Final answer:
For individuals at high risk of GI bleeding, a COX-2 selective inhibitor like celecoxib is often chosen due to the potentially lower risk of stomach issues. Acetaminophen may also be considered for pain relief, though it lacks anti-inflammatory properties and has its own risks. Professional medical advice is crucial before starting or changing any medication regimen.
Step-by-step explanation:
Which NSAID to Give to a Person at High Risk of GI Bleed
When considering the administration of nonsteroidal anti-inflammatory drugs (NSAIDs) for individuals with a high risk of gastrointestinal (GI) bleeding, it is important to choose an agent that poses the least risk of precipitating this adverse effect. In such cases, a COX-2 selective inhibitor like celecoxib (brand name Celebrex) is often recommended. COX-2 inhibitors are believed to have a lower risk of causing stomach issues in comparison to older NSAIDs.
If NSAIDs must be avoided altogether due to the high risk of GI bleeding, acetaminophen could be considered as an alternative for pain relief, although it provides little in the way of anti-inflammatory effects and must be used carefully due to the risk of liver damage from overdose. It is essential to seek medical advice before starting or changing medication, particularly for individuals with complex medical histories or those taking other medications that could increase the risk of bleeding, such as blood thinners.
Due to the associated risks of NSAIDs, they must be used with caution, especially in individuals over the age of 60, those taking prescription blood thinners, steroids, or with a history of stomach bleeding or ulcers. It is also critical to note that NSAIDs can cause kidney damage and may increase the risk of heart attack, factors which must be weighed against their benefits when considering their use.