J.P는 60세 남성인데 농부로 전 인생을 보낸 사람입니다. 15년 전 류마티스로 진단받았는데 그 동안 여러가지 관련 약들을 복용해왔습니다. 가장 최근엔 Plaquenil, Methotrexate, 와 Prednisone 등을 여러가지 형태의 비 스테로이드 계통의 항염약과 함께 복용해왔습니다. J.P는 대부분의 손가락들이 부어 올르며 척골이 약간 벗어난 상황입니다. 일을 거의 못 할 정도로 심한 통증에 시달려 왔습니다. 1997년 2월 Methotrexate와 Plaquenil 복용을 중단한 1997년 2월 부터 시엠을 복용하기 시작하였습니다. 그리고 Prednisone의 양을 15mg에서 5mg로 줄인 상황이었습니다. 처음 시엠을 복용한 4일동안은 통증이 약간 늘어 NSAID (비스테로이 진통제)을 매일 복용하였습니다. 이후 통증이 사라지고 붓기도 내려가기 시작하였습니다. 앞으로 한달 동안 더 관찰할 예정이며 좋아진 상태가 계속되면 진통제나 스테로이드 제를 중단할 계획입니다. .... (요약)
J.P. - He is a 60 year old male who has been a farmer his entire life. Diagnosed with rheumatoid arthritis 15 years ago, he has been on various pharmacologic protocols during that time. The most recent includes Plaquenil, methotrexate, and prednisone, with daily non-steroidal anti-inflammatory drug dosing. J.P. has fusiform swelling involving most of the joints of his fingers and moderate ulnar deviation of both hands. He suffered severe pain most of the time which limited the labor he could perform. He began cetyl myristoleate during the last week of February, 1997, at which time he terminated his methotrexate and Plaquenil (not recommended except in consultation with a qualified physician). He has also reduced his prednisone from 15 milligrams per day to 5 mg, but he still maintains his NSAID dosing on a daily basis. J.P. experienced a mild increase in pain during the first four days of taking cetyl myristoleate, but since then he has been pain free and the swelling in his hands is reducing. J.P. will be monitored over the next month to determine his stability, with checking of his serum parameters by an MD. If he continues to remain symptom-free, his steroid and NSAID therapies will be terminated. J.P. does not smoke, eat chocolate, nor drink alcohol or caffeinated beverages. He was advised at the onset of his cetyl myristoleate dosage to avoid sugar. He is also taking Glucosaplex (a mix of glucosamines) and Lyprinol (fatty acid extract of green lipped mussel) as an additional natural anti-inflammatory agent.
