What is the initial therapy for older adults with arthritic joints?

The initial therapy for older adults with arthritic joints typically involves acetaminophen due to its safety profile and effectiveness in managing pain associated with osteoarthritis. Acetaminophen is generally well-tolerated and has a lower risk for gastrointestinal complications, which can be a concern for older adults, especially those with comorbidities.

This medication acts primarily as an analgesic and antipyretic, helping to relieve pain without the anti-inflammatory effects associated with non-steroidal anti-inflammatory drugs (NSAIDs). In older populations, NSAIDs like ibuprofen and naproxen can increase the risk of gastrointestinal bleeding, renal impairment, and cardiovascular issues. Thus, acetaminophen is often considered a first-line treatment option.

Additionally, glucosamine is not typically recommended as a first-line therapy; while some patients may find it beneficial, clinical guidelines usually prioritize more established treatments like acetaminophen for initial pain relief in osteoarthritis.