I regularly take over-the-counter pain medicine for arthritis. Can this be harmful?
Answer From April Chang-Miller, M.D.
Many people think that over-the-counter pain relievers must be harmless because they are available without a prescription. But repeated use of these drugs can damage your stomach, kidneys or liver.
Over-the-counter drugs such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve) can cause stomach bleeding and kidney damage and may increase your risk of heart attack and stroke, even early in treatment. Acetaminophen (Tylenol, others) can damage the liver, particularly at dosages higher than recommended. All three of these drugs can increase your risk of high blood pressure.
These drugs are also often ingredients in other prescription and over-the-counter drugs. It's important to read labels or talk to your pharmacist or health care provider so that you don't take more than the maximum daily dosage if you're taking more than one medication.
Keep in mind that medication isn't the only treatment for arthritis pain. Mild to moderate arthritis pain may be relieved with a combination of self-care measures and lifestyle changes, such as weight loss, exercise, heat or cold therapy, and physical therapy. Many doctors recommend trying this combined approach before starting medication.
If you need medication to help manage your arthritis pain, use the lowest dose necessary for the shortest time possible. Also, discuss with your doctor which pain medication is most appropriate for your specific situation. All medications — prescription and nonprescription — have risks and potential side effects.
July 25, 2017
See more Expert Answers
- Understanding over-the-counter pain medication (infographic). Arthritis Foundation. http://www.arthritis.org/living-with-arthritis/treatments/medication/otc-pain-medicine-infographic.php. Accessed June 23, 2017.
- FDA strengthens warning of heart attack and stroke risk for non-steroidal anti-inflammatory drugs. U.S. Food and Drug Administration. https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm453610.htm. Accessed June 23, 2017.
- Solomon DH. Nonselective NSAIDs: Overview of adverse effects. https://www.uptodate.com/home. Accessed June 22, 2017.
- Acetaminophen (paracetamol): Drug information. https://www.uptodate.com/home. Accessed June 22, 2017.
- Deveza LA. Overview of the management of osteoarthritis. https://www.uptodate.com/home. Accessed June 22, 2017.
- Foltz-Gray D. Fight arthritis pain without pills. Arthritis Foundation. http://www.arthritis.org/living-with-arthritis/pain-management/tips/arthritis-pain-relief-alternatives.php. Accessed June 23, 2017.
- Chang-Miller A (expert opinion). Mayo Clinic. Rochester, Minn. June 23, 2017.