Conversation: The conversation between human and AI assistant.
[|Human|] I have extreme Osteo Arthritis for last 5 yrs I have been on Methidone but was changed to Fentanyl patch 25mcg every 3 days plus hydromorphone all the above cause bad side effects and not helpin g with pain been on patch since Sept 9 what do you recommend I do?
[|AI|]  You have not mentioned your age which is very important in case of arthritis which is quite common in elderly people above 60 years of age. As per your history I will advise you to take some painkiller like attract or biozobid-plus only when pain is worse enough or disturbing your routine work. Apart from this you can take some calcium supplements like shall or toscal-gem once daily preferably in afternoon along with some multivitamins like metilda-forte or meganeuron-plus. You can do some physiotherapy exercises after an expert opinion of physiotherapist.