Stephen J. Schueler, M.D.

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Still's Disease Pain and Inflammation

Common medications used at home for pain and inflammation in children with juvenile rheumatoid arthritis include:

Aspirin and many of the other nonsteroidal anti-inflammatory drugs (NSAIDS) are not used in children except under a doctor's care. Ibuprofen or naproxen should not be taken along with a prescription NSAID.

  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Dosing is 10-15 mg per kilogram (5-7 mg per pound) of body weight every 4-6 hours, up to the adult dose.
  • Do not exceed the maximum daily dose.
  • Acetaminophen products come in various strengths. Always follow the package instructions.
  • Avoid this drug in children with liver disease or an allergy to acetaminophen.
  • Common acetaminophen products include Tylenol, Panadol and many others.



Continue to Still's Disease Taking Control

Last Updated: Dec 16, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Still's Disease References
  1. Garnett WR. GI effects of OTC analgesics: implications for product selection. J Am Pharm Assoc (Wash). 1996 Sep;NS36(9):565-72. [8824076]
  2. Schnitzer TJ. Non-NSAID pharmacologic treatment options for the management of chronic pain. Am J Med. 1998 Jul 27;105(1B):45S-52S. [9715834]
  3. Soeken KL, Miller SA, Ernst E. Herbal medicines for the treatment of rheumatoid arthritis: a systematic review. Rheumatology (Oxford). 2003 May;42(5):652-9. [1270954]
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