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Anti-inflammatory drugs: Aspirin, naproxen, ibuprofen, diclofenac, celecoxib and Tylenol

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Doctor Furlan explains what are non-steroidal anti-inflammatory drugs like aspirin, naproxen, diclofenac, ibuprofen and celecoxib. Dr. Furlan shows the indications and contra-indications for these medications. How to use them for pain, chronic pain, migraines, headaches, menstrual cramps and acute pain.

They are all anti-inflammatory drugs  how about acetaminophen? also known  acetaminophen is an analgesic and fever  can i mix these drugs? can i use these drugs if i have   i’ll answer these questions  and many others in this video.  first, let me start by  explaining what inflammation is.  it is a normal reaction of the body

To any insult,  trauma, attack or infection. so, if a part your   body is invaded by bacteria, for example, your  body will send an army of cells to combat and   kill the bacteria. this makes that part of your  however, the body will always overreact, and  this makes the inflammatory reaction usually   the body overreacts

Because it is better   bacteria than to take the risk of not sending   enough cells and loose the battle, which could  mean spreading of the infection to the whole body.  it also happens in auto-immune diseases,   in the throat, we get amigdalitis in the ear, we get otitis  inflammation is by using anti-inflammatory drugs. 

Today, i’ll talk about the non-steroidal   a week ago i posted this question to my youtube   37% of you said you take a painkiller medicine  6% just cry and be miserable and the remaining 9% said a variety   so, for the 37% of you who said you take a  there are dozens of different types of  counter without a prescription,

But some of  in another question that i posted to my  do you take? 48% of you take tylenol, 22% take  advil, 13% take naproxen and 10% take aspirin.  the oldest anti-inflammatory medicine that we know  of, that has been used for more than 3500 years   it was used by the egyptians and ancient sumerians   who extracted it from

Willow bark. it was patented  as aspirin in 1897 by a german manufacturer.   aspirin is an excellent anti-inflammatory drug,  it helps to reduce pain and fever. however,   it cannot be used in children younger than 12  years of age to treat fever because it can cause a   causes swelling in the brain and liver. aspirin has an

Effect in the platelets, which are   blood cells that are responsible for blood clots.  aspirin blocks the platelets from forming blood   reduce the risk of stroke and heart attacks.   bleeding, aspirin is not a good idea because   the maximum dose of aspirin a person can take  per day is 4,000 mg. so the person may take

Up to   known as aleve or anaprox. it is very similar  naproxen does not block the platelets, so it  cannot be used to prevent strokes and heart   that all non-aspirin nsaids may increase   they can occur as early as the first weeks   pressure, kidney failure or history of heart   naproxen takes longer to start

Working,  usually takes 15 minutes. but naproxen  so it is better for people with chronic pain. the maximum dose of naproxen is 660 mg per day.   ibuprofen is the drug name for a variety  the low dose tablets of 200 and 400 mg are  available over the counter without a prescription.   the maximum dose should not exceed 2400  mg per

Day because higher doses are linked   for fever, menstrual cramps, headaches,  diclofenac, is sold with brand names  this medication is not safe  for people under the age of 18.  women who are thinking of getting pregnant should  avoid this nsaid because it can affect ovulation   or kidney problem in the unborn baby and  the

Maximum dose is 150 mg per day. higher  doses are related to heart attack and stroke.  all of these nsaids that i mentioned before are  medications that block cox 1 and cox 2 enzymes.   these enzymes are involved in the inflammatory  response and production of prostaglandins.   ideally, we don’t want to block the cox 1 because 

It produces a substance that protects the stomach.  called cox-2 inhibitors. there are a few   anti-inflammatories that are specific to cox-2,  celecoxib is good for short term pain relief   after trauma, like muscle sprains, post-surgical  pain and pain following dental extraction.   the maximum daily dose should  not

Exceed 200 mg per day.  despite having many other migraine-specific drugs   with better effects, like triptans, nsaids are  the most commonly used medications for migraines.  available, easy to access without prescription   is associated with persistence of headache,  stomach bleeding and ulcers. so, it  the person continues

Having stomach pain,  then they may use some gastric protector,   all nsaids should be avoided in the 3rd   cause pulmonary hypertension in the newborn,   prolong labor by inhibiting uterine contractions  elderly patients need to be carefully  for more than 7 days. nsaids may increase blood  pressure, damage the kidneys,

Interfere with other   bowel bleeding, and alter the liver function.  in people who have kidney failure, we need to  monitor the levels of creatinine in the blood   i could not finish this video without talking   acetaminophen is not an anti-inflammatory  drug because it does not reduce inflammation.  fever, especially in

Children. it is also a medication that helps to   the main disadvantage is that there are   many people who get poisoned by acetaminophen.  in canada, the main cause of acute liver failure   is acetaminophen toxicity. some people will need a  liver transplant or die because of this poisoning.  by accident. a lot of people don’t

Know that   with anti-allergic medications. they end up  taking acetaminophen without even knowing it.  the maximum daily dose should not exceed 4,000  mg for adults and children 12 years and older.  pills per day that contain 500 mg each.   how about mixing these drugs? it is not a good idea to mix an nsaid with another  

Nsaid, as they do the same thing and the person  will just be adding the risk of adverse effects.  with nsaid because they are different classes   of medications. in case of fever, for example,  we can alternate taking tylenol and advil, like   one tablet of tylenol, then 4 hours later a tablet  of advil, then 4 hours later tylenol,

And so on.  so, in summary, it is not because these drugs can  be bought without a prescription that they are   safe. i recommend you talking to your pharmacist  before you use any of these medications.   please, don’t forget that this video  if you have a condition that needs medical  and if there is an emergency, go to 

Below this video, in the description, there is  a link to a document that you can download and   if you like this video, give a thumbs up here,   there is a “share” button here too, and  i have many other videos on this  you can also find me on  twitter, facebook and instagram. 

Transcribed from video
Anti-inflammatory drugs: "Aspirin", naproxen, ibuprofen, diclofenac, celecoxib and "Tylenol" By Dr. Andrea Furlan