system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 56-year-old woman presents with fatigue and joint pain in her fingers and wrists for the last 6 months. She says the pain is present in both hands, and her wrists are also swollen. Furthermore, she describes morning stiffness in her joints lasting about 2 hours, which improves with use. She has been taking acetaminophen, which provided minimal relief, but the swelling has gotten progressively worse. She also feels increasingly tired. Her past medical history reveals she has been successfully treated for Helicobacter pylori (H. pylori) related ulcers last year but still takes omeprazole for her mild gastroesophageal reflux. The patient denies any smoking history and stopped drinking when her gastric symptoms started. Which of the following analgesic drugs is the best choice to use in this patient?
assistant
Celecoxib