I have been experiencing joint pain in my ankle and wrist for more than a month after a fever. Initially, my doctor prescribed Acuvin for 3 days, followed by Hifenac-P for 10 days. I also underwent a G6PD test, and the result was 8.13. Later, I was advised to take HCQS 200 mg once daily for 30 days, Musran ER 600 mg once daily for 10 days, and Metal 250 for 5 days. The pain improves while taking the medicines, but returns severely after stopping them. What could be the reason, and what treatment should I consider?

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I have been experiencing joint pain in my ankle and wrist for more than a month after a fever. Initially, my doctor prescribed Acuvin for 3 days, followed by Hifenac-P for 10 days. I also underwent a G6PD test, and the result was 8.13. Later, I was advised to take HCQS 200 mg once daily for 30 days, Musran ER 600 mg once daily for 10 days, and Metal 250 for 5 days. The pain improves while taking the medicines, but returns severely after stopping them. What could be the reason, and what treatment should I consider?
Asked by Female, 35 · 25 days ago
Your joint pain treatment involves several medications addressing pain, inflammation, and possible autoimmune causes, but persistent symptoms suggest ongoing inflammation or a related condition needing specialist care.
Acuvin combines paracetamol (325 mg) and tramadol (37.5 mg) to provide short-term relief from moderate to severe pain by blocking pain signals and reducing pain mediators. Hifenac-P contains aceclofenac and paracetamol, which help reduce inflammation and relieve pain, commonly used for joint or musculoskeletal pain.
A G6PD (glucose-6-phosphate dehydrogenase) level of 8.13 is generally within the normal range, indicating no deficiency. This means your red blood cells are unlikely to be at risk of hemolysis from certain triggers.
HCQS (hydroxychloroquine) 200 mg is used to manage inflammatory or autoimmune joint conditions, such as rheumatoid arthritis or post-viral arthritis. Musran ER (etodolac) 600 mg is a nonsteroidal anti-inflammatory drug (NSAID) that reduces pain and inflammation. Metal 250 is typically a muscle relaxant or supportive therapy to ease muscle stiffness and discomfort.
Persistent joint pain after fever and medication may be due to ongoing inflammation, post-viral arthritis, or an autoimmune process that requires longer-term management. Temporary relief from medications suggests the underlying cause is still active.
Consult a rheumatologist promptly to tailor treatment and prevent joint damage. If you experience worsening symptoms like severe swelling, redness, fever, or difficulty moving joints, seek urgent medical care.To narrow down potential causes, we will need some more information.To help me understand your situation better, could you please tell me your age and gender?
Answered 25 days ago