NSAIDs

NSAIDs

Ibuprofen

Pronunciation: (eye byoo PROE fen)

Brand Names: Advil® [OTC]; Advil® Children's [OTC]; Advil® Infants' [OTC]; Advil® Junior [OTC]; Genpril® [OTC]; Haltran® [OTC] [DSC]; Ibu-200 [OTC]; I-Prin [OTC]; Menadol® [OTC]; Motrin®; Motrin® Children's [OTC]; Motrin® IB [OTC]; Motrin® Infants' [OTC]; Motrin® Junior Strength [OTC]; Proprinal [OTC]; Ultraprin [OTC]

Pharmacologic Category:   Nonsteroidal Anti-inflammatory Drug (NSAID), Oral

Reasons not to take this medicine:
    · If you have an allergy to ibuprofen or any other part of this medicine.
    · Tell our office if you are allergic to any medicine. Make sure to tell us about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue or throat; or any other symptoms involved.

What is this medicine used for?
    · This medicine is used to relieve pain, inflammation and fever.

How does it work?
    · Ibuprofen blocks production and release of chemicals that cause pain and inflammation.
    · It reduces fever by adjusting the body's thermostat in the brain.

How is it best taken?
    · Take this medicine with or without food. Take with food if it causes an upset stomach.
    · Chewable tablet: Chew or crush well. Mix crushed tablet with food. Do not swallow whole.
    · A liquid is available if you cannot swallow pills. Shake suspension well before use.

What do I do if I miss a dose?
    · Take a missed dose as soon as possible.
    · If it is almost time for the next dose, skip the missed dose and return to your regular schedule.
    · Do not take a double dose or extra doses.
    · Many times this medicine is taken on an as needed basis. Do not take more often than every six hours, unless instructed by healthcare provider.

What are the precautions when taking this medicine?
    · If you have high blood pressure, talk with healthcare provider.
    · If you have kidney disease, talk with healthcare provider.
    · If you have a weakened heart, talk with healthcare provider.
    · Tell dentists, surgeons and other healthcare providers that you use this medicine.
    · You will bleed easily. Be careful. Avoid injury. Use soft toothbrush, electric razor.
    · Check medicines with healthcare provider. This medicine may not mix well with other medicines.
    · Talk with healthcare provider before using aspirin, aspirin-containing products, other pain medicines, blood thinners, garlic, ginseng, ginkgo or vitamin E.
    · Avoid alcohol (wine, beer and liquor).
    · Tell our office if you are pregnant or plan on getting pregnant.
    · Tell our office if you are breast-feeding.

What are the common side effects of this medicine?
    · Feeling lightheaded, sleepy, having blurred vision or a change in thinking clearly. Avoid driving, doing other tasks or activities that require you to be alert or have clear vision until you see how this medicine affects you.
    · Stomach pain.
    · Nausea or vomiting. To relieve these symptoms try small frequent meals, frequent mouth care, sucking hard candy or chewing gum which may help.
    · Diarrhea.
    · Constipation. More liquids, regular exercise, or a fiber-containing diet may help. Talk with healthcare provider about a stool softener or laxative.

What should I monitor?
    · Change in condition being treated; is it better, worse or about the same?
    · Watch for tarry black stools.

Reasons to call our office immediately:
    · If you suspect an overdose, call your local poison control center immediately or dial 911.
    · Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue or throat.
    · Severe nausea or vomiting.
    · Unusual bruising or bleeding.
    · Any rash.
    · No improvement in condition or feeling worse.

How should I store this medicine?
    · Store at room temperature.
    · Protect caplets, drops and tablets from light.
    · Protect caplets and tablets from moisture. Do not store in a bathroom or kitchen.

General statements:
    · If you have a life-threatening allergy, wear an allergy identification bracelet at all times.
    · Do not share your medicine with others and do not take anyone else's medicine.
    · Keep all medicine out of the reach of children and pets.
    · Keep a list of all your medicines (prescription, natural products, supplements, vitamins, over-the-counter) with you. Give this list our office.
    · Talk with healthcare provider before starting any new medicine, including over-the-counter, natural products, or vitamins.

