Patient was educated on precautions to be exercised while taking Advil as follows:

  1. Discuss with your doctor regarding any previous allergic responses you experienced with other NSAIDs, such as, Naproxen.
  2. Advil 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. This response to Advil can significantly increase, if Advil were taken with alcohol and smoking. Avoid taking Advil with alcohol. Quit smoking while you are using Advil. Using enteric coated Advil can help this situation. Maintain close watch for symptoms of abdominal pain and bleeding in the stool. This bleed in the stomach can also undergo partial digestion, when the color of the blood in stool can appear black. Report these symptoms to the physician immediately.
  3. Advil must be avoided or used cautiously in individuals with history heart failure. Reduced renal function, secondary to Advil intake, can contribute towards compromise in filtration of blood, leading to reduced formation of urine and fluid back up in the body. Fluid accumulation in the body can result in edema and weight gain. This backed up fluid can increase the fluid volume and workload on the heart that is already in failure, thus further worsening the cardiac function. Maintain a close watch for symptoms of worsening fluid retention, such as, edema, exacerbation of shortness of breath, and increased fatigue and report them to your physician.