase originally could very
well have been talking about arthritis medications.
Granted, medications can make physical movement -
and your overall life - easier and less painful if you have arthritis.
But they can also do some things you'd rather they didn't, like
upset your stomach, make your mouth dry, increase your risk of
infections or cause you to feel drowsy.
When it comes to medications, the potential side effects are
varied and virtually limitless. In some cases, side effects disappear
on their own as your body adjusts to the drug. In others, you can
alleviate side effects of a drug by taking it with food, supplementing
nutrients the drug can affect, or using other medications to
ease the first drug's effects (such as a dose of acetaminophen to
ease injection pain, an artificial saliva product to ease dry mouth,
or an antacid to ease stomach upset). In still other cases, you may
have to learn to live with the drug's side effects - if the benefits
of taking the drug outweigh the inconvenience or discomfort of
the side effect.
But sometimes the bad may exceed the good and, in rare
cases, side effects can signal something life-threatening.
Here are some side effects of the most commonly used medications
that require immediate attention:
With NSAIDs
Symptoms such as rapid or irregular pulse, hives on the face
or mouth, wheezing or tightness in the chest may indicate an
allergy to the drug. Stop taking the NSAID and call 911 or get
to the nearest emergency room immediately.
Symptoms such as dark, tarry stools, or vomiting blood or
material that looks like coffee grounds could mean a bleeding
ulcer. Unusual bleeding or bruising could mean the drugs
are interfering with clotting. If you have
one of these problems, call your doctor
right away.
With DMARDs
DMARDs control arthritis by suppressing
the immune system. Because this can also
make it more difficult to fight infection, it's
important that you call your doctor right
away if you have symptoms of infection,
including a fever, cough, hoarseness or
sore throat.
With Corticosteroids
Though corticosteroids are potent fighters
of inflammation, they also have many
potentially dangerous adverse effects,
including the development of diabetes,
osteoporosis, cataracts and neurological
problems. If you start to notice symptoms
of diabetes, including increased thirst,
frequent urination and/or blurred vision,
or symptoms of neurological problems,
such as hallucinations or rapid and wide
mood swings, call your doctor as soon
as possible.
Although these are some of the most commonly used drugs
for arthritis, they are just a fraction of the drugs used for all
forms of arthritis and related conditions. Any drug for any condition
carries the risk of side effects. Before beginning any medication,
read the drug's package insert. Ask your doctor if there
are side effects you should watch for and what to do if you
experience them.
Finally, pay attention to your body. If you're taking a medication
- even one you've taken for a while - and you notice a
problem, call your doctor. To borrow another familiar saying,
"Better safe than sorry."
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