Patient Drug information- NSAIDS
Drug Name:Patient Drug information- NSAIDS
List Of Brands:
Indication Type Description:
Indication
Indication:
As per US FDA guidelines as per USPDA 1997
It is the intention to bring out the salient features. Hence relevent details as prescribed by US FDA guidelines as per USPDA 1997 are brought out clearly in the following chapters.
Descriptons are detailed only to the Group Head and the indiviual items can be seen by visiting the Web Site
NSAIDs include-
Propionic acid- Fenoprofen, Flurbiprofen, Ibuprofen, Ketoprofen, Naproxen, Naproxen Sodium, Oxaprozin
Acetic acids- Diclofenac sodium, Etodolac, Indomethicin, Ketorolac, Nabumetone, Sulindac, Tolmetin
Fenamates (anthralic acids) - Meclofenamate, Mefenamic acxid
Oxicams- Piroxicam
Refer- Ibuprofen
1. Side effects of NSAIDs can cause discomfort and rarely, more serious side effects such as GI bleeding which may result in hospitalisation and even fatalites. NSAIDs are often essential in manangement of arthiritis and have a major role in treating pain but they also may be commonly employed for less serious conditions. Appraise potential patients of potential risks.
2. Avoid aspirin and alcoholic beverages while taking medication.
3. If GI upset occurs, take with food, milk or antacids. For GI upset with tolmetin, use antacids other than sodium bicabonate, bioavailbility is affected by food and milk.
If GI symptoms persist, consult physician
4. May cause cause drowsiness, dizziness, or blurred vision, patients should observe caution while driving or peforming other tasks requiring alertness
5. Notify physician if skin rash, itching, visual disturbances, weight gain, edema, black stools, or persistent headache occurs.
6. Mefanamic acid and meclofenamate - if rash , diarrhea or other digestive problems occur, discontinue use and consult a physician
7. Ibuprofen ( otc use ) - do not take for > 3 days for fever or 10 days for pain, If these symptoms persist, worsen or if new symptoms develop, contact a physician
8. Allergies- Tell your doctor if you have ever had any unusual or allergic reaction to NSAID
or any other medicines e.g. Aspirin or other salicylates
9. Diet- Make sure your doctor knows if you are on any special diet, such as low-sodium
or low sugar. Some of these medicines contain certain sodium or sugar.
10. Pregnancy- If you are pregnant do not take any of these medicines including
non-prescription OTC drugs- ibuprofen or naproxen without dscussing its use with your doctor.
11. Breast feeding- Indomethicin- passes into breast milk and has been reported to cause unwanted effects in nursing babies. Meclofenamate- use not recommended.
12. Children-
Ibuprofen- ibuprofen has been tested in children 6 months of age and older
Not shown to cause any different side effects than they do in adults Indomethicin and
Tolmetin- indomethicin and tolmetin and have cause any different effects than they do in adults
Naproxen- studies in children have shown that skin rash may be more likely to occur.
Oxaprozin- oxaprozin has been used in children with arthiritis.
Phenylbutazone- use of phenylbutazone in children up to 15 years of age not recommened.
Other anti-inflammatory drugs- no specific information on use in children available.
13. Elderly- Certain side effects such as confusion, swelling of the face, feet or lower legs
or sudden decrease in the amount of urine may occur in elderly patients.
With phenylbutazone ,blood problems may also occur in the elderly.
14. Other medicines- Let your doctor know if you are taking any other medicines .e,g. Anticoagulants or
Cefamandole or Cefoperazone, Heparin - change of bleeding may be increased
15. Other medical problems- Make sure you tell your doctor, if you have any other medical problems- Alcohol abuse or Bleeding problems or Colitis ,Crohns disease, diverticulitis,,stomach ulcer, or other stomach or intestinal problems - chance of side effects may be increased
16 Missed dose- If you are taking the medicine regularly and you miss a dose, take it as soon as possible. However ifis time for the next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.
17. Storage- Keep the medicines our of reach of children
Store the medicines away heat and direct light. Do not store tablets or capsules
in the bath room, in damp places near the kitchen sink .
Heat and moisture will cause the medicines to break down
Do not store out dated medicines or medicines no longer needed.
Make sure that all discarded medicines are kept out of reach of children