Patient was educated on contraindications for using Aleve as follows:

  1. Aleve must be avoided or used cautiously in individuals with history of exacerbation of SOB with episodes of asthma and growth of nasal polyps with other NSAIDs.
  2. Aleve has the potential to compromise coronary circulation and result in chest pain and myocardial infarction. So, Aleve must be avoided or used cautiously in individuals with history of myocardial infarction. Aleve must also be avoided during immediate post-surgical period, in individuals who underwent coronary artery bypass grafting (CABG).
  3. Aleve is mainly metabolized by the liver and Aleve intake can lead to hepatic injury. Individuals with history of compromised liver function cannot metabolize Aleve and this can lead to increased blood levels of Aleve for longer duration, leading to toxicity. Aleve should be avoided or used with extreme caution in such individuals.
  4. Aleve is significantly excreted in the urine. Individuals with compromised renal functions tend to retain the drug in the circulation longer, thus resulting in toxicity. Aleve should be avoided or used with extreme caution in such individuals.