A>T/C Osteoarthritis

P>DIET: Regular Diet, Increase oral fluid intake

LABS: X-ray of knees APL, Blood Uric Acid
MEDS:
1. Paracetamol 500mg/tab, take 1 tab every 4 hours as needed for fever
Paracetamol 650mg/tab, take 1 tab every 4 to 6 hours as needed for pain and fever

2. Naproxen 550mg/tablet, take 1 tablet now for pain with meals (Initial dose for
Dysmenorrhea/Musculoskeletal)
Naproxen 275mg/tablet, take 1 tablet every 6 to 8 hours as needed for pain with
meals (Maintenance dose for Dysmenorrhea/Musculoskeletal)

3. Diclofenac 50mg/tablet, take 1 tablet twice a day or three times a day as needed
for pain with meals (Max: QID)

4. Meloxicam 7.5mg/tablet, take 1 tablet once a day for pain with meals (OA and
elderly or on dialysis)

Meloxicam 15mg/tablet, take 1 tablet once a day for pain with meals (RA)

5. Celecoxib 200mg/capsule, take 1 capsule twice a day for 3 days or as needed for
pain

6. Etoricoxib 30 60 90 120mg/tablet, take 1 tablet daily for 4 days as needed for

pain (OA: 30 or 60mg OD; Gout or dysmenorrhea: 120mg OD max 8 days)

2. Collagen supplements

3. Pain, anti-inflammatory patch

ADVISE: Avoid extreme movements, warm compress, advise consult to Surgery if no

improvement of symptoms noted
FOLLOW UP: once with results or as needed