MORE CONTROVERSY WITH NSAIDS (Advil, Aleve, etc.)

Journal of Neurology 2014 Nov 25.

In the ever changing world of medicine, there are few medications that as many concerns than the non-steroidal anti-inflammatories (NSAIDs). Yes, they are great for pain and inflammation but they do not alter the course of arthritis. It is well known that this class of medications can cause ulcers and intestinal bleeding but we also know that they are not heart healthy and can increase the risks of heart attacks and strokes. Anyone remember Vioxx? NSAIDs are also becoming a leading cause of chronic kidney disease.

In this study, neurologists looked at the connection between NSAIDs, aspirin and strokes. Their finding are not surprising since we have known for years that NSAIDs can interfere with the benefits of taking aspirin. (By the way, it wasn’t that long ago that I reported about the controversy of even taking aspirin to prevent heart disease.) On the other hand it is known that NSAIDs can decrease certain cancers including colon and skin cancers by up to 35%.

This is one of the reasons that I like to prescribe topical compounded analgesics for many of my patients so the medicine only works where it is needed and very little is absorbed systemically.

So, what should you do?

If you must use NSAIDs, ALEVE is less likely to cause problems compared to the rest, and if, used with aspirin, it should be taken several hours after the aspirin to help maintain aspirin’s benefits.

Discuss this (and all non-prescription medications and supplements) with your physician!

 

 

NSAIDS risks

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