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Side effects when injected include slow heart rate, pain at the site of injection, and low blood pressure. [3] When taken by mouth side effects may include constipation and nausea . [ 1 ] Blood calcium levels should be measured when used and extra care should be taken in those with a history of kidney stones . [ 3 ]
Medications to treat the toxic effects include: intravenous fluids, calcium gluconate, glucagon, high dose insulin, vasopressors and lipid emulsion. [1] [2] Extracorporeal membrane oxygenation may also be an option. [1] More than ten thousand cases of calcium channel blocker toxicity were reported in the United States in 2010. [2]
Diclofenac, sold under the brand name Voltaren among others, is a nonsteroidal anti-inflammatory drug (NSAID) used to treat pain and inflammatory diseases such as gout. [6] [9] It can be taken orally (swallowed by mouth), inserted rectally as a suppository, injected intramuscularly, injected intravenously, applied to the skin topically, or through eye drops.
The same review reported less inflammation but no difference in joint function. [189] A review examined the effect of marine oil omega-3 fatty acids on pro-inflammatory eicosanoid concentrations; leukotriene 4 (LTB 4) was lowered in people with rheumatoid arthritis but not in those with non-autoimmune chronic diseases. [190]
Side effects: Side effects are possible with any medication, including topical pain relievers. Ahmad says the most common side effect is skin irritation, which certain ingredients or preservatives ...
In osteoarthritis, joint injection of glucocorticoids (such as hydrocortisone) leads to short term pain relief that may last between a few weeks and a few months. [5] Injections of hyaluronic acid have not produced improvement compared to placebo for knee arthritis, [6] [7] but did increase risk of further pain. [6]
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