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Medication Guide for Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

(See the end of this Medication Guide for a list of prescription NSAID medicines.)

What is the most important information I should know about medicines called Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)?

NSAID medicines may increase the chance of a heart attack or stroke that can lead to death. This chance increases:

NSAID medicines should never be used right before or after a heart surgery called a "coronary artery bypass graft (CABG)."

NSAID medicines can cause ulcers and bleeding in the stomach and intestines at any time during treatment. Ulcers and bleeding:

The chance of a person getting an ulcer or bleeding increases with:

NSAID medicines should only be used:

What are Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)?

NSAID medicines are used to treat pain and redness, swelling, and heat (inflammation) from medical conditions such as:

Who should not take a Non-Steroidal Anti-Inflammatory Drug (NSAID)?

Do not take an NSAID medicine:

Tell your healthcare provider:

What are the possible side effects of Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)?

   serious side effects include: Other side effects include:        
  • heart attack
  • stroke
  • high blood pressure
  • heart failure from body swelling (fluid Retension)
  • kidney problems including kidney failure
  • bleeding and ulcers in the stomach and intestine
  • low red blood cells (anemia)
  • life-threatening skin reactions
  • life-threatening allergic reactions
  • liver problems including liver failure
  • asthma attacks in people who have asthma
  • stomach pain
  • constipation
  • diarrhea
  • gas
  • heartburn
  • nausea
  • vomiting
  • dizziness

Get emergency help right away if you have any of the following symptoms:

Stop your NSAID medicine and call your healthcare provider right away if you have any of the following symptoms:

These are not all the side effects with NSAID medicines. Talk to your healthcare provider or pharmacist for more information about NSAID medicines. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Other information about Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

Aspirin is an NSAID medicine but it does not increase the chance of a heart attack.Aspirin can cause bleeding in the brain, stomach, and intestines. Aspirin can also cause ulcers in the stomach and intestines.

Some of these NSAID medicines are sold in lower doses without a prescription (over-the-counter). Talk to your healthcare provider before using over-the-counter NSAIDs for more than 10 days.

NSAID medicines that need a prescription

Celecoxib                  Celebrex
Diclofenac                  Cataflam, Voltaren, Arthrotec (combined with  misoprostol)
Diflunisal                  Dolobid
Etodolac                  Lodine, Lodine XL
Fenoprofen                  Nalfon, Nalfon 200
Flurbiprofen                  Ansaid
Ibuprofen                  Motrin, Tab-Profen, Vicoprofen( (combined with                  hydrocodone), Combunox (combined with oxycodone)
Indomethacin                  Indocin, Indocin SR, Indo-Lemmon, Indomethagan
Ketoprofen                  Oruvail
Ketorolac                  Toradol
MefenamicAcid                  Ponstel
Meloxicam                  Mobic
Nabumetone                  Relafen
Naproxen                  Naprosyn, Anaprox, Anaprox DS, EC-Naprosyn, Naprelan,                  Naprapac (copackaged with lansoprazole)
Oxaprozin                  Daypro
Piroxicam                  Feldene
Sulindac                  Clinoril
Tolmetin                  Tolectin, Tolectin DS, Tolectin 600

*Vicoprofen contains the same dose of ibuprofen as over-the-counter (OTC) NSAIDs, and is usually used for less than 10 days to treat pain. The OTC NSAIDS label warns that long term continuous use may increase the risk of heart attack or stroke.

This Medication Guide has been approved by the U.S. Food and Drug Administration.

Manufactured for:
Camber Pharmaceuticals, Inc
Piscataway, NJ 08854

By: Hetero Labs Limited
Jeedimetla, Hyderabad-500 055, India.

Revised: 10/2011
Camber Pharmaceuticals