Anti-inflammatories: Expert Guide : Your online pharmacy selection

Anti-inflammatories occupy a central place in the first-aid kit of many households, helping to treat a variety of conditions such as pain, inflammation and certain chronic diseases.

What are anti-inflammatories and how do they work?

An anti-inflammatory is a substance designed to reduce inflammation, a process by which the body reacts against aggressions such as infection, injury or disease. There are two main categories: non-steroidal anti-inflammatories (NSAIDs) and steroidal anti-inflammatories (corticosteroids). NSAIDs, such as ibuprofen or aspirin, work by inhibiting enzymes (COX-1 and COX-2) involved in the production of prostaglandins, substances which promote inflammation, pain and fever. Corticosteroids, such as prednisone, mimic the action of steroid hormones produced by the adrenal glands and reduce inflammation by suppressing immune system activity.

When are anti-inflammatories used?

Anti-inflammatories are prescribed for a variety of conditions, including:

• Acute pain: such as backache, sprains or menstrual pain.
• Inflammatory conditions: such as arthritis, tendonitis or bursitis.
• Fever: can help reduce high body temperature.
• Chronic diseases: certain conditions such as rheumatoid arthritis or Crohn's disease may require long-term anti-inflammatory treatment.

What are the possible side effects of anti-inflammatories?

Although effective, anti-inflammatory drugs can have side effects, particularly when used over a long period or in high doses. Common side effects include:

• Gastrointestinal disorders: ulcers, bleeding or perforation of the stomach.
• Cardiovascular risks: increased risk of heart attack and stroke.
• Kidney problems: kidney failure, particularly in the elderly or those with pre-existing conditions.

How can anti-inflammatories be used safely?

To minimize risks, it is essential to :

• Respect the dosage: never exceed the recommended dose or prescribed duration of treatment.
• Medical consultation: always seek the advice of a healthcare professional before starting treatment, especially if you have pre-existing medical conditions.
• Monitoring: in the event of prolonged use, regular check-ups may be necessary to monitor the effects on the body.

Can anti-inflammatories be combined with other drugs?

Caution is advised when combining drugs. Some anti-inflammatories can interact with other treatments, increasing the risk of side effects. For example, combining NSAIDs with anticoagulants can increase the risk of bleeding. It is therefore crucial to consult a healthcare professional before combining medications.

What's the difference between steroidal and non-steroidal anti-inflammatory drugs?

Non-steroidal anti-inflammatory drugs (NSAIDs) and steroidal anti-inflammatory drugs differ mainly in their composition and mode of action. NSAIDs, such as ibuprofen or naproxen, act by specifically blocking the COX enzymes responsible for prostaglandin synthesis, thereby reducing inflammation and pain. They are commonly used for mild to moderate pain and have fewer hormonal side-effects.

In contrast, steroidal anti-inflammatories, or corticosteroids, mimic the effect of natural corticosteroid hormones and have a broader impact on the immune system. They are more potent and prescribed for severe inflammation or autoimmune diseases, but can have significant side-effects, notably on the metabolic and hormonal systems.

Can anti-inflammatory drugs be used during pregnancy?

The use of anti-inflammatory drugs during pregnancy requires particular care. In general, NSAIDs should be avoided, especially during the third trimester, as they can cause heart problems in the fetus and increase the risk of complications during childbirth. Corticosteroids may be prescribed in certain situations, but always under strict medical supervision. It is crucial to consult a health professional before taking any anti-inflammatory medication during pregnancy.

Do anti-inflammatory drugs have an impact on wound healing?

Anti-inflammatories can indeed influence the healing process. Although they reduce inflammation and pain, they can paradoxically slow tissue healing in some cases. As inflammation is an essential part of the body's natural response to injury, inhibiting it can interfere with repair mechanisms. They should therefore be used sparingly and under medical advice for injuries requiring rapid healing.

Can natural remedies replace anti-inflammatories?

Many natural remedies have anti-inflammatory properties, such as turmeric, ginger and fish oil. These alternatives can be beneficial for managing mild inflammation and pain without the side effects associated with pharmaceutical anti-inflammatories. However, for more severe or chronic conditions, they do not entirely replace prescribed medications. It is advisable to discuss these options with a healthcare professional to safely integrate these remedies into your treatment.

How can I prevent the side effects of anti-inflammatory drugs?

To minimize the risks associated with the use of anti-inflammatory drugs, it is recommended to :

• Take the medication with food to reduce gastrointestinal irritation.
• Limit use to the minimum effective dose over the shortest possible period.
• Avoid alcohol, which may increase the risk of ulcers and gastrointestinal bleeding.
• Be monitored regularly by a health care professional, especially if you're using these drugs on a long-term basis.
• Discuss all your medical conditions and medications with your doctor to avoid drug interactions.