, naproxen, ibuprofen, diclofenac, meloxicam have high blood potassium levels have inflammatory bowel disease have severe, uncontrolled heart failure have severely impaired kidney function or kidney function that is getting worse have severely impaired liver function or active liver disease.
Information about Diclofenac.
All eight NSAIDs are available on prescriptionwhile diclofenacnaproxen and ibuprofen are also available in lower dose over-the-counterOTCforms that can be obtained without a prescriptionPiroxicam is also available as an OTC topical medicine
Avoid using prescription NSAIDs in patients who have previously had myocardial infarctionanginacardiac failurehypovolemiasignificant peripheral vascular disease or pre-existing significant renal/liver dysfunction.
The TGA has published a consumer Q and A with further information about this issue.
NSAIDs are widely used to treat pain and reduce inflammationThey can be used to treat the symptoms of arthritisrheumatismmuscle strainssprainstendonitis and menstrual cramps.
The product labelling for OTC diclofenacnaproxen and ibuprofen does not carry adequate warnings regarding the risks of adverse cardiovascular events orin the case of diclofenachepatotoxicity.
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