Non-steroidal anti-inflammatory agents, or NSAIDs, are a group of medications we commonly take by mouth (systemically), over the counter, without a prescription from a physician. These medications are commonly used for pain, fever, painful menstruation, and inflammatory conditions such as gout, osteoarthritis and rheumatoid arthritis.

Oral NSAIDs that are sold over the counter include ibuprofen (Motrin, Advil) and naproxen (Aleve). There are other forms of NSAIDs that are available to patients by prescription only. NSAIDs are intended for short-term use.

The risks

Unfortunately, NSAIDs carry certain risks to one’s health. Adverse side effects of NSAIDs include dizziness, abdominal pain, heartburn, constipation, nausea, rash, ringing in the ears, swollen legs, fluid retention, headaches and vomiting.

More serious reactions may occur. An individual taking NSAIDs can develop kidney disease or kidney failure, anemia, dangerous rashes, low white blood cell count, low platelet count, photosensitivity reactions, gastrointestinal bleeding, heart attack, stroke, blood clots, high blood pressure, heart failure, liver toxicity, aseptic meningitis, high blood levels of potassium, and abnormal ovulation.

What seems like a harmless pain or fever reliever may be quite dangerous. Even though NSAIDs are sold over the counter, they should not be taken without the proper supervision of your physician.

This article is general information, not advice for your situation. Members can call the office with questions about their own care.