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Doctors' Answers to "Frequently Asked Questions" - Vioxx
Answer: Probably about 10 years depending on the current renal function, ensure your creatine clearance has been checked as a reference point for down the road. This is a measurement of renal function.
Answer: Vioxx is commonly used for pain control in either the 25 or 50 mg dosage. However, like any pain if it is insufficient to control the pain, other options need to be considered. You can certainly use narcotic pain meds with vioxx(like Lortab or vicodin). Narcotic meds are usually more effective, but lack any inflammatory component (which both Cox 2 inhibitors-vioxx- and nsaids) have. We commonly use them together to get pain synergy. As I recall, your md works for you, you don't work for him/her. Tell them your problem.
Answer: Not usually zestril. As to Vioxx, I haven't seen this problem with the drug but I've only used it 6 months or so. Stopping it for a few days and using acetominophen would let you know since it would be out of your system in 24-36 hours.
Answer: Vioxx is a drug belonging to a new class of anti-inflammatories. These drugs workd by affecting the white blood cells ability to initiate the inflammatory cascade. They work differently from traditional drugs like Motrin and the like. Toxicities appear less, especially GI. Currently, they have been available about 4 months(10/99) so I don't have long term experience. Some patients(4% or so) will have gastritis. They are pricey but appear to work well with much less toxicity than traditional anti-inflammatories. Pseudo Gout is inflammation in a joint due to the accumulation of calcium crystals(regular gout is inflammation from uric acid crystals). It has a different joint distribution from gout, but the diagnosis is made by joint aspiration looking for the characteristic crystals, not by x-ray.
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