PhysicalRest, elevation, compression LocalIntralesional triamcinolone injections generally 5mg mL SystemicFirst LineNSAIDsSuggested Indomethacin 50mg 3 times daily; naproxen 500mg twice daily Alternatives Ibuprofen 200 to 800mg every 6 to 8 hours; aspirin 325mg daily; celecoxib 100 to 200mg twice daily; ketoprofen 25 to 75mg every 6 to 8 hours; diclofenac 50 to 75mg twice daily Potassium iodide Tablet 400 to 900mg daily; Saturated solution 1000mg mL; 1 to 3 drops daily, escalated weekly up to 5 drops 3 times daily Second LineColchicine 0 nolvadex dosage for epistane A recent meta analysis suggests that increased intake of genistein contributes to a reduced breast cancer risk in pre menopausal women 101