Independent Prescribing in Practice

Question

There is evidence of increasing use of 'prophylactic' NSAIDs (non-steroidal anti-inflammatory) medications in sport - both elite and recreational.

What is the evidence around risks and perceived benefits to patients?

Answer

Evidence suggests that the main perceived benefits are reduction in pain and reduced tissue damage.

Evidence for risks suggests higher actual risk of tissue damage due to reduced tissue adaptation and healing.

There are also potential risks of GI and cardiovascular  complications due to NSAID usage.

Dr Stuart Warden et al British Journal Sports Medicine 2009 ‘Prophylactic use of NSAIDs by Athletes is not safe’  ‘No indication or rationale for prophylactic NSAIDs taking in Sport , therefore constitutes  misuse’ 'Only use when pain / inflammation'

 

For more on Independent Prescribing for Physiotherapists join us for this webinar with tutor David Baker BSc (Hons) Physiotherapy MCSP SRP.

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