Conversation: The conversation between human and AI assistant.
[|Human|] Hi Dr. I have rhumatoid arthritis very sever I take a lot of medication now I started getting a lot of pain in my ankle , I already operated my r Left wrist and right one also my rheumatologist prescribed for my pain tramadol-acetaminophn 375-325, but today I took a antiflamatorioy voltram can I take the medication for the pain?
[|AI|]  Hi, Rheumatoid Arthritis(RA) is a chronic autoimmune inflammatory disease causing effects many tissues and organs, but mainly affects synovial joints. Leading to a disabling and painful condition, causing substantial loss of functioning and mobility if not adequately treated. I guess, it has been adequately investigated before arriving at the diagnosis of RA. Because only pain relievers won't work much on you and Disease-modifying anti-rheumatic Chat Doctor.  From my side you can take Amitriptyline (25 mg) at night for few months. Taking painkillers for a longer time may cause problems like gastritis and even renal diseases