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NSAIDs for Menstrual Pain

Over-the-counter or prescription NSAIDs (non-steroidal anti-inflammatory drugs) are recommended by the American Congress of Obstetricians and Gynecologists as the best treatment for menstrual pain.

  1. What are NSAIDs?

    • NSAIDs include ibuprofen and naproxen, both of which are available in prescription and over-the-counter dosages. Over-the-counter ibuprofen NSAIDs include Advil and Motrin, while naproxen NSAIDs include Aleve. Naproxen is available in higher over-the-counter dosages than ibuprofen.

    How do NSAIDs treat menstrual pain?

    • NSAIDs block the body's prostaglandins, which are chemicals that induce cramping. NSAIDs can also treat other menstrual symptoms such as nausea and diarrhea.

    What's the best way to take NSAIDs for menstrual pain?

    • Different NSAIDs have different dosage instructions, but are generally taken once or up to four times a day. Low doses of over the counter NSAIDS are intended for short-term use. It is important to take NSAIDs, according to the instructions on the package, to get the proper dosage and avoid possible side effects, such as allergic reactions or stomach pain. Taking NSAIDS before heavy cramping begins is thought to prevent or reduce cramping.

    Considerations

    • All medications should be taken with precaution. Long-term use of any medication - i.e. more than 3 days or the duration listed on package - can be harmful. Discuss with your healthcare provider whether or not it is safe for you to take NSAIDs for extended time periods.

    Warning

    • Women who have bleeding disorders, liver damage, or stomach disorders, including ulcers, should not take NSAIDs, as these medications can exacerbate these disorders.

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