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Osteoarthritis

Osteoarthritis affects joints, making them painful and stiff. It is the most common form of arthritis.

Medicines used to treat Osteoarthritis

Diclofenac

Diclofenac

50 · 100mg

Diclofenac tablets are an NSAID for rheumatoid arthritis, osteoarthritis and ankylosing spondylitis. They come in several strengths and pack sizes. You see the price per tablet for each option.

FromUS$0.31/ tabletView

Meloxicam

Meloxicam

7.5 · 15mg

Meloxicam tablets, containing meloxicam, are for osteoarthritis, rheumatoid arthritis and ankylosing spondylitis. Each option lists its price per tablet.

FromUS$0.33/ tabletView

Celecoxib

Celecoxib

100 · 200mg

Celecoxib is the active ingredient in these tablets, used for osteoarthritis, rheumatoid arthritis and ankylosing spondylitis. You can choose from several strengths and pack sizes. You see the price per tablet for each option.

FromUS$0.54/ tabletView

Etoricoxib

Etoricoxib

60 · 90 · 120mg

Etoricoxib is an anti-inflammatory tablet for osteoarthritis, rheumatoid arthritis, ankylosing spondylitis and gouty arthritis. It comes in several strengths and pack sizes. Each option lists its price per tablet.

FromUS$0.67/ tabletView

Celebrex

Celecoxib

100 · 200mg

Celebrex contains celecoxib and is used for osteoarthritis, rheumatoid arthritis and ankylosing spondylitis. It comes as a hard capsule in several strengths and pack sizes. You can compare the price per tablet across options.

FromUS$0.57/ tabletView

Motrin

Ibuprofen

200 · 400 · 600mg

Motrin is an ibuprofen tablet, with the price shown per tablet, in several strengths and pack sizes. It is used for osteoarthritis, rheumatoid arthritis, period pain, mild to moderate pain and fever.

FromUS$0.18/ tabletView

Key points

  • Osteoarthritis is long-term and cannot be cured, but it does not necessarily get worse over time and can sometimes gradually improve.
  • Stiffness in the morning that lasts less than 30 minutes fits osteoarthritis; longer morning stiffness points more towards rheumatoid arthritis.
  • Mild symptoms can sometimes be managed with exercise, weight loss, suitable footwear and devices that reduce joint strain before medicines are used.

How the joint changes

In osteoarthritis, the cartilage that cushions the ends of bones thins. The bone underneath becomes exposed and inflamed. The knees, hips and hands are affected most often, although any joint can be involved. Pain usually builds slowly: a dull ache at first, then sharper discomfort after activity. A grating sensation can appear as the condition progresses.

Causes and risk factors

The exact cause is not known. Joint injury, older age, family history, obesity, being a woman and earlier joint damage from another condition are all linked to a higher risk. Extra body weight puts strain on weight-bearing joints, especially the knees and hips. Repetitive strain at work and the years after menopause are also associated with osteoarthritis.

Treatment

When activity changes and weight control are not enough, non-steroidal anti-inflammatory drugs (NSAIDs) are the class used most often. Tablet options include Diclofenac 50 and 100 mg, Meloxicam 7.5 and 15 mg, Celecoxib 100 and 200 mg, Etoricoxib 60, 90 and 120 mg, Celebrex 100 and 200 mg, and Motrin 200, 400 and 600 mg. The active ingredients are diclofenac, meloxicam, celecoxib, etoricoxib and ibuprofen. Celecoxib is COX-2 selective and may be chosen where gastrointestinal tolerability matters. Tablets are shipped to Malaysia in discreet packaging by licensed pharmacy partners in India.

When to seek advice

Joint pain that is severe, worsening quickly, or accompanied by significant swelling and warmth needs a clinical assessment.

What the sources say

  • The main symptoms are joint pain and stiffness, difficulty moving the joint, and sometimes swelling or tenderness. (NHS)
  • X-rays and blood tests are not usually needed, and are mainly used to rule out other possible causes. (NHS)

Further reading

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