Ulcers: Everyday Pain Relief (cont.)
Many painkillers -- including higher doses of NSAIDs -- are available by prescription. Since they are more powerful versions of over-the-counter NSAIDs, they often have the same or greater risks. Some examples are Daypro, Indocin, Lodine, Naprosyn, Relafen, and Voltaren.
Cox-2 inhibitors are a newer kind of NSAID. These medicines have recently come under fire for their dangers. Although these drugs are supposed to have fewer gastrointestinal side effects than standard NSAIDs, they can still cause some of the same problems. They may also raise the risks of heart attack and stroke.
Two of these drugs, Vioxx and Bextra, have been taken off the market because of various side effects. Celebrex is still available.
Narcotics are another type of prescription painkiller. Examples include OxyContin, Percocet, and Vicodin. These drugs are only used in people with severe chronic pain. They don't pose a risk for people with ulcers. They do have other side effects, including constipation, fatigue, and a risk of addiction.
Published May 2005.
SOURCES: Byron Cryer, MD, spokesman, American Gastroenterological Association; associate professor of medicine, University of Texas Southwestern Medical School, Dallas. Nieca Goldberg, MD, spokeswoman, American Heart Association; chief of Women's Cardiac Care at Lennox Hill Hospital, New York City. Phillip E. Korenblat, MD, spokesman, American Academy of Allergy, Asthma, and Immunology; professor of clinical medicine, Washington University School of Medicine, St. Louis. American Academy of Family Physicians web site. American Heart Association web site. American Academy of Allergy, Asthma, and Immunology web site. American College of Gastroenterology web site. American Gastroenterological Association web site. National Institute of Diabetes and Digestive and Kidney Diseases web site. U.S. Food and Drug Administration web site. U.S. Department of Health and Human Services National Women's Health Information Center web site.
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