A key role in rheumatism is given to injections. The use of injections for rheumatoid arthritis is possible at any stage of the development of the disease. Drugs are administered intramuscularly, intravenously or articularly. The advantage of injectable drugs is fast delivery to the site of damage and the rapid effect of drugs.injections for arthritis,
Nonsteroidal anti-inflammatory drugs
Anesthetics in the form of injections are used at the initial stage of rheumatoid arthritis. In the case of an autoimmune disease, the use of painkillers for the 1st degree of development is also possible in tablet form, but injections have a longer effect and do not have a negative effect on the gastrointestinal tract. What kind of injectable pain medication is prescribed for rheumatoid arthritis?
Name of drugs:
These painkillers belong to the class of NSAIDs. They do an excellent job with pain, inflammation, swelling, and redness. Rheumatoid arthritis is a serious autoimmune disease, in the first stages, it can be treated with NSAIDs.
Along with non-steroidal medicines, the use of analgesics is carried out. These include Aspirin, Analgin, Paracetamol. Analgesics only anesthetize the affected area but do not relieve inflammation. Doctors advise using these drugs alternating with NSAIDs. With rheumatoid arthritis of the joints, pain medication has only a non-steroid effect.
Side effects of NSAIDs and contraindications
gastric bleeding; Using an injection of non-steroidal anti-inflammatory drugs, you should read the instructions for use. NSAID injections do not affect the digestive tract and other organs so much, but exceeding the dosage of the drug without the knowledge of the attending physician, the following side effects may occur:
- blood clots;
- heart attack development;
- the occurrence of peptic ulcers.
It is not recommended to treat rheumatoid arthritis of the joints with NSAIDs and analgesics in patients with gastric ulcer, asthma, hypertension. Also, RA therapy cannot be given to patients who underwent coronary bypass surgery.
Chondroprotectors: list, mechanism of action
The use of drugs of this group for joint RA restores articular cartilage. Thanks to the use of chondroitin, the formation of the main components are stimulated, and the production of intraarticular fluid is activated. Glucosamine, which is part of the preparations, protects the cartilage from the action of free radicals and other damaging factors. In the case of rheumatoid arthritis disease, treatment with chondroprotective alone is not carried out. Monotherapy will not bring the desired result, only the use of complex treatment will defeat the problem.
Chondroprotective agents are prescribed in courses. Their use in RA must be carried out even before changes in the structure of cartilage tissue occur; this serves as prophylaxis. Previously, the use of chondroprotectors prevents the development of degenerative processes and also prevents the occurrence of disability.
Side effects and contraindications of chondroprotectors
These drugs can be taken not at any stage of the development of rheumatoid arthritis, but almost all patients. These funds are contraindicated for patients with individual hypersensitivity to drugs, during breastfeeding and during pregnancy. Chondroprotectors are also contraindicated in children under 12 years of age and in severe gastrointestinal diseases.
Medicines do not help patients with stage 3 disease. The use of medicines at an advanced stage and with joint ankylosis will not bring a positive result. By injecting chondroprotectors inappropriately and not observing the dosage, adverse reactions may occur. Nausea, vomiting, epidural pain, flatulence, diarrhea, or constipation are common.
The use of cytostatics in rheumatology
Cytostatics in the treatment of rheumatoid arthritis are used to suppress cellular activity. Medicines of this group form the basis of the basic treatment of RA. Mainly used ” Methotrexate ” for rheumatoid arthritis. This cytostatic is the recognized leader in the treatment of autoimmune disease. He was put forward in the first place due to minimizing the risk of side effects and convenient use.
” Methotrexate ” for rheumatoid arthritis is used intramuscularly, intravenously or intraarterially. Injections are prescribed to patients with insufficient therapeutic response, or intolerant of adequate treatment with first-line drugs, including a full dose of NSAIDs. Application, consultation with your doctor is required :
- 7.5 mg once a week;
- 3 times in 7 days, 2.5 mg each.
“Methotrexate” is contraindicated in impaired liver function, alcohol abuse. Injections should not be given to pregnant women, they can provoke fetal death or teratogenic effects. Also, the medicine is contraindicated in breastfeeding, since serious negative reactions in the newborn are possible.
Muscle relaxants are the best remedies for muscle pain
Muscle relaxants are prescribed to patients to relax muscle tissue. At the last stages of the development of rheumatoid arthritis, the severity of symptoms increases, pain makes the muscles involuntarily strain. The result is a decrease in movement in the affected joint. Long-term pain syndromes lead to insufficient oxygen supply to muscle fibers, a deficiency of nutrients and an excess of accumulated metabolic products also appear.
Muscle relaxants are able to rid the patient of these negative manifestations and bring the muscles to tone. The best drugs in this group are:
Peripheral muscle relaxants are contraindicated in children under 1 year of age, with an allergic reaction to the drug and peptic ulcer. Such injections are allowed to be used during pregnancy and lactation but under the strict supervision of a doctor. If you experience weakness, nausea, insomnia, hallucinations, and dry mouth, you should immediately inform your doctor. The doctor will select the appropriate medicine, prescribe the appropriate dosage.
The introduction of hyaluronic acid and B vitamins
With rheumatoid arthritis of the knee, the use of vitamin B is prescribed. Injection of the drug creates an innervated state of the joints, reduces soreness. Vitamins are part of a comprehensive treatment, they are used in the form of injections or taken orally. The optimal use of such drugs:
Injections are carried out intramuscularly, can be used in combination or separately. B vitamins reduce the conductivity of impulses along nerve endings that innervate the affected joint.
Hyaluronic acid is administered intraarticularly. It is prescribed for patients with any type of arthritis. Hyaluronic acid is a natural type of lubricant that allows joints to regain mobility; after a course of injections, the crunch pain disappears in the area where the bones join. This drug is sold under the names “Gialgan”, “Sinvisk.” Injections with drugs are recommended for patients who do not have effective therapy with painkillers, physiotherapy, and physiotherapy.
The use of the drug “Gialgan” is carried out for 1 month and 7 days. Before administering the medicine, doctors recommend local anesthesia, since an injection is made with a large-gauge needle. Synvisc is more convenient to use; fewer injections will be needed. With rheumatoid arthritis, 3 injections are enough. If preparations based on hyaluronic acid have worked, a repeated course is carried out, which has a longer effect. Among the side effects after the use of drugs of this group, sharp exacerbations and relapses of autoimmune pathology were recorded, as well as disability in some cases.
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