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Will these medicines improve chandromalacia patellae?

Q: I am 23 years old and suffering from chandromalacia patellae. The doctor has prescribed Freeflex and Acelo plus tablets for the same. Will these tablets help improve my knee problem? So they have any side effects? What else can I do to reduce the pain and is this disease curable?

A:A. The appropriate treatment of Chondromalacia patellae is restriction on exercises to swimming and cycling, VMO (vastus medialis oblique) exercises, electrostimulation, ice compression and use of knee braces. If these do not succeed, then surgical arthroscopy may be needed. The use of medicines is not very helpful, and at the most act as pain-killers. Aceclo Plus is a combination of aceclofenac and paracetamol. Such a combination is not permitted in any advanced country. Besides paracetamol is not an anti-inflammatory agent. Freeflex is the trade name of two ingredients: glucosamine and chondroitin. These agents are not recognised as medicines in USA since their efficacy and safety has not been tested by the drug regulator. Claims of manufacturers have not been independently verified. The drug authorities of Sweden and Denmark have warned all doctors about Glucosamines potential risk of developing (a) high cholesterol levels (b) vision disorders (c) peripheral oedema (d) pulmonary embolism - that can be fatal (e) fits (f) heart attacks (g) adverse effect on liver enzymes (h) increased serum creatinine levels (as seen in kidney damage) (i) asthma (j) diabetes (k) inflammation of the colon. If you need to take an anti-inflammatory painkiller agent, then ibuprofen (Ibupal or Brufen) or diclofenac (Doflex) 50mg daily is appropriate.

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