The National Health Service (NHS) has issued a warning to patients diagnosed with osteoarthritis regarding the potential risks associated with non-steroidal anti-inflammatory drugs (NSAIDs). The use of these medications may lead to serious side effects, including stomach ulcers. The NHS recommends that individuals consult their General Practitioner (GP) before starting any treatment.
According to a report from Arthritis UK in March 2025, over 10 million people in the UK live with arthritis. Among these, osteoarthritis is the most prevalent form, causing pain and stiffness in the joints. The condition often affects the knees, hips, and small joints of the hands, significantly impacting mobility. The NHS advises patients experiencing persistent symptoms to seek medical advice for accurate diagnosis and appropriate treatment options.
NSAIDs are commonly prescribed to manage inflammation and alleviate pain associated with osteoarthritis. These medications come in various forms, including capsules, tablets, and gels. While some NSAIDs are available over the counter, others require a prescription from a GP. The primary types of NSAIDs include:
– ibuprofen
– naproxen
– diclofenac
– celecoxib
– mefenamic acid
– etoricoxib
– indomethacin
Despite their effectiveness, not all patients can safely use NSAIDs. The NHS stresses the importance of discussing personal medical history with a healthcare professional before starting treatment. Certain conditions, such as asthma, previous stomach ulcers, or cardiovascular issues, may preclude the safe use of these medications.
The NHS warns: “They may not be suitable for people with certain conditions, such as asthma, a stomach ulcer or angina, or if you have had a heart attack or stroke.” It is advisable for patients over 65 years of age, pregnant women, and individuals with specific medical histories to consult their GP before taking NSAIDs.
While NSAIDs may be suitable for many, the NHS emphasizes the need for caution. If these medications are deemed unsuitable, healthcare providers may recommend alternatives such as paracetamol. NSAIDs obtained over the counter tend to have a lower risk of side effects compared to stronger prescriptions, but caution is still advised, particularly for older adults or those with existing health issues.
Potential side effects of NSAIDs include:
– indigestion, including stomach pain and diarrhea
– stomach ulcers, which can lead to internal bleeding
– headaches
– drowsiness
– dizziness
– rare allergic reactions
– serious complications affecting the liver, kidneys, or heart
Patients currently taking other medications should also consult their GP before using NSAIDs, as interactions may occur. This includes individuals on low-dose aspirin, warfarin, ciclosporin, diuretics, lithium, methotrexate, or selective serotonin reuptake inhibitors (SSRIs).
The NHS reiterates the importance of seeking medical advice to ensure safe treatment for osteoarthritis. With the right guidance and management, patients can effectively cope with this challenging condition while minimizing the risks associated with medications.
