Question

Patients taking NSAIDs should be taught to avoid the use of OTC medications without checking with their prescriber because

a) many of the OTC preparations contain NSAIDs, and inadvertent toxicity could occur.
b) no one should take more than one type of pain reliever at a time.
c) increased gastrointestinal upset could occur.
d) there is a risk of Reye syndrome.

Answer 1

Patients taking NSAIDs must avoid additional OTC medications containing NSAIDs due to risks such as toxicity and severe side effects, including stomach bleeding and kidney damage. Acetaminophen poses fewer side effects but can cause liver damage in overdose. Stronger medications like opioids carry addiction and overdose risks.

Step-by-step explanation:

Patients taking NSAIDs should be careful about using over-the-counter (OTC) medications without consulting their healthcare provider because many OTC preparations contain NSAIDs. The inadvertent use of additional NSAIDs can lead to toxicity, with risks such as stomach bleeding—especially for those over 60 or with pre-existing conditions, kidney damage, increased chances of ulcers and bleeds, heart attack, and kidney disease.

It is crucial for patients to be aware of the content of OTC pain relievers as they come in two main types: acetaminophen and NSAIDs, which include aspirin, naproxen, and ibuprofen. While acetaminophen is known for fewer side effects and does not have the same anti-inflammatory properties as NSAIDs, it can cause severe liver damage in cases of overdose. On the other hand, NSAIDs have specific indications and can cause serious side effects, hence the necessity to manage their usage carefully.

Pain management medications vary, and some stronger prescriptions, such as opioids, can be prescribed if OTC pain relievers are insufficient. Nonetheless, patients should be aware of the risks of addiction and overdose associated with opioids.