Osteoarthritis (OA) is a degenerative condition that involves the gradual breakdown of cartilage. Lifestyle changes can improve a person’s quality of life, but doctors may also recommend prescription medications and over-the-counter (OTC) pain relievers.
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Doctors commonly recommend OTC pain relievers such as ibuprofen, aspirin, and naproxen for people with OA. They may also prescribe steroids to help manage flare-ups.
Read more to learn about the different medications that are suitable for people with OA.
Examples of NSAIDs include:
- ibuprofen (Advil)
- naproxen (Aleve)
- diclofenac epolamine (Flector)
- etoricoxib (Arcoxia)
The researchers note, however, that there is a risk of side effects with both NSAIDs. Topical diclofenac may be a safer option that doctors can consider as a first-line treatment for knee OA.
Although people can easily obtain these medications OTC, it is important to follow the dosage guidelines. It is possible to take too much, which
- gastrointestinal problems
- heart complications
- kidney problems
Drug interactions and allergic reactions are also possible, so people taking other medications or supplements should discuss potential interactions with a doctor.
Steroids are a good option for painful OA flare-ups because they effectively control inflammation.
However, because of the risks associated with long-term use, doctors generally only use corticosteroids as a short-term treatment for severe OA pain. Possible side effects
- adrenal insufficiency
- changes to blood sugar levels
- bone loss
- weight gain
- vision problems
- increased blood pressure
- increased risk of infection
- mood changes
- skin changes
People can take oral steroids or receive injections to the affected joint. Topical, IV, and intramuscular steroids are also available.
Examples of other steroids that can help relieve the symptoms of OA include:
As opioids have the potential to be habit-forming, there is some debate about whether they are a suitable option for treating OA-related pain.
Some researchers have concluded that the benefits of opioids for people with OA do not outweigh the potential downsides. However, some doctors may sometimes prescribe them to treat severe OA-related pain.
Topical medications come in the form of creams, gels, and ointments. People can apply them directly to the skin in an area where they are experiencing pain.
Topical NSAIDs may be a good option for people who:
- have pain in smaller joints, such as the fingers, hands, and ankles
- are over 65 years of age
- are sensitive to oral NSAIDs
- have risk factors that may increase oral NSAID complications
Another topical option is lidocaine patches. These create a numbing sensation that can help reduce pain. Topical products containing capsaicin, menthol, camphor, and cannabidiol (CBD) may also help block pain signals.
People should be mindful that skin irritation is possible when applying topical medications. Most manufacturers recommend doing a patch test to check for skin reactions before applying the product to a larger area.
Another medication that doctors sometimes prescribe for OA-related pain is duloxetine (Cymbalta). Doctors typically use it to treat depression, but the Food and Drug Administration (FDA) has also approved it to treat chronic musculoskeletal pain, including that resulting from OA.
Although there is no cure for OA, a doctor can help a person determine the best options for treating symptoms such as joint pain and swelling. A person should take note of any side effects they experience while taking medication and relay these to the doctor.
Anyone who experiences signs of a severe allergic reaction, also known as anaphylaxis, should seek medical attention immediately.
Anaphylaxis is a severe allergic reaction that can be life threatening. The symptoms develop suddenly and include:
- swelling of the face or mouth
- fast, shallow breathing
- a fast heart rate
- clammy skin
- anxiety or confusion
- blue or white lips
- fainting or loss of consciousness
If someone has these symptoms:
- Check whether they are carrying an epinephrine pen. If they are, follow the instructions on the side of the pen to use it.
- Dial 911 or the number of the nearest emergency department.
- Lay the person down from a standing position. If they have vomited, turn them onto their side.
- Stay with them until the emergency services arrive.
Some people may need more than one epinephrine injection. If the symptoms do not improve in 5–15 minutes, or they come back, use a second pen if the person has one.
Osteoarthritis is a chronic, degenerative form of arthritis that can cause pain and swelling. Medications cannot cure the condition, but they may help reduce the symptoms and improve a person’s quality of life.
NSAIDs are the most common treatment because they target pain and swelling. People who cannot tolerate NSAIDs may find other drugs beneficial, such as steroids or topical medications.