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Medications for Osteoarthritis

Other names: Arthritis, Osteoarthritis; Degenerative Arthritis; Degenerative joint disease; DJD; Gonarthrosis; Hypertrophic Osteoarthritis; Joint Pain; OA; Osteoarthrosis; Sacroiliac Arthritis

What is Osteoarthritis?

Osteoarthritis is a painful condition of the joints that becomes more common with age.

It is mostly due to the breakdown of cartilage in the joints. Cartilage is a firm, rubbery material that covers the end of each bone. It provides a smooth gliding surface for joint motion and acts as a cushion between bones.

Without cartilage, friction between bones can occur and there is a loss of the shock-absorbing capability of the joint. Inflammatory processes increase which further damages the cartilage and more pressure is placed directly onto the bones in a joint. Pressure can cause the growth of bone spurs and bits of bone or cartilage may chip off and float around the joint.

Obesity, injuries, and weak muscles can also contribute to osteoarthritis and it is more common in certain families.

Osteoarthritis most commonly occurs in the hands, knees, hips and spine.

What are the Symptoms of Osteoarthritis?

Symptoms vary depending on how many joints are affected and how severely they are affected. Symptoms also tend to build up gradually over time rather than come on suddenly and include:

  • Pain and stiffness in the affected joints, particularly first thing in the morning or after inactivity. This tends to resolve within about 30 minutes of gentle movement
  • Limited range of movement in a joint
  • Affected joints may swell after extended activity
  • Clicking or a cracking sound when a joint bends
  • Pain may also increase after activity or towards the end of the day.

Symptoms can differ depending on which joint is affected.

  • Knee joints: moving the knee causes a grating or scraping sensation
  • Hip joints: Pain may radiate down the inside of the knee or thigh or be felt in the groin or buttock area
  • Fingers: Bony growths (spurs) may occur inside the joint causing the joints to become swollen, tender and red
  • Inflammatory arthritis of the hand: All day stiffness may be noticed early in the disease
  • Feet: Swelling and pain may be felt at the base of the big toe or around the ankles.

How is Osteoarthritis Diagnosed?

Your doctor will perform a physical examination and ask you about your history of symptoms and whether you have any family members with the condition. Other tests may include:

  • Blood tests to look for inflammatory markers
  • Joint aspiration to look for evidence of joint deterioration or crystals
  • X-ray of the joint to look for bone changes
  • MRI to provide a better image of cartilage changes.

Morning stiffness helps to differentiate osteoarthritis from rheumatoid arthritis. With rheumatoid arthritis, joint stiffness may not improve for several hours or it may last throughout the entire day.

How is Osteoarthritis Treated?

Treatment for osteoarthritis includes lifestyle changes and medications.

All patients with osteoarthritis should be enrolled in an exercise program because physical activity increases blood flow, and joints and muscles are supplied with more oxygen. Swimming, Tai Chi and weight-based exercises are usually suitable for people with osteoarthritis, although a physician should be consulted before starting any exercise program.

Weight loss can lower the risk of pain in weight-bearing joints and orthotics, devices that help to align joints - orthotic shoe inserts, splints, and braces can help with movement. Heat or cold therapy can also relieve joint swelling.

Medications for osteoarthritis may include:

  • Acetaminophen
  • NSAIDs
  • Topical capsaicin
  • Duloxetine
  • Cortisone injections
  • Lubricating injections.

Surgery, such as an osteotomy or joint replacement may also be considered.

Drugs Used to Treat Osteoarthritis

The following list of medications are in some way related to, or used in the treatment of this condition.

Drug name Rx / OTC Pregnancy CSA Alcohol Reviews Rating Activity
Dolobid C N 1 review
10

Generic name: diflunisal systemic

Drug class: Nonsteroidal anti-inflammatory drugs, salicylates

For consumers: dosage, interactions, side effects

Euflexxa N N 215 reviews
6.3

Generic name: sodium hyaluronate systemic

Drug class: viscosupplementation agents

For consumers: dosage, interactions, side effects

Excedrin N N X 4 reviews
8.7

Generic name: acetaminophen / aspirin / caffeine systemic

Drug class: analgesic combinations

For consumers: dosage, interactions, side effects

Indocin SR C N X Add review
0.0

Generic name: indomethacin systemic

Drug class: Nonsteroidal anti-inflammatory drugs

For consumers: dosage, interactions, side effects

For professionals: Prescribing Information

Kenalog-10 C N 2 reviews
1.0

Generic name: triamcinolone systemic

Drug class: glucocorticoids

For consumers: dosage, interactions, side effects

For professionals: Prescribing Information

Limbrel N N 7 reviews
8.2

Generic name: bioflavonoids systemic

Drug class: vitamins

For consumers: dosage, interactions, side effects

Limbrel 500 N N 5 reviews
2.8

Generic name: bioflavonoids / zinc glycinate systemic

Drug class: vitamin and mineral combinations

For consumers: dosage, interactions, side effects

Orthovisc N N 165 reviews
6.3

Generic name: hyaluronan systemic

Drug class: viscosupplementation agents

For consumers: dosage, interactions, side effects

Osteo Bi-Flex Advanced N N Add review
0.0

Generic name: chondroitin / glucosamine / methylsulfonylmethane systemic

Drug class: nutraceutical products

For consumers: interactions, side effects

Peridin-C N N Add review
0.0

Generic name: bioflavonoids systemic

Drug class: vitamins

For consumers: dosage, interactions, side effects

Relafen DS C N X Add review
0.0

Generic name: nabumetone systemic

Drug class: Nonsteroidal anti-inflammatory drugs

For consumers: dosage, interactions, side effects

For professionals: Prescribing Information

sodium hyaluronate N N 357 reviews
5.8

Generic name: sodium hyaluronate systemic

Brand names:  Euflexxa, Supartz, Durolane, Gelsyn-3, Hyalgan, Supartz FX …show all

Drug class: viscosupplementation agents

For consumers: dosage, interactions,

Supartz N N 42 reviews
5.9

Generic name: sodium hyaluronate systemic

Drug class: viscosupplementation agents

For consumers: dosage, interactions, side effects

Synvisc N N 48 reviews
6.3

Generic name: hylan g-f 20 systemic

Drug class: viscosupplementation agents

For consumers: dosage, interactions, side effects

Synvisc-One N N 143 reviews
6.3

Generic name: hylan g-f 20 systemic

Drug class: viscosupplementation agents

For consumers: dosage, interactions, side effects

Tylenol with Codeine C M X Add review
0.0

Generic name: acetaminophen / codeine systemic

Drug class: narcotic analgesic combinations

For consumers: dosage, interactions, side effects

For professionals: Prescribing Information

Tylenol with Codeine #4 C M X 3 reviews
5.5

Generic name: acetaminophen / codeine systemic

Drug class: narcotic analgesic combinations

For consumers: dosage, interactions, side effects

Zostrix Off Label B N 2 reviews
9.0

Generic name: capsaicin topical

Drug class: miscellaneous topical agents

For consumers: dosage, interactions, side effects

Off Label: Yes

acetaminophen / aspirin / caffeine N N X 5 reviews
8.0

Generic name: acetaminophen / aspirin / caffeine systemic

Brand names:  Excedrin, Backaid Inflammatory Pain Formula, Genace, Goody's Extra Strength …show all

Drug class: analgesic combinations

For consumers: dosage, interactions,

acetaminophen / aspirin N N X Add review
0.0

Generic name: acetaminophen / aspirin systemic

Drug class: analgesic combinations

For consumers: dosage, interactions,

acetaminophen / caffeine N N X Add review
0.0

Generic name: acetaminophen / caffeine systemic

Brand names:  Excedrin Quick Tab, Excedrin Tension Headache

Drug class: analgesic combinations

For consumers: dosage, interactions,

For professionals: A-Z Drug Facts

Amino-Opti-C N N Add review
0.0

Generic name: bioflavonoids systemic

Drug class: vitamins

For consumers: dosage, interactions, side effects

amlodipine / celecoxib N 3 reviews
9.7

Generic name: amlodipine / celecoxib systemic

Brand name:  Consensi

Drug class: cox-2 inhibitors, miscellaneous antihypertensive combinations

For consumers: dosage, interactions,

For professionals: A-Z Drug Facts

Analgesic Balm Greaseless N N Add review
0.0

Generic name: methyl salicylate topical

Drug class: topical rubefacient

For consumers: interactions, side effects

Ansaid C N X Add review
0.0

Generic name: flurbiprofen systemic

Drug class: Nonsteroidal anti-inflammatory drugs

For consumers: dosage, interactions, side effects

For professionals: Prescribing Information

Alternative treatments for Osteoarthritis

The following products are considered to be alternative treatments or natural remedies for Osteoarthritis. Their efficacy may not have been scientifically tested to the same degree as the drugs listed in the table above. However there may be historical, cultural or anecdotal evidence linking their use to the treatment of Osteoarthritis.

Learn more about Osteoarthritis

IBM Watson Micromedex

Symptoms and treatments

Drugs.com Health Center

Mayo Clinic Reference

ICD-10 CM Clinical Codes (External)

Legend

Rx Prescription Only
OTC Over the Counter
Rx/OTC Prescription or Over the Counter
Off Label This medication may not be approved by the FDA for the treatment of this condition.
Pregnancy Category
A Adequate and well-controlled studies have failed to demonstrate a risk to the fetus in the first trimester of pregnancy (and there is no evidence of risk in later trimesters).
B Animal reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well-controlled studies in pregnant women.
C Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use in pregnant women despite potential risks.
D There is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant use in pregnant women despite potential risks.
X Studies in animals or humans have demonstrated fetal abnormalities and/or there is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience, and the risks involved in use in pregnant women clearly outweigh potential benefits.
N FDA has not classified the drug.
Controlled Substances Act (CSA) Schedule
N Is not subject to the Controlled Substances Act.
1 Has a high potential for abuse. Has no currently accepted medical use in treatment in the United States. There is a lack of accepted safety for use under medical supervision.
2 Has a high potential for abuse. Has a currently accepted medical use in treatment in the United States or a currently accepted medical use with severe restrictions. Abuse may lead to severe psychological or physical dependence.
3 Has a potential for abuse less than those in schedules 1 and 2. Has a currently accepted medical use in treatment in the United States. Abuse may lead to moderate or low physical dependence or high psychological dependence.
4 Has a low potential for abuse relative to those in schedule 3. It has a currently accepted medical use in treatment in the United States. Abuse may lead to limited physical dependence or psychological dependence relative to those in schedule 3.
5 Has a low potential for abuse relative to those in schedule 4. Has a currently accepted medical use in treatment in the United States. Abuse may lead to limited physical dependence or psychological dependence relative to those in schedule 4.
Alcohol
X Interacts with Alcohol.

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Further information

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