NSAID intake since the last visit | Yes □ | No □ | ||
---|---|---|---|---|
NSAID name | Average daily intake | Days with intake | Starting date | Ending date |
□ <1 day/week | ||||
□ 1–3 days/week | ||||
……………… | I___I___I___I mg | □ 3–5 days/week | I__I__II__I__II__I__I | I__I__II__I__II__I__Iθ |
□ ≥5 days/week | Ongoing | |||
□ Everyday |
ASAS, Assessment of Spondyloarthritis International Society; NSAID, non-steroidal anti-inflammatory drug.