The most important questions and answers about rheumatism at a glance

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On this portal you will find a list of the most important questions and answerson the topic of rheumatic diseases.

We, a team of doctors and patients, are constantly asking more questions and answers.

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What is rheumatism?

In the vernacular, rheumatism usually refers to inflammatory articular rheumatism, medical rheumatoid arthritis or chronic polyarthritis (arthritis = joint inflammation).

Read more: What is rheumatism?

   

Do high blood pressure increase the risk of gout?

Such a connection has been suspected for some time. A recent British study has now substantiated this. However, the increased gout risk in this study was not the same for all antihypertensives:

Read more: Do blood pressure increase the risk of gout?

   

What kind of rheumatism medicine is Enbrel?

Enbrel® contains the active substance etanercept. This is a genetically engineered drug that suppresses inflammatory reactions in the body. More specifically, the messenger TNF (tumor necrosis factor) is blocked, which among other things, is involved in the induction of inflammatory rheumatic complaints.

Read more: What kind of a rheumatism drug is Enbrel?

   

How does Etanercept work against rheumatism?

Etanercept (trade name: Enbrel®) works against the internal inflammatory reaction that causes the rheumatic complaints. It is a genetically engineered protein that blocks the body's own messenger tumor necrosis factor (TNF). And TNF is instrumental in the inflammatory response in rheumatism.

Read more: How does Etanercept work against rheumatism?

   

What side effects can occur with Adalimumab (Humira)?

Adalimumab (commercially known as Humira®) is a very strong anti-inflammatory. Put simply, the active ingredient lames the immune system. Adalimumab relieves the symptoms of inflammatory rheumatism. At the same time, however, the strong immune blockade also leads to a whole series of possible side effects.

Read more: What side effects can occur with Adalimumab (Humira)?

   

Does the autologous blood therapy for osteoarthritis help?

The autologous blood therapy is a rather young procedure against signs of wear in joints, so osteoarthritis. In addition, it is recommended by some doctors for chronic symptoms of overuse such as tendon pain or tendonitis. The method is still questionable according to scientific standards, because clear proof of efficacy is missing. So far, the health insurance companies refuse to take over the costs.

Read more: Does the autologous blood therapy for osteoarthritis help?

   

How does fluvenamic acid work against rheumatic pain?

Fluvenamic acid is a pain reliever from the group of NSAIDs - the non-steroidal anti-inflammatory drugs. The same group includes ibuprofen or diclofenac. Fluvenamic acid is mainly used for external treatment of sports-related or degenerative muscle and joint pain. A known preparation with fluvenaminic acid is Mobilat®.

Read more: How does fluvenamic acid work against rheumatic pain?

   

What kind of rheumatism medicine is Humira?

Humira® contains the active substance adalimumab. This is a genetically engineered human antibody. In rheumatism it suppresses the chronic inflammatory irritation and so relieves the symptoms. Also, the disease progress is slowed down.

Read more: What kind of a rheumatism medicine is Humira?

   

How does Adalimumab work against rheumatism?

Adalimumab is a so-called TNF blocker. The drug blocks the tumor necrosis factor, a signal substance of the immune system, which is often greatly increased in inflammatory diseases such as rheumatism. Adalimumab is commercially available under the brand name Humira®.

Read more: How does Adalimumab work against rheumatism?

   

How do TNF blockers work against rheumatism?

TNF blockers are drugs that inhibit tumor necrosis factor (TNF) in the body. This is a messenger substance of the immune system, which occurs more often in inflammatory reactions such as rheumatism. If TNF is blocked, it also restricts the inflammatory processes responsible for rheumatism and joint complaints.

Read more: How do TNF blockers work against rheumatism?

   

What you should be aware of while taking Immunosporin

Current doctor tip

If your doctor gives you immunosorbin for treating your rheumatic discomfort® Please note the following: The underlying active ingredient Ciclosporin belongs to the so-called dose-critical drugs. This means that even a slightly too low dose can lead to a loss of efficacy and a slightly too high amount to (increased) unwanted effects. So please keep very close to the dosage requirements of your doctor.

Read more: What you should be aware of while you are taking Immunosporin

   

No Kineret, if you want to get pregnant

Current doctor tip

Kineret® with the active ingredient Anakinra is sometimes prescribed for severe inflammatory rheumatism. What's important is that women of childbearing age should be careful not to get pregnant throughout the treatment and also for about half a year thereafter. Since anakinra passes into breast milk, it is also recommended that infants do not breastfeed during this time.

