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i have a patient who has chronic dysmenorrhea, been on ibuprofen, piroxicam, naproxen, e.t.c. but all have failed. could offer a solution for such considering that she just got married and about to start a family {r/o use of contraceptives}.reply fast it is urgent
Tags: piroxicam
Age
:  
27
Sex
:  
Female
Weight
:  
79kg
Current Medications
:  
none
Drug Allergies
:  
none
Medical Conditions
:  
chronic dysmenorrhea
639831_tn?1223066680
If NSAIDs are ineffective, your patient can try non-medical treatments such as using a heating pad, hot water bottle or taking a hot bath. It's also important to exercise and avoid alcohol. Some alternative therapies include taking Thiamine 100 mg and Calcium 1200 mg daily.

It is important to rule out underlying causes such as endometriosis or fibroids.
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