Acetaminophen
Acetaminophen (Tylenol®) may help reduce pain. It is available over the counter without a prescription. Older adults should take lower maximum doses. Use this medicine with caution if you have liver disease or drink large amounts of alcohol.
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)
NSAIDs can help reduce pain, swelling, and inflammation. Some are available without a prescription, while others require one.
Examples include:
- Aspirin
- Ibuprofen (Advil®, Motrin®, and others)
- Ketoprofen (Orudis®)
- Naproxen (Aleve®)
NSAIDs may be used during an osteoarthritis flare. They should be used at the lowest effective dose and for the shortest time possible. They are usually used only if acetaminophen does not control the pain.
NSAIDs can cause serious side effects, especially in older adults. Possible problems include:
- Stomach and digestive problems
- Kidney problems
- Heart problems
Some older adults should not take NSAIDs. This includes people with heart failure, kidney disease, or stomach problems. Always talk with your health care provider before taking NSAIDs.
If you take acetaminophen or an NSAID, follow your health care provider’s instructions carefully.
Your provider should monitor you for possible side effects, such as bleeding or kidney problems.
- If you take aspirin, choose buffered aspirin and take it with food.
- If you have had stomach ulcers, tell your provider.
- If you need to take NSAIDs for more than a few days, ask your provider if you should also take medicine to protect your stomach.
Topical Drugs
Topical medicines (medicines applied to the skin) can help relieve arthritis pain. The type used depends on which joint is affected. For example:
- Knee arthritis: May improve with capsaicin cream (made from chili peppers) or topical NSAIDs.
- Hand arthritis: May improve with capsaicin cream or topical NSAIDs.