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Brochures Knee Range of Motion & Quad Strengthening Exercises Foot & Ankle Exercises Shoulder Strengthening & Impingement Exercises Shoulder Range of Motion Exercises Nonsteroidal Anti-Inflammatory Drugs (NSAID’s) How to Stop Using Tobacco Products

WASHINGTON ORTHOPAEDIC CENTER

WASHINGTON ORTHOPAEDIC CENTER

NoNSteroidal aNti-iNflammatory drugS (NSAID’S)

waortho.com 1900 Cooks Hill Road Centralia, WA 98531 360-736-2889 • 800-342-0205

Summary • NSAIDS can help reduce pain and swelling because they reduce inflammation • These medications must be taken as prescribed and most should be taken with food unless approved by your physician.

• Do not take aspirin, aspirin products or drink alcohol when taking NSAIDS. • You many need to have blood work done to check for side effects if you take these medications longer than three or four months.

• NSAIDS can cost a lot. Check with several pharmacies for the cost of your prescription. Consider using the generic type which might decrease your cost. Notify your physician if the cost of this medication is keeping you from taking these pills.

• Contact your physician if you have any question or notice any side effects.

• It make take a week or more before you begin to feel better. Several weeks may pass before you feel the full effects. This is because it needs time to reach an effective level in your blood stream.

• Side effects may occur with these medications. If you notice any side effects, report them to your doctor.

Aspirin Products Alka-Sletzer Anacin Arthritis Pain Fromula Ascriptin Aspirin (ASA) Azdone

NSAIDS

(Generic Names)

Bufferin

Celecoxib

Damason-P

Diclofenac

Easprin

Diflunisal

Ecotrin

Etodolac

Empirin

Fenoprofen

Equagesic

Flurbiprofen

Excedrin

Ibuprofen

Four Way Cold Tabs

Indomethacin

Fiorinal

Keoprofen

Gelpirin

Medclofenamic Acid

Meprobamate/ASA

Nabumetone

Methocarbamol/ASA

Naproxen

Norgesic

Oxaprozin

Norgesic Forte

Piroxicam

Orphengesic

Rofecoxib

Oxycodone w/ ASA

Salsalate

Percodan

Sulindac

Robaxisol

Valdecoxib

Supac Synalgos-DC Zorprin

Introduction A non-steroidal anti-inflammatory drug (NSAID) has been prescribed to help relieve your pain and inflammation (swelling).

NSAIDs work by decreasing the production of naturally occurring substances (prostaglandins) widely distributed throughout the body tissues which play a role in inflammation, pain sensation, fever, and blood platelet function. By decreasing the amount of these substances, pain and swelling can be decreased.

Uses and Benefits NSAIDS are most effective when taken as prescribed. NSAIDS may not relieve all of your pain. NSAIDS are often used along with other treatments such as: physical therapy, a change in your activities, preventative exercises, and occasionally surgery.

How to Take NSAIDS It is important to take NSAIDS as prescribed.

Most NSAIDS should be taken with food to decrease your side effects.

Make sure that you: • Never take more than the prescribed amount of medication.

• Never take two different NSAIDS at the same time.

• Never take NSAIDS along with aspirin, aspirin products or alcohol (this may increase the incidence of side effects). See the list of aspirin containing products on the back of this pamphlet.

Side Effects Side effects can occur with any medication.

Side effects of NSAIDS are uncommon but may occur.

Gastro-Intestinal (Stomach) Side Effects These are the most common side effects of NSAIDS. Symptoms include upset stomach (heartburn), diarrhea, constipation, and nausea. Bleeding ulcers can occur with long term use of NSAIDS.

Renal (Kidney) Side Effects NSAIDS can effect the kidney, especially if there are already problem with the kidneys. People more likely to have kidney problems from NSAIDS include: those with hear failure, liver damage, kidney disease or lupus. Side effects on the kidneys are detected by a blood test that should be done after taking these medications for three to four months.

Liver Side Effects Elevation of liver enzymes can occur with the use of NSAIDS. Serious outcomes are unusual. Blood test can be done to watch for the change in liver enzymes. Risk Factors for side effects of the liver include: advanced age, kidney problems, use of a lot of medication, and conditions such as rheumatoid arthritis or lupus.

If you notice any unusual symptoms after you have been started on NSAID, report this to your physician.

Other Side Effects Other side effects that have been reported with the use of NSAIDS include: headaches, dizziness, drowsiness, itching, skin rash, sweating, ringing in the ears, edema (swelling), and many other less common symptoms. About two people out of one hundred have side effects.

However, you should tell your physician if you notice any symptoms.

Some of the more common NSAIDS are: Advil

Medipren

Aleve

Mono-Gesic

Anaprox

Mobic

Ansaid

Motrin

Arthrotec

Nalfon

Butazolidin

Naprelan

Celebrex

Naprosyn

Clinoril

Nuprin

Daypro

Orudis

Disalcid

Oruvail

Dolobid

Ponstel

Feldene

Relafen

Ibuprofen

Rufen

Indocin

Salflex

Lodine

Tolectiv Toradol

Meclomen

Voltaren

WASHINGTON ORTHOPAEDIC CENTER

how to stop using tobacco products

waortho.com 1900 Cooks Hill Road Centralia, WA 98531 360-736-2889 • 800-342-0205

Summary It is vital to stop using tobacco products if you have a fusion operation.

You must quit at least 30 days prior to the surgical procedure.

You must stay off nicotine products until your fusion is solid.

Your fusion is destined to failure if you use tobacco products.

In our experience, gimmicks such as patches, gum, pills and hypnotism are not very useful.

Anyone can quit using tobacco products, all they need is to use their own will power.

Choose the day you are going to stop using tobacco at least two weeks in advance.

When the big day arrives you must throw all tobacco products away.

If you can make it through the first two days you are well on your way to being a non-tobacco user.

By repeating the same thing you will create a self-fulfilling prophecy over the two-week period of time.

Using tobacco just once will result in you returning to the use of tobacco in very short order.

Many have found this to be the easiest method and it’s free.

Why You Should Stop Tobacco Use Tobacco does many harmful things to your body.

There is good evidence that tobacco users are more likely to have back and neck problems than non-tobacco users.

If it has been recommended that you have a fusion operation it is vitally important that you stop using all tobacco products.

You must quit at least 30 days prior to the surgical procedure.

You must stay off nicotine products until your fusion is solid.

After the 30 days, it will be quite apparent to you that quitting is one of the best things you have ever done for yourself.

There are many different poisons in tobacco smoke. No one really knows what all the poisons do to your body.

We do know that: Your fusion is destined to failure if you are smoking.

Nicotine itself has been shown to retard healing of fractures and fusions in animals.

For this reason it is not acceptable to be using nicotine in any form at the time of surgery.

It is important to do what is best to improve the odds of having a good result from surgery. Part of this is the patient’s responsibility.

Why have an operation and sabotage your own result?

No one can guarantee a solid fusion but we can virtually guarantee a non-union and a bad result in the face of tobacco use!

In our experience, gimmicks such as patches, gum, pills and hypnotism are not very useful.

If you think that a “crutch” is going to do the work for you the result will be a failure.

We have found that anyone can quit using tobacco products, if they really want to, and all they need is to use their own will power.