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Short Notes on NSAIDs - Dr Mark Burgin

20/05/17.Dr. Mark Burgin BM BCh (oxon) MRCGP considers the elements that should be included in a primer for clinical negligence cases involving Non steroidal anti-inflammatory drugs.

Ibuprofen is available over the counter in the UK and is sold as a liquid for children and babies as there is little evidence of harm for low dose short courses.

Traditionally doctors prescribed Diclofenac after using first line Ibuprofen because it has a lower GI risk but after research showed that Diclofenac was implicated in an increase in myocardial infarction there was a general change to Naproxen which is safer for the heart. (1) (2).

Naproxen is stronger than Ibuprofen and has two dosages (250 and 500mg), when it is prescribed at the higher dose for long periods of time it has a higher risk of gastrointestinal side effects than Diclofenac.

Dangerous drugs.

Although used very widely...

Image: public domain

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