Have you heard of Erythema Nodosum? I have had it on and off since High School and I'm now 44 years old. My latest Dr. told me to take 4 Advil 3x a day. Is there any other treatment that might work? It's in my feet only and very painful.
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Sweet Baby Jane
ANSWERS: 4
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Treatments for erythema nodosum include antiinflammatory drugs, and cortisone by mouth or injection. Colchicine is sometime used effectively to reduce inflammation. Treatment must be customized for the particular patient and conditions present. It is important to note that erythema nodosum, while annoying and often painful, does not threaten internal organs and the long-term outlook is generally very good.
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I am 51 years old and I have had EN for approximately one year now. It's in my hands, fore arms, lower legs, and feet. It has been extremely painful. I started with antibiotics, anti-inflamatories, and Lyrica. None of these treatments helped. I continued to get worse and the doctors do not know why it came. I have also been on Prednisone for eight months. Up to 30 mgs per day for pain. Now tapering off and down to 7 mgs per day. I saw a rheumatologists who put me on Methotrexate. I take this medication once per week. Started with pills, but changed to a once-per week injection. The pain and inflamation are under control. I also take Tramadol and Dolobid (Diflunisal). The doctor says this condition should go away and not come back. I have many, many spots that have not gone away. Hope this helps.
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My only comment is that I have Rheumatoid arthritis and take methotrexate (6 gm per wk by pill) plus other Rx. I was taking asprin based products until my problem with ulcers got so bad I had to switch to non asprin pain killers (acetaminophen). That may be a choice if the asprin products bother. Also, I was on low dose predisone and worked myself off because of the long term effects.
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I don't know anything about EN, but that's pretty much the maximum dose for ibuprofen. I'd check whether he plans for that to be a long-term solution; it's rough on your stomach and i think maybe the liver as well.
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