Common Indications Osteoarthritis & rheumatoid arthritis Acute musculoskeletal pain Post-operative pain Dysmenorrhea Migraine (in some formulations) Top Formulations` Oral tablets (immediate & extended-release) Topical gels (great for localized pain with fewer systemic effects) Eye drops (post-cataract surgery inflammation) Injections (acute severe pain) Key Safety Considerations Cardiovascular risk: Increased risk of thrombotic events use lowest effective dose, shortest duration GI toxicity: Ulcers, bleeding consider PPIs in high-risk patients Renal impairment: Can reduce renal blood flow caution in CKD, dehydration, heart failure Hepatotoxicity: Monitor LFTs with long-term use Contraindications: Post-CABG, 3rd trimester pregnancy, aspirin-sensitive asthma Drug Interactions to Watch Anticoagulants ( bleeding risk) ACE inhibitors/ARBs & diuretics ( renal risk) Lithium & methotrexate ( toxicity) Other NSAIDs (additive toxicity) Pro Tips for Practice Topical diclofenac = excellent efficacy with minimal systemic exposure for localized conditions Always screen for CV and GI risk factors before prescribing The 200mg/day ceiling is a good rule of thumb for oral dosing Consider switching to COX-2 selective agents (like celecoxib) in high GI risk, but remember CV risk still exists What's your go-to NSAID
This means keeping trigger foods out of your home, establishing social support networks that reinforce healthy choices, managing stress through outlets other than food, and ensuring adequate sleeptypically 7-9 hours nightlysince sleep deprivation directly increases hunger hormone ghrelin and decreases satiety hormone leptin
Some patients report better tolerance when injecting in the evening, as nausea, if it occurs, happens during sleep
Ehsasatvatan, M
This product is also non-GMO and gluten-free to accommodate your healthy lifestyle
At Dean Wellness & Body Aesthetics, we offer a wide array of vitamins and nutritional supplements that can be delivered intravenously
