Gastroduodenal Ulcer: Treatment with NSAIDs
Is it possible to avoid treatment with NSAIDs?
This is an interesting question. Often the pain can be relieved with medications that do not predispose to peptic ulcer. In this sense, can be used paracetamol, and is not associated with the occurrence of ulcers.
In case of gout, acute attacks can be treated with other drugs such as colchicine, instead of NSAIDs.
Migraine headaches, migraines and chronic abdominal pain also can be easily treated with other analgesics than NSAIDs.Can I avoid taking aspirin?
In some cases, aspirin can be replaced by another drug that does not predispose to peptic ulcer and offer the same therapeutic effect, such as paracetamol. In the case of aspirin, paracetamol is equally effective and has no risk of ulcer. When prescribing low-dose aspirin (75 to 300 mg) to reduce cardiovascular risk (complications arising from the “hardening” of the arteries or atherosclerosis), must be weighed against the risk of heart disease/blood pressure and gastroduodenal ulcer.
If you have a previous history of peptic ulcer, may reduce cardiovascular risk alternatives to aspirin, such as dipyridamole (Persantine) or clopidogrel (Plavix).
The relative risk of each of these conditions and their management varies from person to person, so it is important to discuss all this with your doctor.
Good advice
Seek medical attention if you think you have an ulcer. Is a rather easy to detect (by gastroscopy or detection of bacteria) and easily curable.
If you have a history of indigestion or stomach problems, take aspirin and NSAIDs only after the doctor advises. If you have a history of peptic ulcer bleeding, you should completely avoid aspirin and NSAIDs.
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