29/04/2026
ARTHRITIS.
Arthritis is a damage to joints (where bones meet), often through cartilage loss or inflammation that causes pain, swelling, and stiffness in the joints.
It can affect people of any age, but is common in older people..
TYPES OF ARTHRITIS
1. Osteo-arthritis:
Caused by wear and tear of joint cartilage in the knees, hips, spine, and hands
2. Rheumatoid Arthritis (Rheumatism):
An autoimmune disease that attacks both wrists joints.
3. Gout Arthritis:
Caused by buildup of uric acid crystals in joints
which affects the big toe.
Uric acid is found in Foods such as liver, red meat, seafoods, sugary drinks and alcohol.
SYMPTOMS OF ARTHRITIS
1.Joint pain
2. Swelling
3. Stiffness (especially in the morning)
4. Reduced movement
5. Warmth or redness over the joint
6. Sudden severe pain
7. Redness
8. Fatigue
9. Pain during movement
10. Reduced flexibility
HOME REMEDIES
1.Warm compress for stiffness
2. Cold compress for swelling
3. Gentle massage
HELPFUL DIETS FOR ARTHRITIS PATIENTS
1.Eat foods rich in omega-3 (fish, walnuts)
2. Increase fruits and vegetables
3. Reduce sugary and processed foods
LIFESTYLE CHANGES FOR ARTHRITIS PATIENTS
1.Regular light exercise
2. Walking
3. Stretching
4. Maintaining a healthy weight
5. Avoiding joint overuse
6. Always take NSAIDs after meals
7. Avoid combining multiple NSAIDs
TREATMENT OF ARTHRITIS
1. Pain Relievers for Mild/Moderate Pain
Paracetamol 500 mg take 1g every 6–8 hours
Max: 4 g per day
Safe and first-line for osteoarthritis
2. NSAIDs for severe pain & Inflammation
a). Ibuprofen 400 – 800mg every 8 hours
Max: 2400 mg/day
Take after food
b). Diclofenac 50mg 2–3 times daily
Max: 150 mg/day
c). Naproxen 250 – 500mg twice daily
Good for chronic arthritis
Avoid long-term use of NSAIDs in:
a). Peptic ulcer
b). Kidney disease
c). Pregnancy (especially 3rd trimester)
3. For Rheumatoid Arthritis:
a). Methotrexate 7.5 – 15mg once a week. With folic acid 5 mg weekly
b). Prednisolone 5 – 10mg daily (short-term use).
4. For Gout Arthritis:
a). Colchicine 600mcg (0.6mg) tablet
Acute attack: 1.2 mg, then 0.6 mg after 1 hour
Then 0.6 mg 1–2 times daily.
b). Allopurinol 100mg tablet
Dosage: 100 mg daily, then increase gradually up to 300 mg/day.
Used for prevention, not during acute attack.
5. Diclofenac/Ibuprofen gel
Apply to affected joint 2–3 times daily
PRESCRIPTION FORMAT FOR AN ADULT WITH ARTHRITIS.
Patient: Adult
Condition: Arthritis (joint pain + inflammation)
Medications
1.Diclofenac 50 mg tablets
Take 1 tablet twice daily after meals
Duration: 5–7 days
2. Paracetamol 1 g tablets
Take 1 tablet every 8 hours as needed for pain
Max: 4 g/day
3. Omeprazole 20 mg capsules
Take 1 capsule once daily before breakfast
Duration: While using NSAIDs (protects stomach)
4. Prednisolone 5 mg tablets (if severe pain/swelling)
Take 1–2 tablets daily for 3–5 days only, then stop
Durfamed Global Resources Pharmaceuticals