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Non-steroidal Anti-inflammatory Drug (NSAID) Allergy
Overview

What are NSAIDs?

Non-steroidal anti-inflammatory drugs (NSAID) are a group of medications that are often prescribed for strong pain relief, or to treat various types of inflammation.

What are examples of NSAIDs?

This is a list of commonly prescribed NSAIDs in Singapore. Note that this list does not include all NSAIDs.

  • Aspirin
  • Diclofenac (e.g. Voltaren, Cataflam)
  • Mefenamic acid (e.g. Ponstan)
  • Ibuprofen (e.g. Brufen, Nurofen)
  • Indomethancin (e.g. Indocid)
  • Naproxen (e.g. Synflex, Naprosyn)
  • Ketorolac (e.g. Toradol)

 

Additional Resources


NHG_NSAID_Allergy.pdf

Care Management

What precautions do I need to take if I have NSAID allergy?

  • Check with the pharmacist when buying over the counter medications to ensure that these do not contain NSAIDs or paracetamol (if you are sensitive to paracetamol).
  • Do not take traditional medicines if you are not sure about their contents.
  • Use physical forms of relief for fever such as drinking a lot of fluids, using cold sponges and cold compresses if you cannot take paracetamol.

Although selective COX-2 inhibitors are possible alternatives such as celecoxib (Celebrex) and etoricoxib (Arcoxia), some people who are extremely sensitive to NSAID may also develop similar reactions. You should undergo a drug test to COX-2 inhibitor and not try them on your own.