Display options
Share it on

Drug Saf. 2021 Sep;44(9):917-928. doi: 10.1007/s40264-021-01085-9. Epub 2021 Jul 30.

A Scoping Review of Non-Medical and Extra-Medical Use of Non-Steroidal Anti-Inflammatory Drugs (NSAIDs).

Drug safety

Rebekah Brennan, Mayyada Wazaify, Haneen Shawabkeh, Ian Boardley, Jim McVeigh, Marie Claire Van Hout

Affiliations

  1. School of Applied Social Studies, University College Cork, Cork, Ireland. [email protected].
  2. Department of Biopharmaceutics and Clinical Pharmacy, School of Pharmacy, The University of Jordan, Amman, Jordan.
  3. School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham, UK.
  4. Substance Use & Associated Behaviours, Department of Sociology, Manchester Metropolitan University, Manchester, UK.
  5. Faculty of Health, Public Health Institute, Liverpool John Moore's University, Liverpool, UK.

PMID: 34331260 PMCID: PMC8370940 DOI: 10.1007/s40264-021-01085-9

Abstract

Non-steroidal anti-inflammatory drugs (NSAIDs) are among the most commonly used medications worldwide and have analgesic, antipyretic and anti-inflammatory properties. Although NSAIDs are recognised as generally safe and effective, non-medical and extra-medical use of these products can occur. Unlike the use of illegal and many prescription drugs, which are subject to extensive research attention, inappropriate use of NSAIDs has been less well investigated. This scoping review collates and describes what is known regarding non-medical and extra-medical use of NSAIDs. In total, 72 studies were included in this scoping review. Three themes emerged from the review: (1) indicative profile of people who engage in non-medical or extra-medical use of NSAIDs; (2) antecedents for non-medical or extra-medical use; and (3) adverse health effects of non-medical and extra-medical use of NSAIDs. The review concluded that there is a need for enhanced patient education, including among sports people; pharmacovigilance in terms of clinician recognition of aberrance; and prescriber and pharmacist awareness of the potential for extra-medical and non-medical use and the related health harms.

© 2021. The Author(s).

