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Home Health Care Management & Practice
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Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Research to Help Your Patients Use them Safely

Stephen M. Setter, PharmD, CGP, DVM

Cynthia F. Corbett, PhD, RN, C

David A. Sclar, PhD

Brian J. Gates, PharmD

Steven B. Johnson, PharmD

Nonsteroidal anti-inflammatory drugs (NSAIDs) are effective medications for the treatment of many chronically painful medical conditions. However, it is estimated that 25% of all serious adverse drug reactions involve NSAIDs, with more than 100,000 hospitalizations and 16,000 deaths occurring annually due to NSAID-induced gastrointestinal (GI) events. Advanced age; concurrent anticoagulant, aspirin, corticosteroid, or antacid use; and a history of cardiovascular disease, peptic ulcer disease, or GI hemorrhage all increase the risk of NSAID-induced gastropathy. Home care patients often have many of these characteristics. This article will provide evidence-based information about interventions that can reduce patients’ NSAID-induced gastropathy risk, including knowledge gained from a home care–specific study.

Key Words: anti-inflammatory • corticosteroid • gastrointestinal • pain • research

Home Health Care Management & Practice, Vol. 13, No. 6, 468-475 (2001)
DOI: 10.1177/108482230101300609


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