Limit alcohol intake (since alcohol can also irritate your stomach).Take NSAIDs at the end of a full meal or with an antacid.To help reduce irritation of the stomach and prevent an ulcer,.Stop the drug and call your physician immediately if you have any severe abdominal pain or a black, tarry stool (bowel movement) or any blood in your stool.This is an urgent problem requiring prompt medical attention. Perforation, meaning a “hole” in the stomach, can also occur in rare cases. In the worst cases, such an erosion can lead to internal bleeding, which may be life-threatening. In severe cases, NSAIDs can irritate the lining of your stomach so that an ulcer (a small erosion) forms. They are most likely to be stomach irritation and the sensations known as "heart burn" (which has nothing to do with your heart). Gastrointestinal symptoms are the most common side effects of NSAIDs.More rarely, NSAIDs can contribute to heart problems and increase the risk of cardiovascular conditions. The most common side effects of NSAIDs are gastrointestinal problems, including stomach irritation and reflux. What are possible side effects of NSAIDs? If any of these guidelines are not clear, or if you think it does not apply to you, be sure to discuss the issue with your physician. Although most side effects are minor, there is still a genuine concern regarding gastrointestinal problems (such as ulcer development) and cardiovascular side effects. Being aware of the possible side effects of these drugs can make them even safer to use. The risk of serious side effects is small, but there are some serious considerations with these medications, as discussed below. Most side effects are minor and easily reversible by discontinuing the drug or by adding a drug to counter such effects. NSAIDs are generally tolerated very well by many patients, which is fortunate because these drugs are often very helpful for people with pain and inflammation. A more recent group of NSAIDs known as COX-2 selective or COX-2 specific inhibitors are covered in a separate article on COX-2 inhibitors – presently limited to the agent celecoxib (Celebrex.) NSAIDs do not include drugs that are purely pain relievers, such as acetaminophen (Tylenol) or codeine. Here is an extensive list of various NSAIDs: They include such drugs such as asprin, ibuprofen and naproxen. Some of these drugs require a prescription, while others are available without one (over-the-counter or OTC). Nonsteroidal anti-inflammatory drugs are a group of drugs that are prescribed to reduce the pain and inflammation of arthritis. When should I call my doctor about changing NSAID dosage or medications?.When should I stop the drug and get immediate medical attention?.
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