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Corneal superficial injury - Management
What issues should I consider before prescribing paracetamol or ibuprofen?
- Do not use paracetamol for:
- People with hepatic impairment or alcohol dependence, as there is increased risk of liver damage.
- Do not use ibuprofen for:
- People with a history of hypersensitivity to nonsteroidal anti-inflammatory drugs ([NSAIDs] e.g. bronchospasm, asthma, rhinitis, or urticaria known to have been precipitated by an NSAID).
- People with peptic ulcers or at high risk of gastrointestinal bleeding or ulceration.
- People taking ciclosporin, lithium, methotrexate, or other NSAIDs.
- If possible, avoid ibuprofen for:
- People with hypertension, heart failure, or renal impairment. Ibuprofen can worsen or precipitate these conditions.
- Pregnant (particularly in the third trimester) or breastfeeding women.
- People taking antihypertensives, digoxin, oral corticosteroids, or warfarin.
Basis for recommendation
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