West Point started modestly with the introduction of a generic version of
Dolobid (diflunisal), Merck's non-steroidal anti-inflammatory drug for treating mild to moderate pain, osteoarthritis and rheumatoid arthritis.
Medicines that can be used include aspirin, acetaminophen (Datril, Panadol, Tylenol), ibuprofen (Advil, Medipren, Motrin, Nuprin), naproxen (Naprosyn), naproxen sodium (Anaprox), diflunisal (
Dolobid), ketorolac (Toradol) and others.
Non-acetyl salicylates such as Trilisate, Arthralgan, Arthropan, Mobidin/Magan, Disalcid and
Dolobid are safer, in terms of GI toxicity, than other NSAIDs, but are clearly more expensive.
The common NSAIDs still requiring a prescription are naproxen (Naprosyn), piroxicam (Feldene), indomethacin (Indocin), tolmetin sodium (Tolectin), mefenamic acid (Ponstel), diflunisal (
Dolobid), and diclofenac sodium (Voltaren).
Diflunisal (
Dolobid [R]) thrombocytopenia, Nabumetone(Relafen [R]) leukopenia, Use of aspirin, Naproxen (Naprosyn [R]) bronchospasm, alcohol, or Piroxicam (Feldene [R]) nervousness, corticosteroids Indomethacin (Indocin [R]) tinnitus, may increase risk Sulindac (Clinoril [R]) hearing loss.
