nsaids
Patient Counselling
Counsel patients on:
-Proper dosing and expected benefits of therapy.
-Possible side effects and their management.
-Red flags and when to seek family physician.
Indication
- Naproxen and ibuprofen belong to a class of medications called non-steroidal anti-inflammatory drugs and will help treat and ease the pain that’s due to your osteoarthritis.
- Naproxen and ibuprofen prevent natural inflammatory molecules that cause pain and swelling from being made.
Administration
IBUPROFEN (Advil):
-Take 1-2 regular strength (200 mg) tablets/caplets/ gel caplets every 6 hours if needed for pain.
- Do not take more than 1200 mg/day (if prescribed daily maximum goes up to 3200mg/day).
NAPROXEN (Aleve):
-Take 1 (220 mg) tablet/caplets/ gel caplets every 12 hours if needed for pain.
- Do not take more than 440 mg/day (if tolerating well and clinically prescribed, may increase to 1500 mg daily of naproxen base for limited time period (<6 months)).
- Take both medications with a full glass of water.
- Take with food to stop/prevent an upset stomach.
Pregnancy
- Avoid if possible during 1st and 2nd trimester.
- Do not use in 3rd trimester.
- Do not take while breast-feeding.
Side Effects
- If you experience any abnormal side effects (nose bleeds, upset stomach, throwing up, diarrhea, constipation, black/tarry stools ), stop this medication and call your family physician before continuing with medication use.
References:
1. Lexicomp Online, Naproxen/Ibuprofen, Hudson, Ohio: Lexi-Comp, Inc.; 2013. Accessed March 7, 2014.
2. Kalunian KC, MD. Pharmacologic therapy of osteoarthritis. In: UpToDate, Basow, DS (Ed), UpToDate, Waltham, MA, 2011.
3. Grindrod K, Marra Carlo. Patient Self-Care: Osteoarthritis. Canadian Pharmacists Association. 2010;48:456-469.
-Proper dosing and expected benefits of therapy.
-Possible side effects and their management.
-Red flags and when to seek family physician.
Indication
- Naproxen and ibuprofen belong to a class of medications called non-steroidal anti-inflammatory drugs and will help treat and ease the pain that’s due to your osteoarthritis.
- Naproxen and ibuprofen prevent natural inflammatory molecules that cause pain and swelling from being made.
Administration
IBUPROFEN (Advil):
-Take 1-2 regular strength (200 mg) tablets/caplets/ gel caplets every 6 hours if needed for pain.
- Do not take more than 1200 mg/day (if prescribed daily maximum goes up to 3200mg/day).
NAPROXEN (Aleve):
-Take 1 (220 mg) tablet/caplets/ gel caplets every 12 hours if needed for pain.
- Do not take more than 440 mg/day (if tolerating well and clinically prescribed, may increase to 1500 mg daily of naproxen base for limited time period (<6 months)).
- Take both medications with a full glass of water.
- Take with food to stop/prevent an upset stomach.
Pregnancy
- Avoid if possible during 1st and 2nd trimester.
- Do not use in 3rd trimester.
- Do not take while breast-feeding.
Side Effects
- If you experience any abnormal side effects (nose bleeds, upset stomach, throwing up, diarrhea, constipation, black/tarry stools ), stop this medication and call your family physician before continuing with medication use.
References:
1. Lexicomp Online, Naproxen/Ibuprofen, Hudson, Ohio: Lexi-Comp, Inc.; 2013. Accessed March 7, 2014.
2. Kalunian KC, MD. Pharmacologic therapy of osteoarthritis. In: UpToDate, Basow, DS (Ed), UpToDate, Waltham, MA, 2011.
3. Grindrod K, Marra Carlo. Patient Self-Care: Osteoarthritis. Canadian Pharmacists Association. 2010;48:456-469.