Orudis (Ketoprofen)

Pronunciation: (kee toe PROE fen)

Brand Names: Orudis® KT [OTC]; Oruvail®

Pharmacologic Category: Nonsteroidal Anti-inflammatory Drug (NSAID), Oral

Reasons not to take this medicine:

   If you have an allergy to ketoprofen or any other part of this medicine.
    · Tell our office if you are allergic to any medicine. Make sure to tell us about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue or throat; or any other symptoms involved.
    · If you are more than 24 weeks pregnant.

What is this medicine used for?
    · This medicine is used to relieve pain and inflammation.

   How does it work?
    · Ketoprofen blocks production and release of chemicals that cause pain and inflammation.

How is it best taken?
    · Take this medicine with or without food. Take with food if it causes an upset stomach.

What should I monitor?
    · Change in condition being treated; is it better, worse or about the same?
    · Watch for tarry black stools.
    · Follow up with healthcare provider.

Reasons to call our office immediately:
    · If you suspect an overdose, call your local poison control center immediately or dial 911.
    · Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue or throat.
    · Severe nausea or vomiting.
    · Severe diarrhea.
    · Unusual bruising or bleeding.
    · Any rash.
    · No improvement in condition or feeling worse.

How should I store this medicine?
    · Store at room temperature.
    · Protect from heat.
    · Protect from light.
    · Protect from moisture. Do not store in a bathroom or kitchen.

General statements:
    · If you have a life-threatening allergy, wear an allergy identification bracelet at all times.
    · Do not share your medicine with others and do not take anyone else's medicine.
    · Keep all medicine out of the reach of children and pets.
    · Keep a list of all your medicines (prescription, natural products, supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, nurse practitioner, pharmacist, physician assistant).
    · Talk with healthcare provider before starting any new medicine, including over-the-counter, natural products, or vitamins.

Vioxx (Rofecoxib)

Pronunciation: (roe fe COX ib)

Brand Names: Vioxx®

Pharmacologic Category: Nonsteroidal Anti-inflammatory Drug (NSAID)

Reasons not to take this medicine:
    · If you have an allergy to rofecoxib or any other part of this medicine.
    · Tell our office if you are allergic to any medicine. Make sure to tell us about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue or throat; or any other symptoms involved.
    · If you are more than 24 weeks pregnant.

What is this medicine used for?
    · This medicine is used to relieve pain.

How does it work?
    · Rofecoxib blocks production and release of chemicals that cause pain and inflammation.

How is it best taken?
    · Take this medicine with or without food. Take with food if it causes an upset stomach.
    · A liquid is available if you cannot swallow pills. Shake well before use.

What do I do if I miss a dose?
    · Take a missed dose as soon as possible.
    · If it is almost time for the next dose, skip the missed dose and return to your regular schedule.
    · Do not take a double dose or extra doses.
    · Do not change dose or stop medicine. Talk with healthcare provider.

What are the precautions when taking this medicine?
    · If you are taking a blood thinner, you will require more frequent monitoring.
    · If you have heart disease, talk with healthcare provider.
    · If you have kidney disease, talk with healthcare provider.
    · You will bleed easily. Be careful. Avoid injury. Use soft toothbrush, electric razor.
    · Check medicines with healthcare provider. This medicine may not mix well with other medicines.
    · Avoid alcohol (includes wine, beer and liquor).
    · Tell our office if you are pregnant or plan on getting pregnant.
    · Use birth control that you can trust to prevent pregnancy while taking this medicine.
    · Tell our office if you are breast-feeding.

What are the common side effects of this medicine?
    · Feeling lightheaded, sleepy, having blurred vision or a change in thinking clearly. Avoid driving, doing other tasks or activities that require you to be alert or have clear vision until you see how this medicine affects you.
    · Stomach pain or heartburn.

       Diarrhea.

What should I monitor?
    · Change in condition being treated. Is it better, worse, or about the same?
    · Check blood pressure and heart rate regularly.
    · Watch for tarry black stools.

Reasons to call our office immediately:
    · If you suspect an overdose, call your local poison control center immediately or dial 911.
    · Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue or throat.
    · Chest pain or pressure.
    · Shortness of breath.
    · Severe headache.
    · Severe stomach pain.
    · Severe nausea or vomiting.
    · Severe diarrhea.
    · Unusual bruising or bleeding.
    · Dark urine or yellow skin or eyes.
    · Any rash.
    · No improvement in condition or feeling worse.

