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Letters Economic effect of harm associated with oral NSAIDs

Non-steroidal anti-inflammatory drugs may disrupt muscle and tissue repair

BMJ 2024; 386 doi: https://doi.org/10.1136/bmj.q2030 (Published 17 September 2024) Cite this as: BMJ 2024;386:q2030

Rapid Response:

Re: Non-steroidal anti-inflammatory drugs may disrupt muscle and tissue repair

Dear Editor,

Bravo! A doctor has dared to query the use of NSAIDS in musculoskeletal injuries/damage and points out that reducing the inflammation in healing may be a bad idea.

Anyone who studies the action of prostaglandins should also come to this conclusion. Certainly in my own patients I have noticed a rebound in pain on stopping NSAIDS (by myself), presumably due to inflammatory mediators, followed by a faster rate of healing.

Rosemary Alexander MBChB MRCP

Competing interests: No competing interests

02 October 2024
Rosemary Elaine Alexander
GP, rheumatology
North London