Patient was educated on contraindications for using NSAIDs as follows:
- Patients with history of dyspepsia and heartburn must be cautious about using NSAIDs. Discuss with your doctor regarding your history of the same.
- NSAIDs must be used cautiously in individuals with history of gastric ulcers, as intake of this medication can lead to increased exposure of the stomach lining to the action of gastric acid, leading to erosion of gastric mucosa and development of gastric ulcers. Using enteric coated NSAIDs can help this situation.
- NSAIDs must be avoided or used cautiously in individuals with history of compromised renal function. NSAIDs inhibit the production of prostaglandins in all the tissues, including the renal. Inhibition of prostaglandin synthesis in the kidneys, result in vasoconstriction and reduced blood flow to the renal tissue. Reduced blood flow to the renal tissue can contribute to further compromise of renal function.
- NSAIDs has the potential to compromise coronary circulation and result in chest pain and myocardial infarction. So, NSAIDs must be avoided or used cautiously in individuals with history of myocardial infarction. NSAIDs must also be avoided during immediate post-surgical period, in individuals who underwent coronary artery bypass grafting (CABG).
