Ankylosis requires lifelong medication and cannot be stopped for life When exactly can ankylosis be reduced or even stopped? Can you tell us a general criterion for patients, such as pain symptoms, inflammation indicators or imaging basis? This way, patients will not just stop taking the medication, otherwise everyone will think that they can stop taking the medication when they are not in pain. Either that or simply tell us that we have to take the medication for the rest of our lives and can’t stop, and people won’t think so much about stopping. Many strong friends are knocked down because of “lifelong medication”, but in fact, in clinical practice, it is not uncommon to see patients who can gradually reduce their medication or even stop it. However, we do not usually give specific treatment advice for a particular patient on the Internet because treatment is a serious and highly individual matter: some patients have very mild disease and can gradually stop taking their medication after regular treatment and hard training; others not only cannot stop taking their medication, but also have to increase it when various complications arise, and some patients even need systemic glucocorticoids when they have severe combined iritis. In some patients with severe iritis, systemic glucocorticoids are required. When can we stop the medication? This requires a comprehensive judgment by the clinician, which is the point of a follow-up visit. It is not so easy to look at a disease, especially a chronic disease, and decide to treat it simply by looking at a high index. In addition to the patient’s pain symptoms, inflammatory indicators and images at the time, the decision to discontinue medication also requires a combination of factors such as the patient’s previous course of treatment, recurrence and remission patterns, and comorbidities. The patient’s treatment is like cooking a small meal, sometimes it is very important to “fire”. If the fire is too high, the disease may not be cured, but the side effects may come out; if the fire is low, the disease may always be “almost meaningful” and may not go into remission, resulting in continued disease progression. Although we can’t give specific guidelines for each patient, there are always some principles and rules to follow for your reference: 1, ankylosis is not a “death sentence”, some patients can stop taking medication; 2, some patients have a serious condition and need to take medication for a long time, but if you can live well after taking medication and not delay anything, it is definitely worth it; 3, ankylosis The first thing you should do is to stop taking your medication! The more patients are diagnosed and treated early, the more chances they have to stop taking their medication; 5. You will understand if you draw a picture. No symptoms can stop the medication? Pain is a small thing, but the matter of ankylosis is big! It’s a big job to defuse the iceberg. Some patients do not pay enough attention to the disease, always eat and stop, no more pain, almost no non-sickness, why? The inflammatory base of the crest is still there, and sooner or later the ice under the water surface will have to bubble up. The weather has changed, diarrhea, cold …… As long as there is a “wind blowing”, there is a possibility of relapse. It is important to remember that reducing the dosage and stopping the medication are completely different. The doctor will judge whether the patient can reduce the medication and how much is appropriate based on the patient’s overall condition at the time of the visit, and it is possible to maintain the medication at a lower dosage while controlling the disease as much as possible. Some patients in our clinic take NSAIDs only once or twice a week. Don’t underestimate this once-a-week dose; for some patients, such a maintenance dose is much better for controlling the disease for a long time without flare-ups than stopping the medication altogether. However, a doctor’s decision is never based solely on whether or not a patient is currently in pain, so it is not recommended that patients reduce their dose on their own without a follow-up visit.
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