A pregnant woman with longterm hx of osteoarthritis came to the antenatal clinic with
complaints of restricted joint movement and severe pain in her affected joints. What is the
choice of drug?
a. Paracetamol
b. Steroid
c. NSAID
d. Paracetamol+dihydrocoiene
e. Pethadine
answer: A
why not D? Prolonged use of opioids during pregnancy can result in physical dependence in the neonate
ttt of osteoarthritis
1st line: paracetamol
2nd line: NSAID or celecoxib cox2 inhibitor if high risk for GI bleed
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