Can the patient with osteoarthritis or rheumatoid arthritis benefit from taking coxib?
Patient also suffer from chronic cardiac failure
I would suggest that this patient schedule an appointment with a rheumatologist. The short answer to your first question which is "can a patient with osteoarthritis or rheumatoid arthritis benefit from taking anti-inflammatory medication" is generally yes. They can be very helpful for the pain. However, these medications are not safe for every single person to take. You mentioned that this patient in question has chronic heart failure. Patients with chronic heart failure usually are not allowed to take non-steroidal anti-inflammatory medications. This of course should be weighed against their benefits and patients with these conditions. This is a decision that would have to be made by this patient's physicians. In the case of osteoarthritis, there are other treatments such as joint injections, acetaminophen (Tylenol), and joint replacement surgery if necessary. In the case of rheumatoid arthritis, the mainstay of treatment includes medications such as methotrexate, regular moist heat, and stretching. These treatment modalities might be the better option for this condition. In either case, this patient needs to be followed by both the rheumatologist and a cardiologist for these problems. For specific treatment related to the joint pains, I would suggest that this patient schedule an appointment with a rheumatologist for further discussion on what medications are safe to take in the context of their other medical conditions.
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