Top
30
Doctor insights on: Advil Nsaids Vasoconstriction

Share
1

1
Upgraded warnings on NSAIDs have me concerned. Advil (ibuprofen) always wks for me @ recommended dose on pkg, but now afraid to take it. Is it really that unsafe?

Upgraded warnings on NSAIDs have me concerned. Advil (ibuprofen) always wks for me @ recommended dose on pkg, but now afraid to take it. Is it really that unsafe?

Safe: Advil (ibuprofen) and similar medications are safe but all medications come with potential adverse effects. You are correct that you shouldn't exceed the recommended dose on the bottle but chronic use (daily for more than 6 weeks) requires discussion with your doctor to screen for side effects and consider alternatives. Best wishes ...Read more

Vasoconstriction (Definition)

Vasoconstriction is the narrowing of the blood vessels resulting from contraction of the muscular wall of the vessels, particularly the large arteries and small arterioles. The process is the opposite of vasodilation, the widening of blood vessels. The process is particularly important in staunching hemorrhage ...Read more


2

2
I take celebrex (celecoxib) with no problem. When I take aleve, advil, motrin, I break out in hives. Aren't they all nsaids? Am I alergic?

I take celebrex (celecoxib) with no problem. When I take aleve, advil, motrin, I break out in hives. Aren't they all nsaids? Am I alergic?

Yes and no: Celebrex (celecoxib) and advil are different classes of nsaids so you could be allergic to one and not the other just like you could be allergic to penicillin but not to other antibiotics. ...Read more

4

4
Which nsaid has better anti-inflammation properties! Advil or aleve (naproxen)? What is the max dose I should take of either, for anti-inflammation benefits?

Which nsaid has better anti-inflammation properties! Advil or aleve (naproxen)? What is the max dose I should take of either, for anti-inflammation benefits?

Aleve (naproxen): According to the latest research aleve (naproxen) is a better anti inflammatory agent.
The maximum daily dose 1100mg.
Otc 220mg 2 tabs every 12 hours. ...Read more

5

5
Can regular use of nsaid painkillers, i.E. Advil, (ibuprofen) cause ulcers or other problems?

Can regular use of nsaid painkillers, i.E. Advil, (ibuprofen) cause ulcers or other problems?

NSAID Side effects: Nsaid's are relatively safe when used short term & when there are no underlying contraindications. Side effects may be encountered in short term use, but tend to be more worrisome in the long-term. Gi toxicity, fluid-retention, hypertension, heart, kidney & liver damage, etc. Have all been linked to prolonged nsaid's. Rebound headaches can be seen after a week or 2. Treat the cause, not symptoms. ...Read more

7

7
I take Advil (ibuprofen) for period cramps, but have read reports of OTC NSAIDS raising risk of heart attack/stroke even in small doses. Any safer options?

I take Advil (ibuprofen) for period cramps, but have read reports of OTC NSAIDS raising risk of heart attack/stroke even in small doses. Any safer options?

Many options: You could schedule a visit with an Obgyn and discuss all the options for painful periods. You could consider birth control pills, patch, Nuvaring, Mirena (levonorgestrel) IUD, Depoprovera, Lysteda. If you are doing having children you could consider an endometrial ablation or other surgical options. ...Read more

8

8
I took 2 Advil (ibuprofen) and ended up with hives, tight chest (i am asthmatic anyway, & lightheaded. Am I allergic to nsaids all together?

I took 2 Advil (ibuprofen) and ended up with hives, tight chest (i am asthmatic anyway, & lightheaded. Am I allergic to nsaids all together?

It's not known: Up to 1 in 5 people can have cross reactions with other nsaids even though they are allergic to a specific drug. These cross-reactions are not predictable, so it is best to stay away from them. If an NSAID is needed to treat a serious health condition, an allergist can potentially test you for reactions to other nsaids. ...Read more

9

9
FDA recently stated non-aspirin NSAID can increase risk of heart attack and stroke. As a user of Advil, (ibuprofen) I take 400mg a few times a week or less for headache, some weeks not at all. Should I worry?

FDA recently stated non-aspirin NSAID can increase risk of heart attack and stroke. As a user of Advil, (ibuprofen) I take 400mg a few times a week or less for headache, some weeks not at all. Should I worry?

