The National Health Service has issued a vital safety message to the millions of people across the UK who use common painkillers to manage osteoarthritis. With over 10 million adults and children living with arthritis, the health body is urging caution and open communication with medical professionals.
Understanding the Risks of Common Pain Medication
Non-steroidal anti-inflammatory drugs, known as NSAIDs, are frequently prescribed by GPs or bought over the counter to reduce inflammation and ease the joint pain and stiffness caused by osteoarthritis. This condition is the most prevalent form of arthritis in the country.
These medications come in various forms, including tablets, gels, and injections. Common types include ibuprofen, naproxen, diclofenac, and celecoxib. While they offer relief for many, the NHS emphasises they are not suitable for everyone and can carry significant side effects, especially with long-term use or high doses.
Who Should Exercise Caution with NSAIDs?
The NHS advises that individuals should consult a pharmacist or doctor before taking NSAIDs if they fall into specific groups. It is particularly important for those who are over 65, pregnant, or breastfeeding to seek advice.
Other conditions that warrant a discussion with a healthcare professional include having a history of asthma, stomach ulcers, heart problems, stroke, or allergic reactions to NSAIDs. The guidance also states that medicine containing aspirin should not be given to children under 16.
"NSAIDs might not necessarily need to be avoided in these cases, but they should only be used on the advice of a healthcare professional as there may be a higher risk of side effects," the NHS warns.
Recognising Side Effects and Drug Interactions
Potential side effects of NSAIDs range from common issues like indigestion, headaches, and dizziness to more serious risks such as stomach ulcers, internal bleeding, and in rare cases, complications affecting the heart, liver, or kidneys.
A critical part of the NHS message highlights the danger of mixing medications. It is essential to get medical advice before taking an NSAID if you are already on other drugs, including low-dose aspirin, blood thinners like warfarin, certain antidepressants (SSRIs), or medicines for conditions like bipolar disorder or high blood pressure.
If NSAIDs are deemed unsuitable, alternatives like paracetamol may be recommended. The NHS also stresses the importance of recognising osteoarthritis symptoms, which include joint pain, stiffness, swelling, and a grating sensation. Anyone with persistent symptoms should see their GP for a formal diagnosis and treatment plan.
The overarching advice is clear: patients must proactively discuss any concerns about their osteoarthritis medication with a doctor to ensure their treatment is both effective and safe.
