Hi Dr. I have rhumatoid arthritis very sever I take a lot of medication now I started getting a lot of pain in my ankle , I already operated my r Left wrist and right one also my rheumatologist prescribed for my pain tramadol-acetaminophn 375-325, but today I took a antiflamatorioy voltram can I take the medication for the pain?
Hi, Rheumatoid Arthritis(RA)  is a chronic autoimmune inflammatory  disease  causing effects  many tissues and organs, but mainly affects  synovial  joints. leading to a  disabling and painful condition,causing substantial loss of functioning and mobility if not adequately treated. I guess ,it has been adequately investigated before arriving at the diagnosis of RA .Because only pain relievers won't work much on you and Disease-modifying anti rheumatic drugs (DMARD) like methotraxate , sulphasalazine and if severe pain ,then short course of corticosteroids must be prescribed , but these medicines are to be taken under supervision of your physician. From my side you can take 'Amityrptiline (25 mg) at night for few months .Taking pain-killers for a longer time may cause problems like gastritis and even renal diseases