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MS Other
Other Information for Musculoskeletal
| Question | Answer |
|---|---|
| methotrexate | -teratogenic -use folic acid to prevent toxicity -delayed effects |
| etanercept | contraindicated for malignancies |
| tofacitinib | -interacts with grapefruit juice and St. John's Wort -can increase cholesterol |
| raloxifene | -use with calcium and vitamin D |
| alendronate | -cannot take if unable to sit/stand for 30 minutes |
| denosumab | therapy will take years |
| teriparatide | -contraindicated in Paget's disease and metastatic bone disorders |
| calcitonin-salmon | -antibody formation considered in patients with initial response to Miacalcin injection who later stops responding -can lead to reduction in plasma lithium |
| calcium citrate | -contraindicated in history of malignancy -contraindicated in history of kidney stones |
| colchicine | -contraindicated in renal and hepatic impairment -fatal overdoses reported -can cause neuromuscular toxicity -not analgesic medication -avoid grapefruit juice |
| probenecid | -may cause exacerbation of acute gouty attack -interacts with loop diuretics |
| allopurinol | -no use in acute gout attacks -hepatotoxic -best to take with meal |