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Treatments and drugs

By Mayo Clinic staff

Costochondritis usually goes away on its own and is short-lived, although in some cases it may last for several months or longer.

To ease your pain until it fades, your doctor may recommend:

  • Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin, others) and naproxen (Aleve)
  • Antidepressants, specifically a category of medicines called tricyclic antidepressants, if pain is making it difficult to sleep at night
  • Muscle relaxants, which can also help ease pain
References
  1. Proulx AM, et al. Costochondritis: Diagnosis and treatment. American Family Physician. 2009;80:617.
  2. Mercier LR. Costochondritis. In: Ferri FF. Ferri's Clinical Advisor 2010. St. Louis, Mo.: Mosby; 2009. http://www.mdconsult.com/das/book/body/173904979-4/924114114/2088/162.html#4-u1.0-B978-0-323-05609-0..00012-5--sc0235_3245. Accessed Dec. 2, 2009.
  3. Stulbarg MS, et al. Symptoms of respiratory disease and their management. In: Mason, RJ, et al. Murray & Nadel's Textbook of Respiratory Medicine. 4th ed. St. Louis, Mo.: W.B. Saunders; 2005. http://www.mdconsult.com/das/book/body/173904979-4/924114114/1288/249.html#4-u1.0-B0-7216-0327-0..50033-1--cesec23_1578. Accessed Dec. 2, 2009.
  4. Meisel JL. Diagnostic approach to chest pain in adults. http://www.uptodate.com/home/index.html. Accessed Dec. 2, 2009.
  5. Phillips K, et al. Treatment of musculoskeletal pain. http://www.uptodate.com/home/index.html. Accessed Dec. 2, 2009.
  6. Boulanger BL. Costochondritis. In: Garfunkel LC, et al. Pedatric Clinical Advisor. St. Louis, Mo.: Mosby; 2007. http://www.mdconsult.com/book/player/book.do?method=display&type=bookPage&decorator=header&eid=4-u1.0-B978-0-323-03506-4..10078-1--s0200&uniq=174188909&isbn=978-0-323-03506-4&sid=925053234#lpState=open&lpTab=contentsTab&content=4-u1.0-B978-0-323-03506-4..10078-1%3Bfrom%3Dtoc%3Btype%3DbookPage%3Bisbn%3D978-0-323-03506-4. Accessed Dec. 2, 2009.
  7. Chang-Miller A (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 5, 2009.
  8. Anderson CF (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 4, 2009.
DS00626 Jan. 30, 2010

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