NSAIDS: NSAIDS are associated with such side effects. In your case, you are young and NSAIDs may not cause heart attack or stroke at this stage. People with underlying atherosclerosis and with plaque formation in their arteries are at higher risk. If you can avoid, that is preferable as Routine use of NSAIDS may contribute to gastritis, peptic ulcer, kidney damage etc. ...Read more

11

11
Is there really any difference between 600, and 800 mg ibuprofen? What is the strongest NSAID available OTC?

Is there really any difference between 600, and 800 mg ibuprofen? What is the strongest NSAID available OTC?

Minimal: I believe there is minimal difference between the 2 dosages but some people might feel a little better with the 800 mg vs the 600 mg. Aleve is the other most common NSAID and again I think the compatible. Some people may respond better to one versus another. Good luck ...Read more

14

14
How fast after taking ibuprofen or an nsaids will my creatine levels be elevated?

How fast after taking ibuprofen or an nsaids will my creatine levels be elevated?

May or May not: Taking a dose of NSAIDs may or may not affect your serum creatinine level. In general, patients who have pre-existing chronic kidney disease (such as diabetes) or other factors (e.g. dehydration) are will be at increased risk for NSAID-induced acute kidney injury. Please discuss with your PCP whether it would be safe to take NSAIDs. ...Read more

15

15
I have arthiritis and find that taking an NSAID helps. Is taking an NSAID daily ok? If so, is it better to take 800 mg ibuprofen or 25 mg diclofenic?

I have arthiritis and find that taking an NSAID helps. Is taking an NSAID daily ok? If so, is it better to take 800 mg ibuprofen or 25 mg diclofenic?

? Ibuprofen is safer: Some studies, including an FDA study several years ago with 1.5 million people followed over many years, show ibuprofen to be safer, cardiac wise, than diclofenac. The safest in terms of cardiac issues AND GI side effects is celecoxib, celebrex. Regardless, your PCP should monitor your kidney and liver functions annually. ...Read more

18

18
I have allergy of nsaid, like ibuprofen, alaxan, & bioflu. What should I take for pain reliever?

I have allergy of nsaid, like ibuprofen, alaxan, & bioflu. What should I take for pain reliever?

Acetaminophen: Acetaminophen would be an appropriate over the counter alternative for pain relief in an individual who is known to have allergies to nsaids. ...Read more

19

19
Could you take ibuprofen (an nsaid) and bupropion (steroid) if you are taking entocort (a corticosteroid)?

Could you take ibuprofen (an nsaid) and bupropion (steroid) if you are taking entocort (a corticosteroid)?

Yes: bupropion is not a steroid, and I am not aware of any contraindications to your drug combinations, but would just express some concern that steroids increase the chances of stomach ulcers and bleeding, and NSAIDs may worsen this. Talk to your doctor about using something to protect your stomach (sucralfate, prilosec and others) if stomach upset is present, or even as prevention. ...Read more

20

20
What is safest OTC NSAID for people with asthma? Never had problem with ibuprofen before but haven't needed it since diagnosed one year ago.

What is safest OTC NSAID for people with asthma? Never had problem with ibuprofen before but haven't needed it since diagnosed one year ago.

No issue unless: You suffer from what is now called AERD (aspirin exacerbated respiratory disease) which is often manifested by steroid-resistant asthma, nasal polyps, chronic sinusitis, there is no reason why you can't take NSAID. Do note that NSAID may irritate your stomach and cause more sodium retention (pedal edema) ...Read more

21

21
In therapy for scatic nerve issue not working allergic to nsaids and ibuprofen. Is there a procedure to decompress the nerve? In alot of pain.

In therapy for scatic nerve issue not working allergic to nsaids and ibuprofen. Is there a procedure to decompress the nerve? In alot of pain.

Yes.: Sciatic nerve problems are usually caused by disk disease. The most portant treatment is physical therapy and avoiding lifting or injuring your back. There are other medication choices in addition to the NSAIDs as well as injections for pain. Surgery is not an affective long term treatment but can be used to control pain if nothing else works. ...Read more

22

22
How much NSAIdS would someone need to take to develope ulcer? Is safe if I have 20 ibuprofen a year? Or is that too much? Just out of curiosity

How much NSAIdS would someone need to take to develope ulcer? Is safe if I have 20 ibuprofen a year? Or is that too much? Just out of curiosity

If you have a: History of recurrent ulcers I recommend against any NSAID use. If you have never had one, using 1-2 Ibuprofen a month should not be an issue. Best of luck! ...Read more

23

23
My GFR is about 12ml/min but I can drink as much as I want, the side effects of nsaids (about 400mg ibuprofen/day) are not advised no matter what?

