Daily Use of Ibuprofen for Arthritis: Safe or Risky?
Ibuprofen, a common nonsteroidal anti-inflammatory drug (NSAID), has recently been approved by the Food and Drug Administration (FDA) as a stand-alone arthritis treatment. This medication can help reduce the pain associated with arthritis by reducing inflammation.
Arthritis, a condition characterized by inflammation of the joints, can cause severe discomfort and limit mobility. During an arthritis flare-up, a person may get the greatest benefit from ibuprofen by taking it when arthritic pain is especially severe.
Typical dosing for over-the-counter ibuprofen is 200-400 milligrams (mg) every 4-6 hours, not exceeding 1,200 mg per day. Prescription doses can be higher, up to 2400–3200 mg daily, under a doctor's supervision.
However, it's essential to note that long-term or high-dose use of NSAIDs like ibuprofen increases the risk of adverse effects such as gastrointestinal ulcers, kidney problems, and cardiovascular issues. Over-the-counter ibuprofen is generally recommended for short-term use only, typically no longer than 10 days without medical supervision.
For chronic arthritis pain, longer-term NSAID treatment may be prescribed, but it requires medical monitoring to manage risks such as stomach ulcers, bleeding, kidney damage, and increased cardiovascular risk. Doctors may recommend protective strategies like using the lowest effective dose, taking it with food, or prescribing gastroprotective medications.
While ibuprofen can be taken for arthritis pain regularly if prescribed by a doctor who monitors side effects, unsupervised long-term use is not recommended due to potential adverse effects. Always follow the prescribed dose and duration, and consult a healthcare professional for ongoing arthritis treatment.
It's also important to avoid taking ibuprofen alongside other NSAIDs, as this can lead to increased risk of side effects. Certain immunosuppressants, anticoagulants, blood pressure medications, and some diuretics can interact harmfully with NSAIDs like ibuprofen, so it's crucial to inform your doctor about any medications you're currently taking.
In some cases, surgery may be recommended to reduce pain and improve range of motion. Additionally, exercise and cognitive behavioral therapy can potentially reduce arthritic pain.
If GI side effects develop, people may benefit from coating the stomach by taking the medication alongside food, milk, or non-dairy milk. A rash could indicate ibuprofen allergy or hypersensitivity, and in such cases, immediate medical attention should be sought.
In conclusion, while ibuprofen can be an effective tool in managing arthritis pain, its use should be under the guidance of a healthcare provider and followed with caution to minimise potential risks. Always consult a doctor for proper diagnosis, treatment, and dosage recommendations.
[1] Arthritis Foundation. (2021). Ibuprofen: Uses, doses, side effects, and safety. Retrieved from https://www.arthritis.org/diseases/pain-management/drugs/prescription-drugs/ibuprofen
[2] Mayo Clinic. (2021). Ibuprofen (oral route) side effects. Retrieved from https://www.mayoclinic.org/drugs-supplements/ibuprofen-oral-route/side-effects/drg-20071269
[3] National Library of Medicine. (2021). Ibuprofen. Retrieved from https://medlineplus.gov/druginfo/meds/a601109.html
[4] U.S. Food and Drug Administration. (2021). Ibuprofen: Medication Guide. Retrieved from https://www.fda.gov/media/80430/download
[5] UpToDate. (2021). Ibuprofen. Retrieved from https://www.uptodate.com/contents/ibuprofen-beyond-the-basics/print
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