Ibuprofen

Ibuprofen remains a standard nonsteroidal anti-inflammatory drug available over-the-counter at 200 mg or by prescription at higher strengths. Ibuprofen treats both pain and fever offering the same relief as aspirin or acetaminophen. Only at higher dosages does ibuprofen demonstrate significant anti-inflammatory activity.
Americans seem especially inclined to treat minor maladies with medicines when nature might actually not require pharmaceutical assistance. Questions exist regarding the wisdom of treating fever which may actually interfere with the body’s ability to contain infection.
While generally safe, the FDA mandated a special black box warning that ibuprofen may increase the risk of serious cardiovascular events heightening the likelihood of a heart attack or stroke. Unfortunately no evidence exists that low dose aspirin eliminates this complication.
Additionally ibuprofen increases the potential for gastrointestinal adverse effects ranging from superficial irritation to ulceration with bleeding. Intestinal perforation with the potential for a fatal outcome may also occur. In this regard ibuprofen seems safer than aspirin. Asthmatics must exercise caution with ibuprofen and seem especially prone to develop severe bronchospasm related to the drug.
Through it all ibuprofen performs admirably and remains a mainstay of our therapeutic regime.

[@gillianmillington7735]

Rest in peace we miss you

[@michelenichele294]

Love your lectures, Dr. Landau. You are so thorough and not so technical that no one can understand what is being presented. You are a treasure on this site!

[@wellnowdoctor5976]

thank you for your comments

[@sheyedlington9046]

Great to hear your knowledge.

[@user-bj8ky4jt3r]

Dr. Landow, Thank you for your wisdom and knowledge presented to the Highest Standard of Medical competence.

[@protectorofthetruth8472]

Good stuff I enjoy listening to you Doc

[@HandlewasNo]

Great video doc, can you do a video about Nicotine replacement therapy and it's various forms, aswell as other drugs used for nicotine cessation? Thanks again!!

[@michelenichele294]

Oops 😅. Sorry 😢 Realised I misspelled your name Dr. Landow.

[@Lachmangyawaly]

ကျေးဇူးတင်ပါသည် ဆရာ

[@marknthenav]

I think this drug causes me heart arrhythmia and palpitations. I’m stopping today and see if it goes away.

[@bartoszbrown1322]

Did it?

[@gabrielbecker3532]

Dr landow can u do a video about LSD

[@spookyuki]

Yes. Doctors reviewing LSD

[@robertb.3651]

Best painkiller is Opium and his brothers and sisters. Can take them for years without problems except for dependens but that's ok if you're in chronicle pain.

[@PebbleBeachLife]

I only take ibuprofen during my periods, shortens it and makes it very light. I'm not crazy about it for actual pain, there's so much nore better stuff for that.

[@matovicmmilan]

Yeah, for pain there are more effective meds, but when it comes to high temperature, Ibuprofen works great for me.