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Advances in Therapy
Published in: Advances in Therapy 1/2020

Open Access 01-01-2020 | Paracetamol | Review

Ibuprofen Safety at the Golden Anniversary: Are all NSAIDs the Same? A Narrative Review

Authors: Giustino Varrassi, Joseph V. Pergolizzi, Pascal Dowling, Antonella Paladini

Published in: Advances in Therapy | Issue 1/2020

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Abstract

Ibuprofen first came to market about 50 years ago and rapidly moved to over-the-counter (OTC) sales. In April 2019, the National Agency for the Safety of Medicines and Health Products (ANSM) of France issued a warning for NSAID uses by patients with infectious diseases based on an analysis of 20 years of real-world safety data on ibuprofen and ketoprofen. Nevertheless, ibuprofen remains a mainstay in the analgesic armamentarium and with numerous randomized clinical trials, head-to-head studies, and decades of clinical experience. The authors offer a review of the safety of ibuprofen and how it may differ from other NSAIDs. Ibuprofen is associated with certain well-known gastrointestinal adverse effects that are related to dose and patient population. Among nonsteroidal anti-inflammatory drugs (NSAIDs), ibuprofen has a comparatively low risk of cardiovascular adverse effects. It has been associated with renal and hepatic adverse effects, which appear to depend on dose, concomitant medications, and patient population. The association of ibuprofen with infections is more complex in that it confers risk in some situations but benefits in others, the latter in cystic fibrosis. Emerging interest in the literature is providing evidence of the role of ibuprofen as a possible endocrine disrupter as well as its potential antiproliferative effects for cancer cells. Taken altogether, ibuprofen has a favorable safety profile and is an effective analgesic for many acute and chronic pain conditions, although it—like other NSAIDs—is not without risk. After 50 years, evidence is still emerging about ibuprofen and its unique safety profile among NSAIDs.

Funding

The Rapid Service Fee was funded by Abbott Established Pharmaceuticals Division (EPD).
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Metadata
Title
Ibuprofen Safety at the Golden Anniversary: Are all NSAIDs the Same? A Narrative Review
Authors
Giustino Varrassi
Joseph V. Pergolizzi
Pascal Dowling
Antonella Paladini
Publication date
01-01-2020
Publisher
Springer Healthcare
Published in
Advances in Therapy / Issue 1/2020
Print ISSN: 0741-238X
Electronic ISSN: 1865-8652
DOI
https://doi.org/10.1007/s12325-019-01144-9

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