Treatments for arthritis have come a long way. Often they reduce pain and swelling, slow the progression of disease and minimize permanent damage to joints. But nausea from medication is a problem. The top offenders? Disease-modifying antirheumatic drugs (DMARDs) azathioprine, cyclophosphamide, leflunomide and methotrexate; all nonsteroidal anti-inflammatory drugs (NSAIDs); and antidepressants such as duloxetine or venlafaxine, say rheumatologists. To combat nausea from medication you take for arthritis, follow these steps:
1. Talk. Discuss the severity and frequency of your nausea with your doctor. He may be able to alter the timing and dosages of your medications to reduce the unpleasant feeling or prescribe a nausea medication to help.
2. Take. If your doctor has prescribed nausea medication for severe cases, take it as soon as you begin to feel nauseated.
3. Eat. Instead of three large meals per day, spread your day’s food over five smaller meals. Choose easy-to-digest foods and stop eating before you feel full; overeating can increase nausea. Before taking your medication, try nibbling on a few saltines.
4. Drink. Avoid drinking too much liquid with your meals, and drink slowly between meals to prevent triggering nausea. Sip ginger ale or lemon water to reduce nausea.
5. Rest. Let your stomach settle after meals. Avoid vigorous activity for 30 minutes or so, but do not lie down while you’re waiting. Read a book or magazine to keep your mind occupied.
Also, I have found that for me it is best to take it as soon as I get up in the morning. I drink half a glass of water with it, and after I'm ready for work or play, I'll eat a lite breakfast. I feel a little puny throughout the day, but it's a minor inconveniece. Sometimes I don't feel bad at all. I think that by taking it then, and having activity afterwards, it helps to get it through my system and the rest of the week is all good!
You learn over time what works for you. Organic food best. If I get a sinus infection etc... stop the meds, start the mild salsa (tomatoes rev up my immune system) - (peas have lots of folic acid,) take vit D & infection gets better.
Problem is so much tainted food & food recalls now out there. Am "learning" to deal with that. Tap water has cryptospordium in it. I boil all drinking water before putting in frig, or zap it in microwave. Oh heck, could write a book here. Sometimes being on the front lines in the sense that you have the disease, you know how your body reacts or you learn, you are the best one to figure out what works & does not for you. You need to be the creative one to come up with ideas, you have to be the one to figure out what to do, what to put in your mouth & what not, to yourself. Others can be of help, but in the end you have to listen to your own body, study up on things & etc...
Hilary
I had a very painful mouth with blood blisters but don't get these any more since using a toothpaste for sensitive teeth. Hope this will be helpful.
METOCLOPRAM 5MG..
Methotrexate, as it doesn't seem to work very well. I have been taking Methotrexate for 6+ years now.
after switching to the injections I lost 2 dats
a week to nausea. I usually had an 18 hour
to 24 hour window before the nausea set in.
I recently started on Rituxan, after the first
infusion I had teeth chattering chills for2 hours
I felt better for a few days and then the pain
returned. I had the 2nd rituxan infusion a week
ago today. I am starting to get some relief although
I had to have two corta steroid shots for my
right knee and hip tests because I could'nt
stand or sit comfortably or even sleep. The not sleeping
was bad since my 2nd infusion I have been so
exhausted it's unreal I am sleeping 12 hours
a night and napping during the day.
I am told this should pass I'm the next few weeks.
I am hoping along with the arava and plaquenil
to finally get into a remission. even being in
steroids much of the time since January, I have lost
60lbs. Food either has no taste or just tastes bad.
I wish someone would figure out how the
high level antibiotics could be used long term
and safely for RA. The best I have felt RA wise
was for 6 weeks( 4 weeks on) and two weeks
following after being on Vacomyacin, however,
that was the result of 2 weeks in the hospital ( and 2 weeks of round the clock IV therapy) for MRSA
pnuemonia and bacterimia.
I am just hoping to stay healthy until I can
get my flu and H1N1 vaccines
MRSA pnumonia, and a blood infection
I still ache when the weather is cold or rainy. I will keep praying for everyone here.It's good to know others understand how it feels.
but suffer for days with headaches.
I am traveling to a country that is 6 hours ahead of us.
I take methotrexate (once a week) and high blood pressure medications (daily).
Any Clues ..
I take them after breakfast and supper with no nausea.
I tried Hydroxychloroquin 200mg twice a day, but the ophthalmologist noticed my vision was affected, so I stopped.
I also tried Minocycline 100mg, which made me nauseous, not severe, but most days and most of the time. I finally stopped that when I went on vacation in August.
Hope this helps.
Thanks, again!
I drink a lot of ginger ale and eat candied ginger. Saltines are all I can eat some days. BUT I am getting relief from my RA, Fibro and spinal spondylosis (sp?). So it is a trade off. my finger are starting to return to thir normal shape and I don't hurt nearly as bad for nearly as long in the morning.
Are you taking Meth. pills or shots? I had to switch from pills to shots cause of stomach prob. We are at high risk for Chron's and Colitis as well. I had Colitis for 3 years (every day for 3 years...UGHHHHH) Thank God i'm in remission now. Hope this helps. See me at http://vicbosblog.blogspot.com/
I take my methotrexate at night, and do not have nausea but have problems with headache
in the morning.
I do sip gingerale when I take it before bed.
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