My GFR is about 12ml/min but I can drink as much as I want, the side effects of nsaids (about 400mg ibuprofen/day) are not advised no matter what?

What?: Please rephrase your question, as it is not clear what it is you are exactly asking. If your GFR is really 12 ml/min, see your nephrologist to discuss you problem. If you do not have one, ask your physician to refer you to one. Good luck. ...Read more

24

24
Which NSAID is stronger for more severe OA pain? Ibuprofen 800 mg, diclofenac 50 mg, or meloxicam 15 mg?

Which NSAID is stronger for more severe OA pain? Ibuprofen 800 mg, diclofenac 50 mg, or meloxicam 15 mg?

Diclofenac has been: Shown to be best drug for OA. I would take it cautiously, as it is associated most recently with liver problems (although rare)) ...Read more

25

25
Hello I have recently developed an allergy to ibuprofen and aspirin I was wondering specifically what other nsaids can I take?

Hello I have recently developed an allergy to ibuprofen and aspirin I was wondering specifically what other nsaids can I take?

Allergy: We would not try other nsaid's if you are allergic to the two. I would recommend tylenol (acetaminophen) as the next option. Make sure what you are calling an allergy actually is an allergy. Talk to your doctor. Stomach upset and nausea is not a n allergy while hives or trouble breathing is. ...Read more

26

26
I've had psuedoallergies to nsaids. If I go thru a desensitization program for aspirin, does that also allow me to resume ibuprofen products?

Interesting.: If the desensitization is succesful for asa it will probably be succesful for the nsaids as well. Before attempting this it might be worthwhile to consider three meds which generally have very low potential to induce pseudoallergy:
salsalate,
choline magnesium trisalicylate,
diflunisal.

Ask your doc. ...Read more

27

27
If I get a few tiny hives from both ibuprofen and aspirin, does that mean I can't take any nsaids at all? Also, I get hives without any meds at times

If I get a few tiny hives from both ibuprofen and aspirin, does that mean I can't take any nsaids at all? Also, I get hives without any meds at times

No: There are 6 classes of nsaids. Aspirin (salicylic acid group) & Ibuprofen (proprionic acid group) are in 2 different classes. You may not get hives if you take an NSAID from one of the other classes. Tread carefully though. Repeat exposure to a med you are allergic to can lead to more serious side effects (breathing/swallowing troubles). Consider seeing allergist for testing. ...Read more

28

28
What are some good decongestants for people with allergies to NSAIDs (aspirin, ibuprofen, etc.)?

What are some good decongestants for people with allergies to NSAIDs (aspirin, ibuprofen, etc.)?

Several: I like to start with hypertonic nasal saline nose sprays to help reduce congestion without medications. Pseudoephedrine ok short time. OTC nasacort (triamcinolone) also good if allergies the cause. This article may help - but if not improved soon or worsens see your MD.
http://familydoctor. Org/familydoctor/en/drugs-procedures-devices/over-the-counter/decongestants-otc-relief-for-congestion. Html ...Read more

30

30
What pain medicine has the least side effects? Worried about recalls of acetaminophen, ibuprofen and nsaids?

What pain medicine has the least side effects? Worried about recalls of acetaminophen, ibuprofen and nsaids?

Acetaminophen: Other than for the cyanide scare of 1982 (which has been effectively prevented since by changes in packaging), Acetaminophen has not been recalled and tends to have fewer side effects than nsaids. It is effective for lowering fever and is good pain reliever for mild pain. It doesn't cause bleeding and doesn't upset the stomach at prescribed doses. ...Read more

Ibuprofen (Definition)

Ibuprofen is a nonsteroidal anti-inflammatory drug (nsaid). It works by reducing hormones that cause inflammation and pain in the body. Ibuprofen is used to reduce fever and treat pain or inflammation caused by many conditions such as headache, toothache, back pain, arthritis, menstrual ...Read more


Nsaids (Definition)

Nsaid stands for non steroidal anti inflammatory agent. So the most potent anti inflammatory agents are steroids like prednisone. Nsaids are ...Read more