NSAIDs are pain medications used to relieve your pain and inflammation (e.g. swelling, redness and warmth).
NSAIDs may be prescribed with disease modifying anti-rheumatic drugs (DMARDs), such as methotrexate, sulfasalazine or biologic agents (e.g. rituximab) for a short period of time.
Examples of NSAIDs include naproxen, diclofenac, mefenamic acid, ibuprofen, celecoxib and etoricoxib.
Common side effects
Uncommon side effects
DO INFORM YOUR PHYSICIAN AND PHARMACIST OF ANY EXISITNG MEDICAL CONDITIONS TO AVOID SERIOUS SIDE EFFECTS OF NSAIDS.IF ANY OF THE SIDE EFFECTS BECOME SERIOUS, OR IF YOU NOTICE ANY SIDE EFFECTS NOT LISTED IN THIS LEAFLET, PLEASE TELL YOUR DOCTOR OR PHARMACIST
Keep to the dose as prescribed by your rheumatologist. . If there is persistent unbearable pain, make an earlier appointment with your physician.
Come back to the hospital for regular blood test as instructed by your doctor.
Because adverse effects can happen at any time during the course of treatment and some side effects may not cause symptoms, it is important to have your regular blood test done.
It is usually given orally when necessary. Some NSAIDs are available in suppository formulations although they are hardly used in the treatment of rheumatology conditions
If you are taking NSAIDs for condition called spondyloarthritis (SpA), your rheumatologist will need you to take NSAIDs regularly to control the inflammation.
Doses of NSAIDs vary amongst each other. Your physician will prescribe a suitable dose for you.
Most NSAIDs should be swallowed whole, with a glass of water, after food to prevent stomach upset, usually once or twice a day. The tablets/ capsules should not be crushed or chewed unless otherwise stated.
NSAIDs are generally taken on as needed basis and not regularly except when used for spondyloarthritis or as directed by the physician.
If you forget to take a dose, take it as soon as you remember.
If it is almost time for next dose, skip the missed dose and continue with your regular dosing schedule.
Do not double the dose to make up for the missed dose.
Come back to the hospital if you have:
Read on for more information on the use of
nSAIDs as postnatal medication.
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