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Table 2 Shared toxicities of NSAIDs

From: Use of NSAIDs in treating patients with arthritis

Organ system

Toxicity

Gastrointestinal

Dyspepsia

 

Esophagitis

 

Gastroduodenal ulcers

 

Ulcer complications (bleeding, perforation obstruction)

 

Small bowel erosions and strictures

 

Colitis

Renal

Sodium retention

 

Weight gain and edema

 

Hypertension

 

Type IV renal tubular acidosis and hyperkalemia

 

Acute renal failure

 

Papillary necrosis

 

Acute interstitial nephritis

 

Accelerated chronic kidney disease

Cardiovascular

Heart failure

 

Myocardial infarction

 

Stroke

 

Cardiovascular death

Hepatic

Elevated transaminases

Asthma/allergic

Aspirin-exacerbated respiratory diseasea (susceptible patients)

 

Rash

Hematologic

Cytopenias

Nervous

Dizziness, confusion, drowsiness

 

Seizures

 

Aseptic meningitis

Bone

Delayed healing

  1. Reprinted with permission from [1]. aReduced risk in cyclooxygenase-2-selective NSAIDs