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What’s the link between NSAIDs and heart attacks? But while they work great in the short-term, there are risks with taking NSAIDS, especially with long-term use. That’s why they are so commonly used for headache, fever, swelling in the knee, pain after surgery, and tooth aches, among other ailments. Selective NSAIDs like celecoxib - called COX-2 inhibitors - block COX-2 more than COX-1. Most NSAIDs like ibuprofen, naproxen, and diclofenac block COX-1 and COX-2 equally. The goal of NSAIDs is to stop COX-2 from working, as COX-1 isn’t used by the body to create inflammation. COX-2 is responsible for creating inflammation and pain. COX-1 is mostly seen in the stomach, kidneys, and a type of blood cell called platelets. There are two main forms of the COX enzyme: COX-1 and COX-2. This enzyme, called cyclooxygenase (COX), causes inflammation, fever, and feelings of pain in the body. NSAIDs work by stopping a protein (enzyme) in the body from working properly. Most people use these medications to help relieve occasional muscle aches or fevers, but they can also be used to treat painful chronic conditions, such as osteoarthritis and rheumatoid arthritis. Common examples of NSAIDs include ibuprofen (Advil, Motrin), diclofenac (Voltaren), naproxen (Aleve, Naprosyn), and celecoxib (Celebrex). There are several NSAIDs available on the market, some requiring a prescription and others available OTC. Read on to learn more about NSAIDs, what factors raise your risk of heart attacks or strokes, and who is most at risk.

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Although the warning had been in place since 2005, the update made it even more clear that NSAIDs can raise your chance of having a heart attack or stroke. In July 2015, the FDA updated the existing black box warning - the highest warning a medication can have on its label - on all prescription and OTC NSAIDs. However, just because some of these medications are available over-the-counter (OTC) doesn’t mean they are risk-free. This group of medications is available without a prescription, and it’s not uncommon to use them for everyday aches and pains or to lower a fever.

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If you have ever taken a medication like ibuprofen (Advil, Motrin) or naproxen (Aleve), you’ve taken an NSAID yourself. You may have heard of a group of medications called nonsteroidal anti-inflammatory drugs, also known as NSAIDs.















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