This is getting ridiculous! Now they are saying we must take drugs to counteract the drugs that our Doctors are unnecessarily prescribing! The NSAIDs risks list for osteoarthritis is getting longer and longer.
They are even saying it’s our own fault that NSAIDs cause us stomach ulcers and bleeding because we don’t take it correctly- i.e. with another drug! To be combat NSAIDs risks with other drugs would surely suggest to the physicians that perhaps this is not the best treatment for osteoarthritis. After all we have condition for life and will, therefore be taking these drugs for life and the NSAIDs risks increase the longer you take them.
This report from EurekAlert explains:
“To relieve pain, arthritis sufferers are prescribed medications that may include non-steroidal anti-inflammatory drugs (NSAIDs) or cyclooxygenase-2 (COX-2) inhibitors, both of which can irritate the digestive tract. At times additional drugs are co-prescribed with NSAIDs or COX-2 inhibitors to prevent adverse gastrointestinal (GI) effects. Now a new study available today in the American College of Rheumatology journal, Arthritis & Rheumatism, reveals that decreasing gastroprotective agent (GPA) adherence among users of COX-2 inhibitors is linked to an increased risk of such upper GI complications.”
NSAIDs Risks List include:
This study warned of Heart risks saying:
In the signals we saw, there was a two- to fourfold increase in the risk of myocardial infarctions (heart attacks) stroke, or cardiovascular death, and these are, clinically, considerable increases in risk.”
For example, Jüni says his review found that only 25 to 50 patients would need to be treated with NSAIDs for one year to cause one additional event such as a heart attack or stroke.”
Considering 1 in 3 of us over the age of 60 have osteoarthritis that is a very scary statistic.
This study into chronic Kidney disease (CKD) concluded:
“High cumulative NSAID exposure is associated with an increased risk for rapid CKD progression in the setting of a community-based elderly population. For older adult patients with CKD, these results suggest that nonselective NSAIDs and selective COX-2 inhibitors should be used cautiously and chronic exposure to any NSAID should be avoided.”
This older study shows they have known about one of NSAIDs risks of GI bleeding for years suggesting that this is significantly reduced by using rofecoxib compared to NSAIDs. Only problem is that they withdrew this drug (often called Vioxx, Ceoxx, and Ceeoxx) due the fact it caused heart attacks and strokes!
This report actually states;
“gastrointestinal (GI) morbidity and mortality from NSAIDs continues to be a significant problem…”
” This study further reveals that one-third of NSAIDs’ GI mortality comes from low-dose, daily aspirin.”
This one talks about how even at low over the counter (OTC) dosages NSAIDs risks are significant:
“OTC NSAIDs are not a benign medication even at low dosages.”
NSAIDs are prescribed for the inflammation in the muscles, tendons and ligaments (the soft tissue) around a joint with osteoarthritis. Osteoarthritis is a non-inflammatory arthritis.
When will physicians learn that exercises will give better results as they are not masking the problems in the soft tissue? Exercises will actually improve the pain and stiffness as the scaffolding around the joint improve. This recommendation is even in the latest osteoarthritis treatment guidelines from the American College of Rheumatology which strongly recommends exercises but only conditionally recommends NSAIDs yet our Doctors continue to prescribe a high risk alternative.
It is about time our physicians admitted that the NSAIDs risks list is getting out of control and masking one of the major risks by using another drug is unacceptable. The worst risk associated with the alternative prescription of exercises is a bit of soreness as the soft tissue gets used to working again!
Do NSAIDs risks outweigh their benefits? Do you think exercises are a better and safer option? Are you happy with what your physician prescribes? Let us know by leaving a comment below…