http:// .com Non-steroidal anti-inflammatory drugs (NSAIDs) your rheumatology resource

How to use this medication Don’t take with NSAIDs or blood thinners Skin rash

Don’t take NSAIDs with other NSAIDs. This NSAIDs can rarely cause an allergic rash. Stop What are they? can increase the risk of stomach problems. the medicine and let your doctor know if you Be careful taking NSAIDs with blood thinners develop a rash, hives, or blisters. NSAIDs are medications used to treat such as warfarin (Coumadin). different types of pain and arthritis. Available NSAIDs include: ibuprofen (Motrin, Advil), Pregnancy & breastfeeding naproxen (Aleve, Naprosyn), diclofenac Let your doctor know if you are planning to (Voltaren, Arthrotec), indomethacin (Indocid), Side effects & important facts get pregnant or if you are breastfeeding. ketorolac (Toradol), meloxicam (Mobicox), nabumetone (Relafen), piroxicam (Feldene), tiaprofenic acid (Surgam), & sulindac (Clinoril) Kidney problems You should be careful using NSAIDs if you When should I call my doctor Take them once to four times a day have kidney problems. Please talk to your Each NSAID is taken differently. Your doctor doctor. Please call if you need to stop will tell you how to take your medicine. • If you feel sick and want to stop Blood pressure • If you are concerned about any side effects NSAIDs can cause an increase in your blood • If you want to or have already stopped the medicine pressure. Your doctor will monitor this. Tell Other reasons to call your doctor: What you need to do your doctor if you have high blood pressure.

Leg swelling Watch your stomach NSAIDs can cause swelling of the legs. It can NSAIDs can irritate the stomach. Let your also worsen a condition called congestive Rash Severe leg Shortness Allergic Stomach doctor know if: heart failure (CHF). Tell your doctor if you have swelling of breath reaction pain, nausea, CHF or if you develop leg swelling. or chest vomiting, black • You have any stomach pain, nausea, or pain or bloody stools vomiting Heart attack & stroke • You have heartburn or indigestion Other important information • You notice black or bloody stools Patients who have had a recent heart attack or • You are vomiting blood or “coffee ground” stroke or experienced serious chest pain from material heart disease should not take NSAIDs. Stopping NSAIDs

Do not take if you have an allergy to ASA Headache You can simply stop taking NSAIDs.

Don’t take NSAIDs if you have an allergy to NSAIDs can rarely cause a headache or aspirin or other NSAIDs. dizziness. Copyright 2011 Rheuminfo Inc. (www.RheumInfo.com) Flesch-Kincaid Reading Grade: 4.8