Q: I was suffering from ankylosing spondylitis. With dietary changes and yogic exercises I overcame the pain. For pain I took Indomythacin. But, now after three years the same problem has recurred. The doctor gave the following tablets: 1. Valdecoxib 2. Nimesulide 3. Nurokind - Mehtylcobalamin. He said that there is inflammation in the joints. I would like to know the reason for joints being inflammed. What are the above medicines for?

A:Indomethacin (e.g. Indocap SR) is the drug of choice in ankylosing spondylosis. I am a bit surprised that you have been prescribed two globally banned dangerous drugs: nimesulide and valdecoxib. Nimesulide is not allowed to be sold in advanced countries like US, Britian, Canada, Australia, Japan etc. Valdecoxib has been banned for causing heart problems. Recurrence of the signs and symptoms of Ankylosing spondylosis are quite common. There is no particular reason; it is part of the disease pattern. The best course of action for you is to take indomethacin again. Methylcobalamin (Neurokind) has no role in the treatment of ankylosing spondylosis. This product does not appear on the international databank of quality brands. Besides it can cause unpleasant side effects such as loss of appetite, nausea, rash, diarrhoea, headache, sweating and hot sensation.