Bombay Hospital Journal ContentsHomeArchivesSearchBooksFeedback

GENERAL PRACTITIONERS’ SECTION

WHEN NOT TO PRESCRIBE NSAID GROUP OF DRUGS

OP Kapoor


There are dozens of NSAIDs in the market Nearly every month, a new one is being introduced, which is supposed to have less side effects than the previous one. Really speaking, all are more or less same.

The common indications for which these drugs are being given, are naturally occurring chronic degenerative conditions, which are going to affect everybody in life. It is better to ‘prepare’ the patients for these so-called illnesses (instead of drugging them).

All middle aged and elderly people should learn to keep a cervical collar, lumbosacral belt, knee cap, thermopad (electric heating pad), etc, ready to be used SOS. They should be told to increase the frequency of prayers to God so that the threshold of ‘tolerance’ to pain can increase and the pain can be borne with the help of remembering GOD’s name like ‘Insha-Allah’ or ‘Hey Bhagwan’.

Paracetamol is the only analgesic, which they should keep at home and it can be taken easily in a dose of 1/2-1 gm, even 4 times a day or more. Even then, the habits of general practitioners are difficult to change. Therefore, I am making a plea to stop using NSAID agens in the above cases. Remember that the patient’s ‘associated’ illnesses silently increase due to NSAIDs, without the physician realising why the patient is not responding or is deteriorating.

The following are the other situations, where you should avoid NSAIDs:-



To Section TOC
Sponsor-Dr.Reddy's Lab