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Yet another NSAID question

Has anyone backed out of their surgery due to NSAID being prohibited after?

I have lots of joint pain, most of which will be helped by weight loss. However, I doubt weight loss will help the bone spurs causing pain with my finger joints. There is also signs of rheumatoid arthritis, but it is better with naproxen. Based on testing, I assume the rheumatoid swelling will be back when I stop the naproxen.

My 1st surgeon said celebrex was OK, but I had to leave him due to their Cash price being too much.

New Dr, says no NSAID ever. Doesn't offer alternatives.

Now, I'm confused. One minute I feel like I should cancel the whole sleeve surgery because the thought of hand pain for life scares me. It's bearable on NSAID, awful without. I feel like my choices are fat, (and everything that comes with) and somewhat pain free, or thinner and healthier, in pain.

Should I do the sleeve anyways, then go back to the rheumatology doc and reevaluate? I admit, I don't know how many plan B options there are, other than what I found on Google. But surely I am not doomed for the rest of my life, right?

Or Find another dr who allows celebrex/NSAID? If I go this route, are there tests or anything we can do to ensure I'm not getting an ulcer?

There is always hope for future arthritis treatment too. Who knows what they'll be able to do in a few years.

What would you do? (I've asked doc, they just say no NSAID, ever). I guess I'm worried about trading one problem (fat) for another (pain).

Am I over thinking it?

Sent from my XT1254 using BariatricPal App

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  • OutsideMatchInside
    OutsideMatchInside

    The jury is kind of out on this. There used to be someone that posted here that still took NASAIDs. Most surgeons say no, but some say yes. I would hate to be in your situation, best of luck

  • Sosewsue61
    Sosewsue61

    I have the same concerns. I am still getting the sleeve. I had TKR in the right knee 7 years ago and the arthritis flares up there sometimes and in my left shoulder daily. Tylenol does zero for me. I

  • Until I read some of these posts I never heard a Dr. say it's ok to use NSAIDs after sleeve. Once in a while it's fine but on a regular basis it's not. Risk of ulcer over time is huge after sleeve and

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I have bone-on-bone osteoarthritis in my knees. Both of them. As in, they need to be replaced. That being said, about 4 weeks prior to surgery I was switched from a prescription version of Naproxyn to meloxicam, which is a Cox-2 inhibitor and not considered an NSAID. My bariatric surgeon and my orthopedic surgeon agreed this would work. I've been on it since with no problems.

Before surgery my pain level in my knees was so bad that I was good for 1-2 Vicodin a day. I can count on one hand the number of Vicodin I've taken since surgery. You back will thank you. But Celebrex and Meloxicam/Mobic are in the same class of Cox-2s which give similar relief to NSAIDs but are in a different chemical category completely.

Hi. I was told in the beginning to not use NSAID. When I returned for my 6 month appointment, I asked if this was a lifetime rule...no NSAID. I was told we could take them, just try to not take them on a regular basis. I am probably a senior on this site lol I had surgery 3 1/2 years ago, and I now take them as needed and have never had any problems at all.

I would absolutely jot let this detour having this surgery! I have been able to keep off about 60 pounds for 3 1/2 years, so for me it was so worth it!

I hope this helps[emoji4]


I was told no NSAIDs was for bypass, not sleeve. I have arthritis and take naproxen as needed. I'd rather not, because I'd rather not have arthritis. But I've had no issues and it's doc approved. It seems to be a matter of opinion with doctors on this one.

Cheri

My surgeon said that the band would have been the better option for me, given the amount of weight I needed to lose (224 day of surgery, I'm 5'2"), but I've got severe osteoarthritis in both of my knees and take a medication called Meloxicam to combat the inflammation. It doesn't directly help with pain, so I take Tramadol and the occasional Norco when it's really bad. I need a knee replacement, so he said the sleeve would be best since the Meloxicam is known to cause ulcers in a "normal" stomach, and if I had a banded stomach, I'd get an ulcer for sure. I had my sleeve on 9/26/16 and wasn't allowed to get back on it until February. I haven't had any issues with it, but I can't take any NSAID medications because of it. I wouldn't recommend seeking out a doc who will tell you what you want to hear, but I'd definitely see your rheumatologist to feel out your options. Good luck!


I also have that concern. When I had my consultation with the surgeon, I specifically asked him about that because I have rheumatoid arthritis, lupus and fibromyalgia. I used to be on NSAID's every day, but my kidney function was not good, so I went off the NSAID's. Now I only take them once in awhile and try to rely more on my tens unit (I use the iTens unit that works from a phone app - I can honestly say that it helps me deal with the pain). In any case, my surgeon said that once I was on solid food, he had no concerns with me taking an occasional NSAID; he just didn't want me taking them constantly. I can live with that.


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