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February 10, 2012
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Ankylosing Spondylitis Medications

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Nonsteroidal Anti-inflammatory Drugs (NSAIDs)

Drugs in this class include diclofenac (Cataflam, Voltaren), ibuprofen (Advil, Motrin), ketoprofen (Orudis), naproxen (Aleve, Naprosyn), piroxicam (Feldene), etodolac (Lodine), indomethacin (Indocin), oxaprozin (Daypro), nabumetone (Relafen), and meloxicam (Mobic).

How NSAIDs work: NSAIDs prevent the body from producing prostaglandins, which have been identified as a cause of pain and inflammation. NSAIDs prevent this by inhibiting the cyclooxygenase (COX) enzymes that are important in the formation of prostaglandins by cells. Several types of anti-inflammatory agents exist. Doctors recommend NSAIDs as the first type of medicine to try after they initially diagnose ankylosing spondylitis. Some of these drugs may be purchased without a prescription.

Learn more about NSAIDs as ankylosing spondylitis medications

Ankylosing Spondylitis Overview

Ankylosing spondylitis (AS) is a type of arthritis that involves the spine, sacroiliac joints, and other joints such as the hips and shoulders. It is in a category of arthritis called spondyloarthropathy. Other spondyloarthropathies include reactive arthritis and psoriatic arthritis. Men develop ankylosing spondylitis three times more often than women do. People with ankylosing spondylitis develop the disease prior to age 45. Symptoms include the following:

  • Frequent lower back pain


  • Back stiffness first thing in the morning or after a long rest period


  • Pain or tenderness of the ribs, shoulder blades, hips, thighs, and bony points along the spine


  • Pain and tenderness in joints other than the spine may accompany the condition


  • Eye pain, watery eyes, red eyes, blurred vision, and sensitivity to bright light (The disease sometimes affects the eyes and other organs.)
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Ankylosing Spondylitis Medications

AS Neurologic Overview

Ankylosing spondylitis (AS) is a long-term disease process that affects the axial joints near the midline, especially the spine and sacroiliac joints (the joints located at the lowest end of the spine, called the sacrum and the pelvis). AS causes eventual fusion of the spine. Peripheral joints, such as the hips and knees, may be involved; the arms are almost never involved.

The primary disease process involves inflammation where the ligaments and tendons insert into the bones. The disorder predominantly affects the bones, causing rigidity of the spine. It may also involve the hips, knees, and occasionally the small joints of the feet. Inflammation of the connective tissue of the undersurface of the foot (plantar fasciitis) may also occur.

Nonskeletal problems associated with AS may include inflammation of the iris or uvea (the layer of the eye below the white of the eye), and less commonly inflammation of the aorta, pulmonary fibro...

Read the Ankylosing Spondylitis, Neurologic Perspective article »


Read What Your Physician is Reading on Medscape

Ankylosing Spondylitis and Undifferentiated Spondyloarthropathy »

The spondyloarthropathies (SpAs) are a family of related disorders that includes ankylosing spondylitis (AS), reactive arthritis (ReA; also known as Reiter syndrome [RS]), psoriatic arthritis (PsA), spondyloarthropathy associated with inflammatory bowel disease (IBD), undifferentiated spondyloarthropathy (USpA), and, possibly, Whipple disease and Behçet disease.

Read More on Medscape Reference »

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