Nonsteroidal

From WikiMD's Medical Encyclopedia

Nonsteroidal anti-inflammatory drugs (NSAIDs) are a class of drugs that provide analgesic (pain-killing) and antipyretic (fever-reducing) effects, and, in higher doses, anti-inflammatory effects.

Classification[edit]

NSAIDs are usually classified based on their chemical structure. Classes include salicylates, propionic acid derivatives, acetic acid derivatives, enolic acid (Oxicams), and selective COX-2 inhibitors.

Mechanism of action[edit]

NSAIDs work by inhibiting the activity of cyclooxygenase enzymes (COX-1 and/or COX-2). In cells, these enzymes are involved in the synthesis of key biological mediators, namely prostaglandins which are involved in inflammation, and thromboxanes, which are involved in blood clotting.

Uses[edit]

NSAIDs are used to treat pain and inflammation caused by a variety of conditions, including arthritis, menstrual cramps, and headaches. Some NSAIDs, such as aspirin, have been shown to reduce the risk of heart attack and stroke.

Side effects[edit]

Common side effects of NSAIDs include stomach upset, heartburn, and a tendency to bleed more, especially when taken in high doses or for a long time. More serious side effects can include kidney damage, stomach ulcers, and increased risk of heart problems.

See also[edit]

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