Type, severity, and localisation of non-steroidal anti-inflammatory drug (NSAID) toxicity
Side effects | Onset and development | |
Mild side effects | ||
• Dyspepsia | Within hours, often regressive despite maintenance of treatment | |
• Gastrointestinal erosions (stomach > duodenal bulb) | ||
Moderate side effects | ||
• Iron-deficiency anaemia | ||
• Gastrointestinal ulcers (stomach and intestine) | Rare <6 weeks | |
• Scarring (antrum and duodenal bulb) | ||
Serious complications | ||
• Severe gastrointestinal bleeding (stomach >duodenal bulb >oesophagus, small, and large intestine) | Rare <6 weeks of treatment. Progressive increase in a near linear fashion during long term treatment | |
• Acute perforation (duodenal bulb >colon) | ||
• Gastric outlet obstruction |
The predominant localisations are listed in parentheses.