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NSAID

Non-Steroidal Anti-Inflammatory Drug - a type of medication that reduces pain, inflammation, and fever by blocking enzymes that produce inflammatory chemicals in the body.

Extended Definition

NSAIDs are among the most commonly used medications for managing osteoarthritis pain and inflammation. The term “non-steroidal” distinguishes them from corticosteroids—they reduce inflammation through a different mechanism and don’t have the same side effect profile as steroids.

NSAIDs work by blocking enzymes called cyclooxygenases (COX-1 and COX-2) that produce prostaglandins, chemicals in the body that promote inflammation, pain, and fever. Common over-the-counter NSAIDs include ibuprofen (Advil, Motrin), naproxen (Aleve), and aspirin. Prescription NSAIDs include higher-dose versions of these medications as well as others like celecoxib (Celebrex), meloxicam, and diclofenac.

While NSAIDs can be very effective for managing arthritis symptoms, they come with potential risks, especially with long-term use or in certain populations. Side effects can include stomach irritation and ulcers, increased risk of heart attack and stroke, kidney problems, and elevated blood pressure. Older adults and people with existing heart, kidney, or stomach conditions need to use NSAIDs with particular caution. Some NSAIDs (called COX-2 selective inhibitors like celecoxib) are designed to reduce stomach-related side effects while still providing anti-inflammatory benefits. NSAIDs can also be applied topically as gels or creams, which may provide localized relief with fewer systemic side effects. Always consult with a healthcare provider about the appropriate NSAID type and dose for your individual situation.

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