NHS предупреждает: некоторые группы людей должны прекратить прием ибупрофена

NHS advice to anyone taking ibuprofen as some may need to stop It may not mix well with certain medications either, the NHS says Some people who are taking ibuprofen may want to avoid it until they speak with their doctor, says the NHS. Ibuprofen is a common painkiller that many of us have at home. And often we take it with a glass of water without a second thought. It helps reduce pain and swelling (inflammation), among other issues. However, the NHS says some groups of people may not be able to have it. Here's what you need to know. Recently, Kidney Care UK has joined with the National Pharmacy Association (NPA), which represents around 6000 independent community pharmacies in the UK, to warn patients not to over-rely on NSAIDs (non-steroidal anti-inflammatory drugs) like ibuprofen. It said: "Around one in four people who completed our Kidney Health Checker told us they regularly use over-the-counter medication for pain relief, but NSAIDs increase blood pressure and cause damage to the blood vessels inside the kidneys. "Our recent survey also found out that around three quarters of people living with chronic kidney disease (CKD) were unaware, prior to their diagnosis, that NSAIDs could have a negative impact on kidney function if used long term or in high doses." Olivier Picard, Chair of the National Pharmacy Association said: "Medicines have the power to harm as well as to heal. Although NSAIDs, such as ibuprofen, are effective and safe medicines, patients should be aware of their impact, particularly if a patient is at increased risk of developing kidney disease, and consider alternative medication where appropriate. If a patient has concerns about their usage of NSAIDs, they should speak to their pharmacist who can advise them. Pharmacists are experts in medicines and are best placed to offer advice to people who may be concerned about any potential long-term effect of some medicines and can help patients effectively manage pain." What is ibuprofen? Ibuprofen is a type of painkiller called a non-steroidal anti-inflammatory drug (NSAID). This type of medicine can help with lots of types of pain, including: - headaches - migraines - joint pain - muscle pain - pain after an injury - toothache - period pain - help to reduce a high temperature (fever) Who can and cannot use ibuprofen? While the NHS notes that "most adults can use ibuprofen", it cautions that "ibuprofen is not suitable for everyone." While you don’t need to stop taking it straight away - and you should always consult your GP before starting or stopping any medication - it notes, for example, that it may not be suitable if: - You've had an allergic reaction to ibuprofen, aspirin or another non-steroidal anti-inflammatory drug (NSAID) - You have a stomach ulcer or you've had them before - You have asthma or allergies (such as hay fever) - You have chickenpox - You have a heart condition - You have a liver condition - You have a kidney condition - You have problems with blood clotting - You've had a stroke - You're pregnant - You're trying to get pregnant With this in mind, the NHS advises: "Check the packet or leaflet that comes with your medicine to see if it's suitable for you. Speak to a pharmacist or doctor if you're not sure if you can use it." Can I take ibuprofen if I am breastfeeding? It depends. The NHS advises: "If you're breastfeeding, check with a pharmacist or doctor before using ibuprofen." It adds: "It's rare for breastfed babies to get any side effects from medicine you're taking, but speak to a healthcare professional if you have any concerns about your baby." Can I take ibuprofen if I am breastfeeding? The NHS says: "You should avoid using ibuprofen during pregnancy unless you're advised to by a doctor or pharmacist. Paracetamol is usually the best painkiller to take if you're pregnant." Can I take ibuprofen with other medicines, food and drink? It depends on what you’re taking. The health service says you can eat and drink as normal, but it’s best to avoid lots of alcohol as it can raise the risk of side effects. It adds that there are "some medicines, remedies and supplements that may not mix well with ibuprofen." These include some types of: - anticoagulants (such as warfarin) - steroid medicines - antidepressants - medicines to lower blood pressure Again, it asks people to check the packet or leaflet that comes with the medication and speak to a pharmacist or doctor if you are worried. Just be sure to never take ibuprofen "at the same time as other non-steroidal anti-inflammatory drugs (NSAIDs), such as naproxen or aspirin. This can increase the risk of serious side effects like stomach ulcers." In a warning titled "important", the NHS says: "To reduce the risk of side effects, take the smallest dose you need for the shortest time you need it. Do not take ibuprofen tablets and capsules for more than 10 days unless advised to by a doctor. "For other types of ibuprofen, check the packet or leaflet to see how long you can use it for. See a GP if your pain gets worse or does not go away." Are there any side effects of ibuprofen? Yes. Like all medicines, ibuprofen can cause side effects, although not everyone gets them. Common side effects of ibuprofen tablets, capsules, liquid and granules include: - indigestion - stomach aches - feeling sick (nausea) - being sick (vomiting) - headaches - a rash - dizziness - diarrhoea - constipation Ibuprofen can sometimes cause serious side effects, although most of them are rare. The risk of serious side effects is higher if you take a high dose of ibuprofen or take it for a long time. Possible serious side effects of ibuprofen include: - stomach ulcers or bleeding inside your stomach – causing symptoms such as tummy pain, shortness of breath, pale skin, vomiting blood or poo that's black, sticky and tar-like - an allergic reaction (anaphylaxis) – causing symptoms such as a swollen throat or tongue, a raised, itchy rash or difficulty breathing - a problem with your kidneys – causing symptoms such as shortness of breath, blood in your pee or swelling in your ankles, feet or hands For more information, visit the NHS website here.