How should I store this medicine?
    · Store at room temperature.
    · Protect tablets from light.
    · Protect tablets from moisture. Do not store in a bathroom or kitchen.

General statements:
    · If you have a life-threatening allergy, wear an allergy identification bracelet at all times.
    · Do not share your medicine with others and do not take anyone else's medicine.
    · Keep all medicine out of the reach of children and pets.
    · Keep a list of all your medicines (prescription, natural products, supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, nurse practitioner, pharmacist, physician assistant).
    · Talk with healthcare provider before starting any new medicine, including over-the-counter, natural products, or vitamins.

Naproxen

Pronunciation: (na PROKS en)

Brand Names:   Aleve® [OTC]; Anaprox®; Anaprox® DS; EC-Naprosyn®; Naprelan®; Naprosyn®

Pharmacologic Category: Nonsteroidal Anti-inflammatory Drug (NSAID), Oral

Reasons not to take this medicine:
    · If you have an allergy to naproxen or any other part of this medicine.
    · Tell our officer if you are allergic to any medicine. Make sure to tell us about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue or throat; or any other symptoms involved.
    · If you are more than 24 weeks pregnant.

What is this medicine used for?
    · This medicine is used to relieve pain, inflammation and fever.

How does it work?
    · Naproxen blocks production and release of chemicals that cause pain and inflammation.
    · It reduces fever by adjusting the body's thermostat in the brain.

How is it best taken?
    · Take this medicine with or without food. Take with food if it causes an upset stomach.
    · Long-acting products: Swallow whole. Do not chew, break or crush.
    · A liquid is available if you cannot swallow pills. Shake well before use.

What do I do if I miss a dose?
    · Take a missed dose as soon as possible.
    · If it is almost time for the next dose, skip the missed dose and return to your regular schedule.
    · Many times this medicine is taken on an as needed basis. Do not take more often than every six hours, unless instructed by healthcare provider.

What are the precautions when taking this medicine?
    · If you have high blood pressure, talk with healthcare provider.
    · If you have kidney disease, talk with healthcare provider.
    · If you have a weakened heart, talk with healthcare provider.
    · Tell dentists, surgeons and other healthcare providers that you use this medicine.
    · You will bleed easily. Be careful. Avoid injury. Use soft toothbrush, electric razor.
    · Check medicines with healthcare provider. This medicine may not mix well with other medicines.
    · Talk with healthcare provider before using aspirin, aspirin-containing products, other pain medicines, blood thinners, garlic, ginseng, ginkgo, or vitamin E.
    · Avoid alcohol (includes wine, beer and liquor).
    · Tell our office if you are pregnant or plan on getting pregnant.
    · Use birth control that you can trust to prevent pregnancy while taking this medicine.
    · Tell our office if you are breast-feeding.

What are the common side effects of this medicine?
    · Feeling lightheaded, sleepy, having blurred vision or a change in thinking clearly. Avoid driving, doing other tasks or activities that require you to be alert or have clear vision until you see how this medicine affects you.
    · Stomach pain or heartburn.
    · Nausea or vomiting. To relieve these symptoms try small frequent meals, frequent mouth care, sucking hard candy or chewing gum which may help.
    · Constipation. More liquids, regular exercise or a fiber-containing diet may help. Talk with healthcare provider about a stool softener or laxative.

What should I monitor?
    · Change in condition being treated. Is it better, worse or about the same?
    · Watch for tarry black stools.

Reasons to call our office immediately:
    · If you suspect an overdose, call your local poison control center immediately or dial 911.
    · Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue, or throat.
    · Severe nausea or vomiting.
    · Unusual bruising or bleeding.
    · Any rash.
    · No improvement in condition or feeling worse.

How should I store this medicine?
    · Store at room temperature.
    · Protect from light.
    · Protect caplets, gelcaps and tablets from moisture. Do not store in a bathroom or kitchen.

General statements:
    · If you have a life-threatening allergy, wear an allergy identification bracelet at all times.
    · Do not share your medicine with others and do not take anyone else's medicine.
    · Keep all medicine out of the reach of children and pets.
    · Keep a list of all your medicines (prescription, natural products, supplements, vitamins, over-the-counter) with you. Give this list to our office.

· Talk with healthcare provider before starting any new medicine, including over-the-counter, natural products or vitamins.

60 Union Street @ Pearl Sidney, NY 13838 (607)-563-2333