Treatment | Comments |
---|---|
Supportive | Rest, hydration |
Paracetamol | up to 4 g/day maximum in divided dosages |
Weak opioids | Oral codeine 30 mg two to three times daily, oral tramadol 50 mg two to three times daily |
NSAIDs (after ruling out other arboviral infections like dengue infection) | Ibuprofen 400 mg three times daily, diclofenac 50 mg twice daily, naproxen 250 mg twice daily, aceclofenac 200 mg daily |
Oral prednisolone and intra-articular steroids | 5–10 mg/day; in sub-acute cases post 3 weeks, with confirmed synovitis and tenosynovitis, to taper in 1–2 weeks, maximum for 4 weeks |
Tricyclic antidepressants and anticonvulsants | Oral amitriptyline 25–50 mg/day, oral pregabalin 50–150 mg two to four times a day and oral gabapentin 300 mg two to three times daily |
NSAIDs = non-steroidal anti-inflammatory drugs.