Aspirin, Pain Relievers, Cold and Fever Remedies and Arthritis Medications when you have asthma, rhinitis or nasal polyps

For some people with asthma, rhinitis and nasal polyps, medications such as acetylsalicylic acid or ASA and some arthritis medications can trigger very severe asthma, rhinitis, hives, swelling and shock. If you react to one of these medications, you will probably react to all of the others as well. There are many medications and products that contain ASA. This handout names some.

 Since new products are coming out all of the time, it is best to check with the pharmacist before using.  Check the label yourself as well.

If you react to these medications you must:

 Avoid these medications and products at all times.  Let your doctor know right away if you have taken one of the medications and develop symptoms.  Check the ingredients on the label yourself. Ask your pharmacist, doctor or other health care provider if you have questions.  Get a medical alert bracelet or card that says you are allergic to ASA.  Tell all of your health care providers that you are allergic to ASA.  For pain control, use acetaminophen. Some products with acetaminophen are Atasol, Tempra, Tylenol and Novo-Gesic. Most people allergic to ASA can use acetaminophen.

 Firestone Institute for Respiratory Health  St. Joseph’s Hospital  McMaster University Health Sciences Some Products that Contain ASA 217s, 217s Strong D P 222s Doan’s Backache Pills Pepto-Bismol 282s, 282s Meps Dodd’s Tablets – All Percodan 292s Dolomine 37 Phenaphen with Codeine 692s Dristan Extra Strength PMS-Sulfasalazine A Dristan – All kinds AC&C R AC&C Extra Strength E Ratio-Oxycodan Acetylsalicylic Acid EC ASA Relief ASA Achrocidin Ecotrin – All kinds Robaxisal – All kinds Aggrenox Endodan Alka Seltzer – All kinds Enteric coated ASA S Anacin – All kinds Enteric coated aspirin Salazopyrin Antidol Entrophen – All kinds Salazopyrin Enema Apo-ASA Excedrin Salofalk Enema Apo-Asen Sulfasalazine Arco Pain Tablet F Arthrisin Fiorinal T Artria SR Fiorinal with Codeine Tri-Buffered ASA ASA, A.S.A. ASA Suppositories H Asacol Herbopyrine Asaphen, Asaphen EC Instantine Asasantine Aspergum – All kinds K Aspirin – All kinds – any Kalmex product with word in it Aspirin Plus Stomach Guard – All kinds Astone M Check with your B Mesasal pharmacist if you have Bismed Mesalamine questions about any Bismuth Subsalicylate Midol – All kinds other medications

C N Calamine Norgesic Coated Aspirin – All kinds Norgesic Forte Coricidin – All kinds Novasen Coryphen – All kinds Novo-Propoxyn

O Oxycodan

Non-Steroidal Anti-Inflammatory Medications ~ NSAIDs ~

Chemical Name Trade Names Celecoxib Celebrex Diclofenac Apo-Diclo PMS-Diclofenac Voltaren Apo-Diclo SR PMS-Diclofenac S Voltaren Ophtha ApodicloRapide Novo-Difenac SR (eye drops) Novo-Difenac Nu-Diclo Voltaren Rapide Diclotec Nu-Diclo SR Diclofenac / Arthrotec Misoprostol Diflunisal Apo-Diflunisal Novo-Diflunisal Nu-Diflunisal Fenoprofen Nalfon Floctafenine Idarac Flurbiprofen Ansaid Froben Nu-Flobioprofen Apo-Flurbiprofen Froben-SR Ocufen (eye drops) Alti-Flurbiprofen Novo-Flurbiprofen Ibuprofen Advil Apo-Ibuprofen Novo-Profen Advil Cold and Dristan Sinus Nu-Ibuprofen Sinus Motrin, Motrin IB Sudafed Sinus Indomethacin Apo- Indocid (eye drops) Novo-Methacin Indomethacin Indocid PDA Nu-Indo Indocid Indotec Rhodacine

Ketoprofen Apo-Keto Nu-Ketoprofen-E PMS-Ketoprofen Apo-Keto-E Nu-Ketoprofen-SR PMS-Ketoprofen-E Apo-Keto-SR Orafen Rhodis Ketoprofen-E Orudis Rhodis EC Novo-Keto Orudis E Rhodis SR Novo-Keto-EC Orudis SR Rhovail Oruvail Ketorolac Acular (eye Ketorolac Toradol drops) Tromethamine Toradol IM Apo-Ketorolac Novo-Ketorolac Mefanamic Acid Apo-Mefenamic PMS-Mefenamic Ponstan Nu-Mefenamic Acid Meloxicam Mobicox Nabumetone Apo- Relafen Nabumetone

Non-Steroidal Anti-Inflammatory Medications ~ NSAIDs ~

Naproxen Apo-Naproxen Gen-Naproxen Novo-Naprox Apo-Naproxen- Naprosyn Novo-Naprox E SR Naprosyn E Nu-Naprox Naxen

Naproxen Sodium Anaprox Apo-Napro-Na DS Novo-Naprox SR Anaprox DS Novo-Naprox Synflex Apo-Napro-Na Sodium Synflex DS Novo-Naprox Sodium DS

Phenylbutazone Apo- Novo-Butazone Phenylbutazone

Piroxicam Alti-Piroxicam Fexicam Nu-Pirox Apo-Piroxicam Gen-Piroxicam PMS-Piroxicam Feldene Novo-Pirocam

Sulindac Apo-Sulin Novo-Sundac Nu-Sulindac

Tenoxicam Apo-Tenoxicam Novo-Tenoxicam

Tiaprofenac Acid Albert Tiafen Novo-Tiaprofenic PMS-Tiaprofenac Apo-Tiaprofenic Nu-Tiaprofenic Surgam Surgam SR

PD 4707 (Rev 01-2015) File: peyles