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Nonsteroidal anti-inflammatory drugs (standard or coxibs) - prescribing issues - Management
What issues should I consider when prescribing an oral NSAID?
The optimum nonsteroidal anti-inflammatory drug (NSAID) depends on the individual's risk factors, therapeutic response, and preferences. When prescribing an NSAID, consider:
- Is the person already using ibuprofen or aspirin in medication purchased without prescription?
- Is there an alternative to the NSAID (especially where NSAIDs are unlikely to be effective [e.g. neuropathic pain])?
- Does the person have a contraindication to all oral NSAIDs?
- Is gastroprotection indicated?
- Is there a reason for closer monitoring for adverse effects?
- What is the optimum dose and duration?
- Is there a reason for more frequent review of the continued need for an NSAID?
In depth
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