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Doctor insights on: Long Term Use Of Nsaids

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Does long term use of NSAIDs such as Celebrex cause loss of cartilage or contribute to osteoarthritis?

Does long term use of NSAIDs  such as Celebrex cause loss of cartilage or contribute to osteoarthritis?

Not necessarily: Cartilage loss has been described due to ongoing arthritis with indocin but this may have have been ongoing disease and not due to inocin ...Read more

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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


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Is taking Aleve for menstrual cramps 3 days per month for 21 years considered, chronic, long term use of NSAIDS?

Is taking Aleve for menstrual cramps 3 days per month for 21 years considered, chronic, long term use of NSAIDS?

Wouldn't consider so: This would be considered minimal exposure with adequate intervals off med for the body to compensate. The data you may read that cites risk of chronic exposure is more for those taking it daily for years on end. That pattern allows any subtle side effects to gradually build over time without the bodies natural healing power to reverse them. ...Read more

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Colonoscopy showed a cecal ulcer. What is a cecal ulcer, and can it be caused by long term NSAID use(like a gastric ulcer)?

Colonoscopy showed a cecal ulcer. What is a cecal ulcer, and can it be caused by long term NSAID use(like a gastric ulcer)?

Yes: cecal ulcer is ulcer in the cecum of your colon, where the small intestine and appendix attach. NSAIDs are the most common cause of isolated ulcer in this location, and agree ur meds naproxen, motrin and asa are likely culprits. It's not a local effect, so you can also form ulcers elsewhere including stomach while on these medications. Key is rehab/therapy for ur back. Happy to consult further. ...Read more

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What is the long term effects of taking nsaids?

What is the long term effects of taking nsaids?

A lot: Every drug or vitamins has side effect, nsaids can cause stomach ulcers , renal failure , HTN , and more but mainly large dose and long term it need to be done with supervision and frequent blood labs. ...Read more

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What are the long term effects of taking NSAIDS?

What are the long term effects of taking NSAIDS?

Gastric ulcer: Probably the two most common side effects of taking NSAIDS are ulcers of the stomach and liver disease. Have liver function tests performed from time to time to check liver status. And if you cough up blood, see your physician immediately. ...Read more

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What causes fluid retention with longer term nsaids? (and what do they mean by "long term"?)

What causes fluid retention with longer term nsaids? (and what do they mean by "long term"?)

NSAIDS: Long term term means greater than one month. They affect the tiny arteries of the kidneys and cause the kidneys to be less efficient and slow clearing of fluid. ...Read more

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I know there's no such thing as a "safe nsaid", but what would you recommend for long term usage for a pt w/ gerd?

I know there's no such thing as a "safe nsaid", but what would you recommend  for long term usage for a pt w/ gerd?

No specific: All nsaids can cause damage to the GI tract. If you require long-term use of nsaids, then discuss with your prescribing doctor how to best protect your GI tract. This is not a forum to advise on specific medications, as such advice requires knowledge of the entire medical history of a patient. ...Read more

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The nsaid ketoprfen helps my osteoarthritis a lot.. But I am only 50 and worry about the long term side effects. What do you think?

The nsaid ketoprfen helps my osteoarthritis a lot.. But I am only 50 and worry about the long term side effects. What do you think?

Speak with Doctor: Usually long term use of nsaids may have effects on the kidneys, GI system and cardiovascular issues. You should speak with your doctor to make sure you are stable with your kidney function, make sure you don't have significant cardiovascular risk factors (high blood pressure or history of heart attack, stroke, etc) and make sure you don't have any GI upset issues for long term use to be safe. ...Read more

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What dosage of Prilosec omeprazole should I take if am on long term NSAIDS ? should I take the 20 mg or the 40 and what is the frequency? thank u drs

What dosage of Prilosec omeprazole should I take if am on  long term NSAIDS ? should I take the 20 mg or the 40 and what is the frequency? thank u drs

20mg daily before...: ...breakfast might suffice, but you haven't told us what NSAID and at what dose you're taking, nor what kind of NSAID damage you may already have suffered. No drug is without risk, so use the lowest effective acid blocker medication for prophylaxis against NSAID-injury. ...Read more

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For long term use, is meloxicam less harmful than other NSAIDs? I am using it for sternoclavicular arthirits

May be: although they are all NSAIDS, the general rule is to use the least effective dose to produce the desired effect for the shortest duration, better be under doctor's supervision, best wishes ...Read more

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Which nsaid is safest for long term usage in patients with IBS & gerd?

Which nsaid is safest for long term usage in patients with IBS & gerd?

Safest nsaid!?: There isn't one they all have to be used carefully and taken with food they can all cause ulcers and other problems don't lull yourself into a false sense of security even Celebrex (celecoxib) has a list of GI warnings so be safe. ...Read more

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Can nsaids make colds last longer?

Can nsaids make colds last longer?

Doubt it.: Although some encourage allowing a fever to take it's course as part of the body's way to recover, there is either no temperature elevation or mild temperature elevation normally seen with a cold. ...Read more

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Do nsaids stop working well after taking them for so long?

Do nsaids stop working well after taking them for so long?

Dependency : drug dependency . Anyway NSAIDs are short term fix as long term could induce GI bleeding. ...Read more

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How long does it take for gastritis to heal if caused by NSAIDS?

How long does it take for gastritis to heal if caused by NSAIDS?

NSAIDs-ulcer: I believe it takes about 6-8 weeks for soft/mucosal tissue to heal. I recommend use of PPI or Pepcid (famotidine) like medications with use of NSAIDs to prevent ulcers/gastritis. ...Read more

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Can nsaids give you internal bleeding after a long use? What are the health risk of taking nsaids?

Can nsaids give you internal bleeding after a long use? What are the health risk of taking nsaids?

Hello. : Hello. Nsaid's (nonsteroidal anti-inflammatory medications) can be tough on the gut and sometimes cause internal bleeding. Vomiting bright red blood or vomiting up what looks like dark coffee grounds can be signs of bleeding. Having black, tarry or malodorous bowel movements can also be a sign of bleeding. Some people have serious allergic reactions to nsaid's. ...Read more