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I have been experiencing pain in my right shoulder for the past three years. My rheumatoid factor (RA) test is negative. I am currently taking Folitrax-7.5, Hqtor, Folvite, and Hifenac tablets. Are these medications appropriate for my condition, and do they have any side effects?
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I have been experiencing pain in my right shoulder for the past three years. My rheumatoid factor (RA) test is negative. I am currently taking Folitrax-7.5, Hqtor, Folvite, and Hifenac tablets. Are these medications appropriate for my condition, and do they have any side effects?
Asked by Male, 45 · 3 months ago
Pain limited to a single shoulder with a negative RA factor is unlikely to indicate rheumatoid arthritis, which typically affects multiple joints symmetrically. Folitrax-7.5 (Methotrexate), Hqtor (Hydroxychloroquine), Folvite (folic acid), and Hifenac (Aceclofenac) may help relieve symptoms, but long-term use can cause side effects such as stomach irritation, bone marrow suppression, liver or kidney issues, changes in blood pressure, or bone weakening. It is advisable to consult a rheumatologist or orthopaedic specialist to determine the underlying cause and receive appropriate treatment.
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Understanding a Negative Rheumatoid Factor (RA) Test
- A negative RA test means rheumatoid arthritis is less likely, but not ruled out. Other conditions or seronegative RA might be considered.
Medications You Are Taking
- Folitrax-7.5 (Methotrexate): Used for inflammatory conditions; common side effects include skin rash and low white blood cell count.
- Hqtor (Hydroxychloroquine): Helps manage joint inflammation; watch for nausea and rare skin reactions.
- Folvite (Folic Acid): Supports methotrexate therapy; generally well-tolerated.
- Hifenac (Aceclofenac + Paracetamol): Pain relief; may cause stomach pain or indigestion.
Appropriateness of Your Medications
- These medications are often prescribed for inflammatory joint conditions, even with a negative RA test.
- Clinical evaluation is crucial to tailor treatment to your symptoms, such as shoulder pain.
Potential Side Effects of Your Medications
- Methotrexate: Common side effects include skin rash and low white blood cell count.
- Hydroxychloroquine: Watch for nausea and rare serious skin reactions.
- Folic Acid: Rarely causes bloating or allergic reactions.
- Aceclofenac + Paracetamol: May cause stomach pain or indigestion.
Next Steps and Recommendations
- Consult a rheumatologist or orthopedic specialist for a thorough assessment.
- Consider additional tests or imaging to identify the cause of shoulder pain.
- Regular monitoring is important while on these medications to manage side effects effectively.
Answered 3 months ago