Prior to taking NSAIDs, you should tell your healthcare provider if you have:
- Heart disease, including congestive heart failure
- High blood pressure (hypertension)
- Liver disease or failure
- Kidney disease or failure
- Bleeding problems (or if you are taking medicine that decreases your blood’s ability to clot)
- Nasal polyps
- Systemic lupus erythematosus (lupus or SLE)
- Stomach ulcers (or a history of them) or stomach bleeding
- Any allergies to medicines, including aspirin or other NSAID pain medicines.
Also, let your healthcare provider know if you:
- Are pregnant or thinking about becoming pregnant
- Are breastfeeding
- Drink alcohol frequently
- Are having or have recently had heart surgery
- All NSAIDs may cause high blood pressure or cause high blood pressure to become worse. These medications should be used with caution in people who have high blood pressure.
- All NSAIDs have been reported to cause problems in the stomach and intestines, including bleeding (known as gastrointestinal bleeding), stomach ulcers, or holes in the stomach or intestines. These problems can lead to serious complications. Extreme caution should be used if NSAIDs are prescribed to people with a history of ulcers or gastrointestinal bleeding.
- NSAIDS can in some cases cause an increase in liver enzymes.
To decrease the chances of these problems occurring, people should take the smallest effective dose for the shortest period of time. Make sure to contact your healthcare provider immediately if you experience any signs or symptoms of stomach ulcers or bleeding, including:
- Abdominal pain (stomach pain) Vomiting blood.
- Black, tarry stools Indigestion
- You should not take more than one NSAID at one time, as this may increase your risk of any of the problems discussed previously.
Last modified: October 22, 2019