NSAID use in the Elderly
NSAID stands for nonsteroidal anti-inflammatory drugs, which is a group of medications to treat pain and inflammation. You can probably recognize quite a few NSAIDs that are available over-the-counter. Examples include:
- Advil, Motrin (Ibuprofen)
- Aleve (Naproxen)
- Voltaren Emulgel (Diclofenac) – Note: this a topical product
NSAIDs can be very effective at managing many types of pain and are generally tolerated fine when used occasionally. However, careful attention is needed in older adults who are at higher risk of experiencing side effects or drug interactions.
The risks of NSAID use are usually grouped by the 3 major body parts that may be affected:
- Stomach: short term use may cause heartburn and upset stomach – this is why pharmacists recommend NSAIDs be taken with food, as it will help these symptoms. Long term NSAID use, especially at higher doses, can lead to painful open stomach sores that may bleed. If you do have to be on an NSAID long term, your doctor will most likely prescribe you a medication to protect your stomach.
- Heart: NSAID use can increase blood pressure, worsen certain heart conditions, and even increase the risk of heart attack! They can also reduce the effects of certain blood pressure medications and have additive blood thinning effects with prescription blood thinners.
- Kidney: NSAID use, even short term, can harm the kidneys. People who already have poor kidney function are especially at risk.
Topical creams, such as Voltaren Emulgel, are a good alternative to the oral NSAIDs. They can provide similar benefits compared to the oral products, with a lower risk of side effects as they are less absorbed into the body.
Choosing the right medication for pain can be challenging. While it may seem easy to just pick up an over-the-counter NSAID, your pharmacist is a reliable source to go to for help in selecting the right medication for your specific needs. Please ask us for help; we’re here for you!
