Your browser is no longer supported

For the best possible experience using our website we recommend you upgrade to a newer version or another browser.

Your browser appears to have cookies disabled. For the best experience of this website, please enable cookies in your browser

We'll assume we have your consent to use cookies, for example so you won't need to log in each time you visit our site.
Learn more

NSAIDs should be first choice for osteoarthritis

  • Comment
Topical NSAIDs should be offered as the first-line treatment to osteoarthritis patients ahead of COX-2 inhibitors, according to latest guidelines from NICE.

Nurses should consider offering topical NSAIDs and/or paracetamol for pain relief, the institute said its first guideline on osteoarthritis. These should be considered ahead of stronger drugs such as oral NSAIDs, COX-2 inhibitors or opioids, it added.

If oral NSAIDs and COX-2 inhibitors are used they should be co-prescribed with a proton pump inhibitor in order to reduce the risk of any gastro-intestinal complications.

Guideline development group member Susan Oliver, a nurse consultant in rheumatology, said: ‘For the first time, patients can be reassured that they will be offered core symptom-relieving therapies to help them take control of their condition.

‘If patients are able to deal with pain confidently and quickly, they will be able to maintain the best possible quality of life,’ she added.

Additionally, NICE said exercise should be a core treatment for people with osteoarthritis, irrespective of age, other illnesses or conditions, pain or disability. This should include local muscle strengthening, and general aerobic fitness, the institute said.

  • Comment

Have your say

You must sign in to make a comment

Please remember that the submission of any material is governed by our Terms and Conditions and by submitting material you confirm your agreement to these Terms and Conditions. Links may be included in your comments but HTML is not permitted.