Of course, the other way round is the same: If you want to get pregnant, you should first make a change of medication with your doctor.

Read more: No Kineret if you want to get pregnant

   

If possible, avoid caffeine when taking MTX Hexal therapy

Current doctor tip

If you use methotrexate (for example, MTX Hexal® etc.), please consider the following. Avoid excessive consumption of coffee or caffeinated cold drinks such as cola or black tea. Caffeine can interfere with the uptake of MTX and thus its action by inhibiting so-called adenosine (adenosine is an endogenous substance that can affect important biochemical messengers).

Read more: Avoid caffeine if possible with MTX Hexal therapy

   

Do not take Decortin on an empty stomach

Current doctor tip

For a good tolerance of your cortisone tablets you can do something yourself: If you want decortin® If you need to take other cortisone supplements daily as a tablet, you should take them non-fasting, but not chewed with enough fluid during or immediately after a meal.

Read more: Do not take Decortin on an empty stomach

   

How does Kytta Ointment work?

Kytta®Ointment contains the herbal active comfrey. This is a well-known since the Middle Ages medicinal plant from the family of Raublattgewächse, which was used at that time mainly against broken bones and open wounds. Therefore, the name "comfrey" is derived.

Read more: How does Kytta Ointment work?

   

What remedies does naturopathy know about rheumatism?

There are a number of medicinal plants that are effective in rheumatism and are also recommended and prescribed - at least by naturopathic-oriented physicians. In most cases, the effect is based on an anti-inflammatory.

Read more: What means does naturopathy know about rheumatism?

   

Why are cortisone therapy usually prescribed with tablets containing vitamin D and calcium?

To prevent osteoporosis. Because cortisone can lead as a side effect to a descaling of the bone. Although this threatens only after prolonged ingestion, nevertheless, when treated with cortisone tablets (sprays or ointments are far less side-effects) that lasts more than a few days, routinely routinely prescribed vitamin D and calcium.

Read more: Why are cortisone therapy usually prescribed with tablets containing vitamin D and calcium?

   

Why should one not stop taking cortisone therapy too quickly?

There are two reasons for this. One of them is especially relevant at the beginning of the treatment, the other after a longer lasting therapy. Before we explain this, first of all the basic rule: always prefer a cortisone therapy gradually and slowly reduce, so crawl, never abruptly stop.

Read more: Why should one not stop taking cortisone therapy too quickly?

   

How is a full moon face created?

The full moon face is considered in medicine as a typical sign of increased blood cortisone levels. This can happen in the context of a disease, for example, when a tumor in the adrenals produces too much of the hormone. But much more often, the full moon face is the result of cortisone therapy.

Read more: How does a full moon face come about?

   

What side effects does cortisone have?

What side effects do cortisone tablets have?Cortisone tablets can often very effectively relieve the symptoms, especially in the acute stage of a rheumatic disease. This is related to the strong anti-inflammatory effect of cortisone. Because what causes the pain and discomfort in rheumatism, is ultimately nothing more than an overreaching inflammatory response of the body (usually in the joints). However, this powerful effect of cortisone is also associated with a whole range of possible side effects.

Read more: What side effects does cortisone have?

   

Is it possible to treat rheumatism with aspirin (ASA)?

You can, but it would be wrong. Although acetylsalicylic acid (ASA, e.g., aspirin®) quite relieve rheumatic complaints. However, quite high doses (500-1,000 mg daily) are required and this can strike the stomach after only a few days. In the long term, this can cause stomach ulcers or severe gastric bleeding.

Read more: Is it possible to treat rheumatism with aspirin (ASA)?

   

Is rheumatism curable?

No, when it comes to the complete disappearance of the disease. Yes, when it comes to a long-lasting disease arrest, so a year-long to decades-long period without rheumatic complaints.

Read more: Is rheumatism curable?

   

What is the rheumatoid factor?

The rheumatoid factor is a group of specific antibodies that are often detectable in the blood in rheumatic diseases. One would actually have to speak in plural form of the rheumatoid factors, but also in medicine one does not deviate from well-known habits.

Read more: What is the rheumatoid factor?

   

With cherries for rheumatism

With the regular consumption of cherries - or sour cherry juice - rheumatic complaints can be alleviated very effectively. This is the result of scientists from Portland in the USA.

