Rheumatology

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New OA recommendations suggest less glucosamine/ chondroitin, more NSAIDs and tramadol

KEY POINT

Most patients with osteoarthritis (OA) should start drug therapy with oral or topical NSAIDs, acetaminophen, or tramadol and avoid glucosamine or chondroitin sulfate, according to new recommendations from the American College of Rheumatology (ACR). Practitioners should reserve opioids for those patients who do not respond to initial therapies.