NSAIDs (Non-Steroidal Anti-Inflammatory Drugs)

Non-steroidal anti-inflammatory drugs, also known as NSAIDs, are an extremely common group of prescription and non-prescription (over-the-counter) drugs. NSAIDs contain analgesics (pain killers), as well as antipyretics (fever reducers). These drugs combined can exhibit anti-inflammatory effects. Lower dosages typically foster an initial pain killing response, while higher dosages taken on a regular basis will eventually build up and have an actual anti-inflammatory effect.

Types

There are several types of non-steroidal anti-inflammatory drugs, including:

• Aspirin - in addition to its pain relieving capabilities, aspirin also has blood thinning properties and is often recommended for the prevention of blood clots that could lead to strokes or heart attacks.
• Ibuprofen - generally used to treat mild to moderate back pain, stiffness, inflammation and tenderness, and is widely available without a prescription.
• Naproxen - inhibits the proteins that cause pain and inflammation in the back and is available in non-prescription and prescription strengths.
• COX-2 inhibitors - a newer type of NSAID that stops the chemical process which produces inflammation in the body

Uses

NSAIDs can be used to treat mild to moderate neck and back pain, inflammation, tenderness, and stiffness from everyday activities, muscle strain, and osteoarthritis.

Risks and Side Effects

NSAIDs typically thin the blood, so you should consult with your physician and be cautious when pairing with blood pressure or other medications. Gastrointestinal problems with heavy use have occurred, including stomach bleeding, ulcers, gastritis, and stomach pain, along with possible weakness and dizziness. It is generally recommended that food is taken with the medication. Speak with your doctor if you are pregnant or about to become pregnant; are breastfeeding; have thyroid problems; have diabetes, heart disease, or high blood pressure; consume upwards of three alcoholic drinks daily; or have liver or kidney problems. COX-2 inhibitors may be a better option, as they don’t harm the stomach lining or impair blood clotting, but there is a higher risk of developing cardiovascular problems.

Your physician can determine your individual risks and prescribe the appropriate NSAID type and doses. If you do start an NSAID regimen to combat neck and back pain, follow the directions on the label and refrain from taking any substance longer than 10 days before seeing your doctor.