Coxibs and arthritis pain and inflammation - myDr.com.au

Non-steroidal anti-inflammatory drugs, also known as NSAIDs are medicines that are used to relieve pain and reduce inflammation (redness and swelling).
In Australia, you can buy low-dose NSAIDs over the counter in a pharmacy or supermarket. You can also get stronger versions of NSAIDs with a doctor's prescription. NSAIDs are widely available.
NSAIDs usually come in tablets or capsules. NSAIDs can also come in liquid, cream, gel, injection, spray and suppository form.
You can use NSAIDs to help treat symptoms caused by many health problems. NSAIDs can be used to:
NSAIDs help to reduce pain and inflammation by stopping injured cells from making chemicals called prostaglandins. These chemicals cause inflammation and swelling. NSAIDS do not rely on a steroid to reduce inflammation.
Using an NSAID medicine does not stop the underlying cause of pain or inflammation.
NSAIDs are used in many different medicines. Some examples of NSAIDs are:
There are NSAIDs in over-the-counter medicines used for:
To find out if a medicine contains an NSAIDs you should carefully read the label. Your pharmacist or doctor will also be able to help.
All medicines have side effects. Common side effects that can happen after taking NSAIDs include:
More serious but less common side effects include bleeding in your stomach and kidney problems.
NSAIDs (including aspirin) can also trigger asthma symptoms in some people. If you have asthma and need an NSAID for pain relief, talk to your doctor first.
NSAIDs have also been linked to a small increase in your chance of having a stroke or heart attack.
You should not take NSAIDs if you:
Learn more about medicine (Opens in new tab) for pain and fever in babies and children.
You are more likely to have side effects from taking an NSAID if you already have medical condition such as:
Other factors that increase your chance of having a side effect from an NSAID include:
Older people should not use NSAIDs on a regular basis because they have a higher chance of side effects, such as:
In general, your chance of side effects can be lowered if you only use NSAIDs:
You can lower your chances of stomach upset by taking NSAIDs with food.
Taking certain medicines can increase your chance of experiencing side effects with NSAIDs. These medicines include:
NSAIDS may be prescribed by a doctor, but you can buy them from a pharmacy or supermarket without a prescription. Take care not to double up (take 2 doses by mistake).
An overdose is when you too much of a medicine. This can happen by accident if you use the same kind of medicine for more than one thing.
You need to be careful not to take one NSAID for a headache and another NSAID in a medicine for a cold.
If you take an NSAID for a chronic (long-term) condition such as arthritis, ask your doctor or pharmacist before taking cold and flu medicines. You need to take care to avoid an accidental overdose.
If you're unsure, ask your doctor or pharmacist.
If you buy over-the-counter NSAIDs, follow the instructions closely and do not take more than the recommended dose. Do not continue taking them for more than the recommended time.
Talk to your doctor if you have questions about the benefits and risks of NSAIDs. For many people, the health benefits of treatment outweigh the known risks.
If you are buying over-the-counter NSAIDs, talk to your pharmacist or your doctor.
Do not give NSAIDs to your child (Opens in new tab) for more than 2 days without seeing a doctor.
Stop taking NSAIDs and see your doctor if you notice anything wrong, especially any signs of stomach bleeding, such as:
If your pain and inflammation are localised (in one place) you could try a topical treatment. Try rubbing an anti-inflammatory gel or cream into sore muscles or using an anti-inflammatory throat lozenge for a sore throat.
You can also use medicines containing paracetamol to manage symptoms of pain and fever.
Your doctor can prescribe medicines that work in different ways to help with chronic (long term) conditions like arthritis.
You can check whether a medicine you're taking is an NSAID, or contains an NSAID, on the healthdirect medicine page.
Speak to your pharmacist for information about prescription and over-the-counter medicines containing NSAIDs.
The Royal Children's Hospital provides information in languages other than English (Opens in new tab) about pain relief for children.
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Last reviewed: April 2026










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