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NSAIDs in Bhubaneswar

NSAIDs

NSAIDs in Bhubaneswar

NSAIDs, or non-steroidal anti-inflammatory drugs, are commonly used medications to relieve pain, reduce inflammation, and reduce fever. They are also frequently used to treat symptoms such as headaches, nausea, menstrual cramps, colds, pain, and inflammation. NSAIDs play an important role in the treatment of various types of arthritis, such as rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, etc. They improve the quality of life of patients by reducing chronic pain, inflammation, and swelling. They do not slow the disease but reduce symptoms by inhibiting the cyclooxygenase (COX) enzyme, which is responsible for inflammation and pain. 

Long-term use of NSAIDs carries many risks, including gastrointestinal issues, cardiovascular issues, and kidney damage. Thus, their use requires regular medical supervision, especially in patients with co-morbidities. Selective COX-2 inhibitors are sometimes preferred over traditional NSAIDs due to superior safety. Because of their ability to manage chronic symptoms and acute inflammation, NSAIDs in Bhubaneswar are widely used in rheumatoid arthritis, where they have been carefully managed to minimise side effects. The Department of Rheumatology at Manipal Hospitals, Bhubaneswar, has an experienced team of rheumatologists and doctors who provide the best treatments for various rheumatological disorders. Emphasis is placed on minimising complications and enhancing the treatment results by providing quality care services to their patients.

FAQ's

The prostaglandin chemicals in the body are responsible for causing inflammation and pain. The NSAIDs block the COX (COX-1 and COX-2) enzymes, which are involved in the production of prostaglandins. Therefore, NSAIDs alleviate pain and inflammation through this process.

The commonly used NSAID drugs are:

  • Aspirin

  • Celecoxib

  • Fenoprofen

  • Etodolac

  • Flurbiprofen

  • Diclofenac

  • Meloxicam

  • Ketorolac

  • Indomethacin

  • Naproxen

  • Oxaprozin

NSAIDs generally carry a warning due to their association with an increased risk of heart attack and stroke. Though the actual risk is unknown, people with heart disease, high cholesterol, diabetes, high blood pressure, and smoking are advised to check with their doctor before taking them. They are experts in evaluating its risk versus its benefits for your condition.

The common side effects offered by NSAIDs include:

  • Anaemia

  • Kidney issues

  • Swelling in the legs

  • Stomach issues like nausea, gas, stomach ulcers, pain, constipation, or diarrhoea

  • Dizziness

  • Headache

  • Rash

  • Cardiovascular issues

  • Liver damage

  • Increased risk of bleeding

Not everyone will experience these side effects, and NSAIDs are generally safe to consume if taken as directed by your doctor.

Yes, some people with asthma, nasal polyps, sinus issues, or other conditions may be sensitive to some NSAIDs. These drugs can cause allergies and may worsen breathing; thus, doctors generally advise you to avoid taking NSAIDs if you have asthma. However, some NSAIDs may be safe to use; discuss it with your doctor before consuming any NSAIDs for rheumatoid arthritis.

 

It's important to inform your doctor about all drugs and supplements you are taking before consuming NSAIDs for your condition. Also, inform about any underlying condition you may have, like heart failure, diabetes, lupus, asthma, ulcers, liver or kidney disease, high blood pressure, etc. Some NSAIDs may interact with cyclosporine, methotrexate, or blood thinners that you are already consuming. Your doctor must be informed about everything beforehand so that they can prescribe the right medication for your condition. 

Although NSAIDs can help in managing chronic pain, inflammation, and swelling linked with rheumatoid arthritis, they do not slow down the disease. To prevent further joint damage, patients suffering from rheumatoid arthritis need to take other types of medications along with it.

The long-term use of NSAIDs is generally not recommended due to their higher risks of gastrointestinal and cardiovascular issues. If needed, should be taken under the complete guidance of your doctor. As a general instruction, one should not use NSAIDs for more than 3 days for fever and 10 days in case of pain, unless otherwise prescribed by your doctor.

Celecoxib NSAID is safe to use for the long term as it is designed to avoid gastrointestinal side effects.

To use NSAIDs safely, take the lowest effective dose for the shortest duration necessary, consume NSAIDs with food or milk to prevent stomach upset, avoid using multiple NSAIDs simultaneously, and refrain from drinking alcohol while using them. Always consult your healthcare provider if you have any underlying health conditions or are taking other medications.

NSAIDs are generally not recommended during pregnancy, particularly in the third trimester, due to potential risks for the mother and baby. Always consult a healthcare provider before using NSAIDs during pregnancy.

People with the following conditions should avoid taking NSAIDs or only take them after consultation with their doctor. These include: 

  • Liver disease

  • Unmanaged diabetes

  • High blood pressure

  • Bleeding disorders

  • Kidney disease

  • Stomach ulcers

  • Crohn’s disease

  • History of heart attack or stroke

  • GERD disease

  • Heart failure

  • Bleeding disorders

If you experience any of these side effects after taking NSAIDs, contact your doctor right away. These include:

GI/urinary issues

  • Boody or black stools

  • Blood in urine

  • Cloudy urine

  • Blood or any material in vomit

  • Severe stomach pain

  • Unusual weight gain

  • Jaundice

Vision/hearing issues

  • Blurred vision

  • Balance issues

  • Bad headache

  • Photosensitivity

  • Difficulty speaking

Allergic reactions

  • Severe rashes

  • Chest pain

  • Wheezing

  • Itchy skin

  • Fluid retention

  • Flu-like symptoms

  • Bruising

  • Fatigue

 

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