In the United Kingdom, over 10 million individuals grapple with arthritis, a condition that significantly affects their daily routines, work capabilities, and independence. The NHS identifies NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) as the most commonly prescribed initial treatment for managing arthritis.

NSAIDs like ibuprofen are readily available over the counter in forms such as gels and creams, while other types require a doctor’s prescription. These medications are known for their effectiveness in alleviating arthritis-related pain and discomfort. However, the NHS cautions that certain individuals should consult with their healthcare provider before starting any NSAID regimen.

It’s essential for those with arthritis to verify the suitability of NSAIDs for their personal health circumstances. While most individuals can use these drugs without complications, certain health conditions may render some medications inappropriate.

The NHS has identified nine specific groups of people who should seek medical advice prior to using NSAIDs. The health service advises, “In these cases, NSAIDs might not need to be completely avoided, but they should only be used under the guidance of a healthcare professional due to a potential increased risk of side effects.”

• are over 65 years of age
• are pregnant or trying for a baby
• are breastfeeding
• have asthma
• have had an allergic reaction to NSAIDs in the past
• have had stomach ulcers in the past
• have any problems with your heart, liver, kidneys, blood pressure, circulation or bowels
• are taking other medicines
• are looking for medicine for a child under 16 (do not give any medicine that contains aspirin to children under 16)

For individuals for whom NSAIDs are deemed unsuitable, healthcare providers, including pharmacists and doctors, may recommend alternatives such as paracetamol to manage arthritis symptoms.

“If NSAIDs are not suitable, your pharmacist or doctor may suggest alternatives to NSAIDs, such as paracetamol.”

Meanwhile, NSAID’s also carry the risk of potential side effects, including indeigestion, headaches and izziness. The more severe side effects usually come if you’re taking higher does for a long period of time.

According to the NHS, possible side effects include:

• indigestion – including stomach aches, feeling sick and diarrhoea
• stomach ulcers – these can cause internal bleeding and anaemia; extra medicine to protect your stomach may be prescribed to help reduce this risk
• headaches
• drowsiness
• dizziness
• allergic reactions
• in rare cases, problems with your liver, kidneys or heart and circulation, such as heart failure, heart attacks and strokes

The health service also advises people taking other medication to consult their doctor before taking NSAIDs as this may impact how they work. These include: