Ankylosing spondylitis question ask of Rusty on 02/19/08
Hi im 52 was diagnosed in my mid twenties i have been on
indomethocin 75mg slow release for all that time.
I was told i have a mild form but as i get older the pain is more severe my
doctor has told me there is very little that can be done so ends up giving me
stronger pain killers.
I live in England and have heard of new drugs coming to this country from
America please could you tell me what i can try so i can ask my GP if i can have
Thank you for your time in reading this and i await your reply.
Answer to Davids Ankylosing spondylitis
Sorry to hear about your condition.
Your doctor is simply wrong. There are other treatments available to you. One of
the problems is that you are seeing a GP. The first thing you need to do is ask
for a referral to a Rheumatologist. Most General Practitioners are not trained
to manage Ankylosing spondylitis. A Rheumatologist will be familiar with all the
treatments available in the UK.
There are two families of drugs for you to consider. Unfortunately they do not
come with out side effects. These drugs properly managed should be able to help
relieve the pain and be relatively safe.
Here are the two types of drugs.
Disease-modifying antirheumatic drugs (DMARDs). Your doctor may prescribe a
DMARD, such as sulfasalazine (Azulfidine) or methotrexate (Rheumatrex), to treat
inflamed joints of the legs and arms and other tissues. This class of drugs
helps limit the amount of joint damage that occurs.
Tumor necrosis factor (TNF) blockers. Doctors originally used TNF blockers to
treat rheumatoid arthritis. TNF is a cytokine, or cell protein, that acts as an
inflammatory agent in rheumatoid arthritis. TNF blockers target or block this
protein and can help reduce pain. Note that these drugs are limited in their use
in the UK. See article below.
Access to TNF-Blockers Severely Limited in UK
Here is a good article about treatment options.
I hope this information is helpful.