Ibuprofen can also lead to liver damage when used in large doses. Users need to be aware that these products, when taken incorrectly, can have dangerous negative effects like severe liver damage or stomach bleeding.
Nonprescription pain relievers such as acetaminophen (Tylenol, others), aspirin, ibuprofen (Advil, Motrin IB, others) and naproxen (Aleve, others) can damage your liver, especially if taken frequently or combined with alcohol.
Ibuprofen can cause ulcers in your stomach or gut, especially if you take it by mouth for a long time or in big doses. If you need to take it for a long time your doctor may also prescribe a medicine to help protect your stomach.
Ibuprofen has the highest liver safety profile among NSAIDs and showed no severe liver injury in larger studies. Along with paracetamol and aspirin, it is considered one of the most common over the counter NSAIDs sold in the world.
STOMACH PROTECTION YOU MAY NEED
DUEXIS offers the convenience of prescription-strength ibuprofen with a stomach-protecting medicine in 1 tablet—so you get the relief you want from the symptoms of osteoarthritis (OA) or rheumatoid arthritis (RA) with less risk of getting stomach ulcers vs ibuprofen alone.
Naproxen. Another anti-inflammatory drug, which works much like ibuprofen. Some studies show this may be a better choice than ibuprofen for people at risk for heart disease.
Paracetamol can be taken on an empty stomach, while it is best to take ibuprofen with food, or soon after. Abuse of paracetamol can cause damage on your liver, while abuse of ibuprofen can cause damage to your stomach or liver. It's safer to take paracetamol if you are pregnant than ibuprofen.
Any NSAID (non-steroidal anti-inflammatory drug) can cause liver injury, although it's very rare. This class of medications includes popular drugs like ibuprofen and naproxen. But when it comes to liver injury, diclofenac is the NSAID with the highest risk.
Hepatocellular injury was the most frequently involved liver injury pattern. Six cases developed vanishing bile duct syndrome. Full recovery occurred in 11 patients after a mean time of 14 weeks, whereas five cases evolved to acute liver failure leading to death/liver transplantation.
Considering the relative risks and alternatives, acetaminophen is the best option for pain relief in patients with chronic liver disease. The advice from well-intentioned doctors that it should be avoided is often misguided because acetaminophen is effective and safe when the appropriate precautions are taken.
Studies have found that ibuprofen and meloxicam may be less likely to bother your stomach, while ketorolac, aspirin, and indomethacin are associated with a higher risk of GI problems. Read more about how to pick the right NSAID for your needs here.
Take NSAIDs at the end of a full meal or with an antacid
Drugs that reduce stomach irritation include misoprostol (Cytotec), or a proton pump inhibitor such as omeprazole (Prilosec), esomeprazole (Nexium), pantoprazole (Protonix), lansoprazole (Prevacid), or rabeprazole (Aciphex).
While you can continue taking ibuprofen for a few days, it's not recommended that you take it daily to relieve pain unless your doctor has prescribed it. Medications like ibuprofen can irritate your stomach lining and cause problems ranging from mild nausea to ulcers.
In people with liver disease, the effects of codeine can be prolonged and caution is advised. Aspirin, codeine, ibuprofen and other non-steroidal, anti-inflammatory drugs should only be used after consulting your doctor. Paracetamol is probably the safest pain killer for people with hepatitis C.
adults – can usually take 1 or 2 tablets (200mg) every 4 to 6 hours, but shouldn't take more than 1,200mg (6 x 200mg) tablets in the space of 24 hours.
The main difference between the two medications is that ibuprofen reduces inflammation, whereas paracetamol does not. According to Hamish, there's no advantage in taking ibuprofen or paracetamol brands such as Nurofen or Panadol over the cheaper chemist or supermarket versions.
Ibuprofen, on the other hand, is removed from your body by your kidneys. Taking it for a long time can cause kidney damage and stomach bleeding. Using high doses of ibuprofen for longer than recommended can increase your risk of: blood clots.
Early Signs of Liver Damage from Medication
Fever. Diarrhea. Dark urine. Jaundice, a condition that occurs when a substance called bilirubin builds up in the blood and causes the skin and whites of the eyes to appear yellow.
Pain in your liver itself can feel like a dull throbbing pain or a stabbing sensation in your right upper abdomen just under your ribs. General abdominal pain and discomfort can also be related to swelling from fluid retention and enlargement of your spleen and liver caused by cirrhosis.
Medication safety in NAFLD/NASH
People with cirrhosis must avoid pain medications called Non-Steroidal Anti- Inflammatories (NSAIDS). These include over-the-counter medications such as ibuprofen (Motrin®, Advil®), naproxen (Aleve® or Naprosyn®), as well as some prescription medications.
Having said that, there is very little difference between the majority of Nurofen products and a standard ibuprofen product - especially because the doses of the active ingredients are the same in both products. However, Nurofen's fast acting tablets do just that, and act faster than your standard ibuprofen product.
Acetaminophen (Tylenol and other brands) is usually effective for mild pain and is easy on the stomach.
Ibuprofen for adults (Nurofen)
Other brand names: Brufen, Calprofen, Fenbid, Ibugel, Ibuleve. Find out how ibuprofen treats pain and swelling (inflammation), and how to take it.