The NHS has released a crucial advisory for individuals using a widely-prescribed medication for osteoarthritis. Over 10 million individuals in the UK are affected by this condition, which leads to joint inflammation, according to Arthritis UK.

There are several treatments available for arthritis, but Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) remain the most prevalent choice for many. While some NSAIDs, like ibuprofen, are accessible over the counter, others require a prescription from a GP. These medications come in various forms such as tablets, capsules, suppositories, creams, gels, and injections.

As highlighted by OK!, the NHS emphasizes the importance of selecting the right NSAID for each individual. It stresses that patients should be fully informed about both the advantages and potential risks associated with their treatment.

The NHS cautions, “These medications might not be suitable for individuals with certain health conditions, such as asthma, stomach ulcers, or angina, or for those who have experienced a heart attack or stroke. If you’re on low-dose aspirin, consult your GP to determine if using an NSAID is appropriate.”

While most individuals can use NSAIDs without complications, certain groups are advised to seek guidance from a pharmacist or doctor before use:

• 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)

The NHS adds, “In some situations, NSAIDs don’t need to be completely avoided, but they should only be used under the supervision of a healthcare professional due to a potentially increased risk of side effects.”

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

Some stronger prescription NSAIDs can cause side-effects, particularly if you take high doses or use them for long periods. The possible side-effects include indigestion, stomach ulcers, headaches, drowsiness, dizziness and allergic reactions.

The NHS also advises getting medical advice before taking an NSAID if you are already on other medication. They include:

• another NSAID
• low-dose aspirin or warfarin – medicines used to prevent blood clots
• ciclosporin – a medicine used to treat autoimmune conditions, such as arthritis or ulcerative colitis
• diuretics – medicines sometimes used to treat high blood pressure
• lithium – a medicine used to treat mental health problems, including bipolar disorder and severe depression
• methotrexate – a medicine used to treat inflammatory conditions such as rheumatoid arthritis
• a type of antidepressant medicine called a selective serotonin reuptake inhibitor (SSRI) – examples of SSRIs are citalopram and fluoxetine (Prozac)