Joint pains

Optic neuritis (a decrease in visual acuity and changes in color perception), which appears to be related to the dose given and die duration of treatment, has occurred in some patients receiving ethambutol. Usually, tiiis adverse reaction disappears when the drug is discontinued. Other adverse reactions are dermatitis, pruritus, anaphylactoid reactions (unusual or exaggerated allergic reactions), joint pain, anorexia, nausea, and vomiting. 

Notify die primary health care provider if any of the following occurs skin rash, joint pain, unexplained fever, sore diroat, usual bleeding or bruising, drowsiness, dizziness, blurred vision, or pregnancy. 

Iron salts occasionally cause gastrointestinal irritation, nausea, vomiting, constipation, diarrhea, headache, backache, and allergic reactions. The stools usually appear darker (black). Iron dextran is given by the parenteral route Hypersensitivity reactions, including fatal anaphylactic reactions, have been reported with the use of this form of iron. Additional adverse reactions include soreness, inflammation, and sterile abscesses at the intramuscular (IM) injection site Intravenous (IV) administration may result in phlebitis at the injection site When iron is administered via the IM route, a brownish discoloration of tlie skin may occur. Fhtients with rheumatoid arthritis may experience an acute exacerbation of joint pain, and swelling may occur when iron dextran is administered. 

Fhtients with rheumatoid arthritis may experience an acute exacerbation of joint pain, and swelling may occur with iron dextran therapy. 

The following adverse reactions may occur dizziness, headache, fatigue, joint pain, nausea, vomiting, or diarrhea Report any of tiiese reactions. 

Thiazide diuretics may cause gout attacks. Contact the primary care provider if significant, sudden joint pain occurs. 

These hormones cause few adverse reactions when administered as directed. Antibodies to somatropin may develop in a small number of patients, resulting in a failure to experience response to therapy, namely, failure of the drug to produce growth in the child. Some patients may experience hypothyroidism or insulin resistance Swelling, joint pain, and muscle pain may also occur. 

Rash, swelling of salivary glands, "iodism (metallic taste, burning mouth and throat, sore teeth and gums, symptoms of a head cold, diarrhea, nausea), allergic reactions (fever, joint pains, swelling of parts of face and body)... 

Potassium nitrate is also found in pills for backache and joint pain. It makes a decent plant fertilizer, providing nitrogen and potassium but no phosphorus. As an oxidizer, it is an ingredient in stump removers that hastens the decay of tree stumps. And it is used as a preservative in some salted meats like nitrites, it helps to preserve the color of the meat. 

The most common unwanted effects of the barbiturates are oversedation and psychomotot impaitment, which may petsist well into the next day following a hypnotic dose. Patadoxical excitement, hypersensitivity reactions, and muscle or joint pain may occur in rare cases. Drug-drug interactions occur with the CNS sedatives, and a number of drugs have enhanced metabolism when co-administered with barbiturates (Barnhill et al. 1989). 

Acetaminophen 1 000 mg every 8 hours as needed for joint pain... 

Excessive sweating, joint pain, nerve pain, and abnormal neurologic sensations (paresthesias) related to elevated GH and IGF-I levels. 

Before starting treatment for RA, assess the subjective and objective evidence of disease. For joint findings, this includes the number of tender and swollen joints, pain, limitations on use, duration of morning stiffness, and presence of joint erosions. Systemic findings may include fatigue and the presence of extraarticular manifestations. Obtain laboratory measurements of CRP and ESR. The impact of the disease on quality of life and functional status is also important. 

The most common symptoms are joint pain, reduced range of motion, and brief joint stiffness after periods of inactivity. 

Presentations encompass a spectrum ranging from asymptomatic to severe joint pain and stiffness with functional limitations. 

The cardinal symptoms are use-related joint pain, typically described as deep and aching in character and stiffness. In advanced cases, pain also may be present during rest. 

Intraarticular injection of corticosteroids or hyaluronan represents an alternative to oral agents for the treatment of joint pain.2S These modalities usually are reserved for patients unresponsive to other treatments because of the relative invasiveness of intraarticular injections compared with oral drugs, the small risk of infection, and the cost of the procedure. 

Metoprolol 100 mg daily Premarin 0.3 mg daily Calcium carbonate 1200 mg daily Ibuprofen 600 mg as needed for joint pain Loratadine 10 mg as needed for allergies Senior over-the-counter multivitamin daily... 

Abd Soft, nontender bowel sounds present Exts Within normal limits no joint pains Skin Multiple lesions on the scalp, chest, back, elbows, and knees evidence of excoriation on the chest. 

Isotretinoin Capsules 10, 20, 40 mg 0.5-1 mg/kg/per day in two divided doses Maximum dose 2 mg/kg per day Cumulative dose 120-150 mg/day Dry skin and mucous membranes, muscle and joint pain, elevated liver enzymes and triglycerides, depression, teratogenicity... 

Muscle and joint pain Nonsteroidal anti-inflammatory drugs... 

Sjogren s syndrome An inflammatory disorder of unknown cause that affects the mucous membranes, causing dry mouth, decreased tear production, decreased sense of taste and smell, joint pain, and swollen glands. 

Musculoskeletal Effects. Individuals who have had high exposures to lead, either occupationally or by the consumption of alcohol from lead stills, have been reported to exhibit a bluish-tinged line in the gums (i.e., the "lead line"). In addition, case reports of high occupational exposure to lead have described the occurrence of muscle weakness, cramps, and joint pain. 

The answer is c. (Hardman, p 868. Katzung, pp 231—232) Procainamide blocks open Na+ channels. Long-term therapy can result in drug-induced lupus syndrome, identified by circulating antinuclear antibodies. Many patients may develop a facial rash and joint pains. Pericarditis can occur, but renal involvement is rare. 

---