References

  1. Med J Aust. 2013 Sep 2;199(5):329-31 - PubMed
  2. Br J Sports Med. 2015 May;49(9):580-2 - PubMed
  3. J Clin Pharm Ther. 2005 Feb;30(1):39-44 - PubMed
  4. Int J Evid Based Healthc. 2015 Sep;13(3):141-6 - PubMed
  5. SAGE Open Med. 2019 Mar 07;7:2050312119834119 - PubMed
  6. Pharmacy (Basel). 2018 Sep 13;6(3): - PubMed
  7. Fam Pract. 2005 Apr;22(2):170-6 - PubMed
  8. Obstet Med. 2011 Sep;4(3):122-4 - PubMed
  9. Sports Med Open. 2020 Apr 28;6(1):20 - PubMed
  10. Cephalalgia. 1998 Feb;18 Suppl 21:34-6 - PubMed
  11. Br J Sports Med. 2009 Aug;43(8):548-9 - PubMed
  12. J Adolesc Health. 2002 Mar;30(3):150-3 - PubMed
  13. BMC Oral Health. 2008 Dec 09;8:33 - PubMed
  14. Ann Clin Biochem. 2003 Jul;40(Pt 4):422-3 - PubMed
  15. Br Med J. 1966 Apr 30;1(5495):1090 - PubMed
  16. Aust N Z J Public Health. 2017 Apr;41(2):210-214 - PubMed
  17. PM R. 2018 Jan;10(1):72-82 - PubMed
  18. Ther Adv Drug Saf. 2014 Apr;5(2):87-99 - PubMed
  19. Drug Test Anal. 2014 Jul-Aug;6(7-8):587-97 - PubMed
  20. BMJ Case Rep. 2015 Apr 13;2015: - PubMed
  21. J Pain Symptom Manage. 2006 May;31(5):465-76 - PubMed
  22. Drug Test Anal. 2009 Aug;1(8):372-81 - PubMed
  23. Int J Pharm Pract. 2020 Dec;28(6):561-568 - PubMed
  24. Addict Behav. 2017 Jul;70:61-64 - PubMed
  25. Turk J Surg. 2019 Jun 13;35(2):105-110 - PubMed
  26. BMC Med Res Methodol. 2013 Mar 23;13:48 - PubMed
  27. Subst Use Misuse. 2016 Jun 6;51(7):942-7 - PubMed
  28. Clin J Sport Med. 2015 Jul;25(4):303-20 - PubMed
  29. Aust J Physiother. 2002;48(2):82-92 - PubMed
  30. Addict Behav. 2019 Mar;90:265-271 - PubMed
  31. Kidney Int Rep. 2018 Jun 08;3(5):1237-1238 - PubMed
  32. Anal Chim Acta. 2010 Jan 4;657(1):60-8 - PubMed
  33. Headache. 2000 May;40(5):343-50 - PubMed
  34. Crit Care Resusc. 2010 Jun;12(2):109-10 - PubMed
  35. Front Physiol. 2018 Sep 10;9:1272 - PubMed
  36. Am J Sports Med. 2009 Feb;37(2):260-5 - PubMed
  37. J Psychiatry Neurosci. 1998 Jan;23(1):13-34 - PubMed
  38. BMC Fam Pract. 2011 Jul 07;12:70 - PubMed
  39. Patient Educ Couns. 2006 Dec;64(1-3):136-41 - PubMed
  40. Worldviews Evid Based Nurs. 2016 Apr;13(2):118-23 - PubMed
  41. Implement Sci. 2010 Sep 20;5:69 - PubMed
  42. Phys Sportsmed. 2010 Apr;38(1):132-8 - PubMed
  43. Front Psychiatry. 2020 Oct 26;11:592199 - PubMed
  44. Br J Sports Med. 2008 Sep;42(9):725-30 - PubMed
  45. Clin J Sport Med. 2013 Jul;23(4):283-6 - PubMed
  46. Br J Sports Med. 2012 Dec;46(16):1140-1 - PubMed
  47. Br J Sports Med. 2009 Dec;43(13):1062-6 - PubMed
  48. Br J Addict. 1980 Mar;75(1):9-17 - PubMed
  49. Curr Pain Headache Rep. 2018 Aug 27;22(11):73 - PubMed
  50. Drugs Aging. 2004;21(8):485-98 - PubMed
  51. Arch Dis Child. 1998 Jun;78(6):555-6 - PubMed
  52. Br J Gen Pract. 2016 Apr;66(645):172-3 - PubMed
  53. BMJ Open. 2013 Apr 19;3(4): - PubMed
  54. BMC Med Res Methodol. 2016 Feb 09;16:15 - PubMed
  55. BMJ Open. 2015 Sep 10;5(9):e007608 - PubMed
  56. Am J Med Sci. 2016 Nov;352(5):472-480 - PubMed
  57. Saudi Med J. 2004 Jul;25(7):907-11 - PubMed
  58. J Adolesc Health. 1998 Nov;23(5):307-10 - PubMed
  59. Adv Clin Exp Med. 2016 Mar-Apr;25(2):349-60 - PubMed
  60. Res Sports Med. 2017 Apr-Jun;25(2):244-251 - PubMed
  61. J Telemed Telecare. 2018 Jan;24(1):22-30 - PubMed
  62. Int J Clin Pract. 2004 Nov;58(11):1061-2 - PubMed
  63. Phys Sportsmed. 2019 Sep;47(3):318-322 - PubMed
  64. Br J Sports Med. 2011 Feb;45(2):85-90 - PubMed
  65. J Ayub Med Coll Abbottabad. 2016 Oct-Dec;28(4):746-749 - PubMed
  66. Med J Aust. 2010 Sep 6;193(5):294-6 - PubMed
  67. Pharmacopsychiatry. 2014 May;47(3):115-7 - PubMed

Publication Types