Read more: With cherries for rheumatism

   

Gout: Often treated too late

The metabolic disease gout is often not treated properly. Since it comes at the beginning of the drug therapy often to an aggravation of the complaints, many physicians seem to shy away from it. That at least reports Prof. Stefan Schewe, rheumatologist in Munich, in a publication of the German Society of Rheumatology.

Read more: Gout: Often treated too late

   

Why should painkillers such as ASA, ibuprofen or diclofenac not be taken with cortisone?

Because everyone is beating on the stomach. And taken together, the risk of serious stomach problems increases significantly.

Read more: Why should painkillers such as ASA, ibuprofen or diclofenac not be taken with cortisone?

   

How does one recognize that the rheumatism has seriously attacked the stomach?

Many rheumatic medications can beat on the stomach in the long run. This applies to ibuprofen, diclofenac, naproxen and many other typical rheumatics. Prolonged use may affect the gastric mucosa and may also cause gastric bleeding.

Read more: How does one recognize that the rheumatism has seriously attacked the stomach?

   

Can you also combine different over-the-counter rheumatic painkillers?

No, you should not do that. Because normally you can not achieve a better effect. But it probably increases the risk of side effects. For this reason, combination preparations (two or even more different active ingredients in one tablet) are not recommended.

Read more: Can you also combine different over-the-counter rheumatic painkillers?

   

Can rheumatic drugs such as ASA, diclofenac or ibuprofen cure the condition?

No, they can not. But that can not be another rheumatism drug. Painkillers from the group of "non-steroidal anti-rheumatics" (short: NSAIDs, such as: acetylsalicylic acid, diclofenac, ibuprofen) relieve not only the joint pain, but also the inflammatory stimulus.

Read more: Can rheumatic drugs such as ASA, diclofenac or ibuprofen cure the disease?

   

Rheumatism in women and men very different

The term rheumatism summarizes about 400 diseases that can affect bones, muscles, organs and connective tissue. However, it has been found that there are also major differences between the sexes in rheumatic diseases.

Read more: Rheumatism in women and men very different

   

Are the rheumatoid drugs ibuprofen, diclofenac or naproxen more stomach-friendly when taken as a suppository?

No. The possibility of gastric intolerance of NSAIDs (NSAIDs = non-steroidal anti-inflammatory drugs, such as ibuprofen, diclofenac, naproxen, aspirin, aspirin®) is independent of the mode of administration.

Read more: Are the rheumatism drugs ibuprofen, diclofenac or naproxen easier on the stomach when taken as a suppository?

   

What causes gout?

Gout is caused by too much uric acid in the blood.Uric acid is a normal metabolite and has nothing to do with "urine in the blood". However, there is too much of it in the gout and as a result, uric acid crystals accumulate in the joints.

Read more: What causes gout?

   

What kind of active ingredient is ketoprofen?

Ketoprofen is an analgesic for rheumatic complaints. The active substance belongs to the group of the so-called NSAIDs (non-steroidal anti-rheumatic drugs), which include ibuprofen or diclofenac.

Read more: What kind of active ingredient is ketoprofen?

   

How does naproxen affect rheumatism?

Naproxen is a proven analgesic for mild rheumatic pain. Since the active ingredient not only relieves pain but also has an anti-inflammatory effect, it is a good alternative for inflammatory rheumatism because naproxen also counteracts joint swelling.

Read more: How does naproxen affect rheumatism?

   

When does inflammatory rheumatism need to be treated?

Of course, dealing with rheumatic complaints is individually very different and also the need for painkillers varies from person to person. However, there are also "objective" parameters according to which rheumatologists assess a need for treatment.

Read more: When should inflammatory rheumatism be treated?

   

How long does it take, on average, until a disease Bechterew is discovered?

Five to seven years. That's what studies have shown. The reason for this extremely long phase of the "disease without discovery" lies in the creeping beginning and in the long-term nonspecific complaints.

Read more: How long does it take, on average, until a disease Bechterew is discovered?

   

What are typical initial symptoms of inflammatory rheumatism?

The inflammatory rheumatism (medical term: rheumatoid arthritis) usually begins slowly and gradually. The symptoms are often so unspecific that many people with rheumatism do not even think for a long time that rheumatism could be behind the symptoms.

Read more: What are typical initial symptoms of inflammatory rheumatism?