Hi. I am diagnosed SPA and given Saaz DS (1gm) twice daily and Nucoxia 90 mg once daily at night, Pentaprazol 40 mg and Amlod 10 mg for Hyper tension. I frequently get running nose and watery eyes can I take Allegra 120mg along with above medicine.

hi
avoid nucoxia, in your age group, it is DANGEROUS
if you need, you can take naprosyn 500 mg bd, it is cardiac neutral drug
yes you can take allegra
usually SPA stops after the age of 45-50yrs, why are you on these medicine?

•  Ankylosing Spondylitis
•  sulfasalazine

Patient asked followup Question: 10 years ago

Thanks. I will give you more case history so that it will be easy to give me answer. I had laproscopic surgery to remove Gull Stone and Open surgery for Hernia repair on Dec 4th, 2014. The surgery went well and recovered very soon. I got pain in neck and right shoulder blade so I consulted with Ortho doc. He advised me to test HLA B27. The test resulted positive so he advised me to consult Rheumatologist. SAAZ 500 mg 2tab twice daily Oncotrex 20 mg (Saturday 21 Feb 2015) Folvin 5 mg (Friday 20 Feb 2015) Odirab 20 mg t tab daily Medrol 16mg 1 tab daily for 2 weeks Reduce does after 2 weeks Medrol 8 mg 1 tab daily for 2 weeks Reduce does after 2 weeks Medrol 4 mg 1 tab daily for 2 weeks After that Medrol 4 mg once a week ( Saturday) After taking above medicine for ten days I did not get any improvement so visited Medanta for checkup. Dr Rajesh Gupta discontinued oncotrex and Medrol and gave me following medicine: Saaz DS twice daily PAN 40 mg once daily Nucoxia 90 mg once daily for 14days and then after alternate days It controlled my pain. I have attached my test reports for your reference. Physically, I have no problem moving my head, bending etc. Now I would like to know whether this is AS or SPA ? Am I getting correct medicine ? What should I do to manage it. Regards, Suren

hi
even if diagnosis is right, still nucoxia is not the right medicine for your age group, take naprosyn 750 mg at night. but I am still not convinced about the diagnosis. Need clinical exam to confirm it.

•  Ankylosing Spondylitis
•  sulfasalazine

Patient asked followup Question: 10 years ago

Thanks. Now I think my blood pressure is fluctuating though I am taking Amlod 10 mg in the morning. Is that due to taking nucoxia. I have stopped taking nucoxia from yesterday. I tried to upload my x ray reports and MRI reports using upload documents but could not upload. So I am typing reports below: 1. MRI report MRI SI JOINTS SPA PROTOCOL(scan done on 12/03/2015) CLINICAL Details: ? spondyloarthropathy,and tendinities related arthritis, HLA-B 27 positive. FINDINGS: Sagittal STIR images through the lumbar spine show minor diffuse posterior disc bluge at L4-5 and L5-S1 levels, causing slight indentation upon the anterior thecal sac, without any obvious nerve root compression. The rest of the lumbar disc appear normal. Conus is unremarkable. Pars are intact. A small Tarlov cyst is seen behind S2 sacral segment. There is subtle articular surface irregularity in the inferior portion of left SI joint. This is associated with minimal surrounding periarticular fatty change. No significant periarticular marrow edema to suggest sacroiliitis. No increased signal within the sacroiliac joint space or any surrounding soft tissue high signal. Coronal PD fat sat images through the hip joint shows ill-defined increased signal within right acetabulum. The true significance of this is not clear. An elliptical increased signal intensity lesion is evident within the adductor group of muscles towards the left side. Adedicated MRI of both hip joints is suggested. Dr. Jatinder Pal Sing 2. Radiograph of Dorsolumbar spine -AP and LATERAL views (done on 12/03/2015) Clinical details are not available. FINDINGS: Osteopenia is noted. Marginal osteophytes are noted at multiple vertebral levels. Inter-vertebral disc space appears normal. The visualized neural foramina appear normal. No evidence of any focal sclerotic or lytic lesion The pre and paravertebral soft tissue appear normal. Please correlate clinically. Dr. Hitesh Lukhi 3. Radiograph cervical spine (AP/Lateral) view Clinical details not available. Findings: Osteopenia of the visualized nones. Cervical lordosis is maintained Cervical vertebrae appear normal in height and density There are prominent anterior osteophytes seen at multiple levels Cervical intervertebral disc apaces appear normal No evidence of cervical rib Pre and paravertebral soft tissues appear normal Impression: Cervical spine radiograph reveals spondylotic changes. Please correlate clinically Dr. Shubham Sahai

reports are not suggestive of SPA....

•  spondylosis
•  Reactive Arthritis
•  Ankylosing Spondylitis

REPORTS ARE NOT SUGGESTIVE OF ANKYLOSING SPONDYLOARTHRITIS

•  Ankylosing Spondylitis
•  rhumetoid arthritis
•  spondylolisthesis tretment