Psoriatic arthritis and meds

[sherryjolene 24]

I am 4 days post op sleeve and also have psoriatic arthritis. I am looking for fellow sleevers that also have this or RA or similar history. I am wondering about meds we take for the pain. Until 7 days before my surgery, I took Mobic and sulfasalizine daily. I am getting conflicting info on whether it is ok to take after being sleeved. Some say yes it's fine, others say not safe. I am wondering what others in my situation are doing. I appreciate any feedback.

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[Butterflywarrior 241]

I was told I b would eventually be able to take nsaids and steroids again and is o b e if tge primary reasons my b surgeon thought t he sleeve v was or will be v a better choice for me bc if my many pain medications including morphine and also steroids etc for my autoimmune issues.

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[theantichick 2,204]

PsA/RA here too.

My rheumy had me stop the sulfasalazine 3 weeks prior to surgery. I'm 5 weeks out, and see her next week to get my date to start biologics and see if I can start the sulfasalazine again in the meantime. I think she said I can't start biologics until 3 months after surgery, can't remember what she said about sulfasalazine.

She and my surgeon both agreed that VSG was the only WLS open to me because I'll have to be able to take NSAIDs and steroids periodically. They are strictly prohibited for bypass and band. Some surgeons will say no with the VSG because of the increased risk of ulcers, but when the benefits outweigh the risks, they'll usually say it's ok. They'll likely require you to be on a PPI (omeprazole or the like) to try and prevent the ulcers.

Interestingly enough, by day 3 post op my surgical pain wasn't nearly as bad as my arthritis pain, but without any meds or NSAIDs my arthritis pain has been decreasing. Rheumy said that both the stomach tissue and fat tissue increase the inflammatory factors, and the surgery should help decrease my inflammation as well as reduce joint stress with the weight loss. I didn't expect it to be this significant. So we may want to just try back on the sulfasalazine for a while and see if it does the trick, dunno.