Review Article of International Journal of Addiction Research and Therapy
The Adverse Effects Of Prolonged Use Of Corticosteroids And (Non-Steroidal Anti-Inflammatory Drugs) Nsaids In Rheumatoid Arthritis
Silva N. R. G.¹, Silva A. P. C.², Lins E. N. P.³, Briano G.L4, Lucena T.M5, Júnior W.L.B6
1Estudante do Curso de Ciências Biológicas Bacharelado-com Ênfase em Ambientais da UFPE. 2,3,4,5Estudante do Curso de Enfermagem da Universidade Federal de Pernambuco; 6Mestre em Ciências, Docente da UFPE.
Introduction: Rheumatoid arthritis (RA) is a chronic disease whose main symptom is inflammation of the joints. The main drugs given to fight this disease are corticosteroids that have anti-inflammatory action and (non-steroidal anti-inflammatory drugs) NSAIDs. While drugs are extremely useful in the treatment of this disease, corticosteroids have a list of side effects if used too much and for long time. Objective: emphasize the adverse effects of prolonged use of corticosteroids and (non-steroidal anti-inflammatory drugs) NSAIDs in rheumatoid arthritis. Methodology: This study deals with a literature review performed in databases the SciELO and Pubmed, using combinations of descriptors “Rheumatoid Arthritis”, “Corticosteroids”, “Consequences”. 101 articles were found, from which 6 were selected the reading of the respective digests. Results and Discussion: The studies and research already carried out on this subject have shown that 20-40% of patients, adults or elderly, who use (non-steroidal anti-inflammatory drugs) NSAIDs at risk of having gastric ulcer, as well as 42% of users have likely increased incidence of cardiovascular events. Their prolonged use may also increase in 5-6 mmHg the average pressure in patients with hypertension..Hospitalization is more frequent in patients who ingest steroids, being admitted with sepsis 0.05% compared with 0.02% of those who did not. As to thrombus formation, the rate of hospitalization was 0.14% versus 0.09% and fractures was 0.51% versus 0.39%. In the face of variables involving rheumatoid arthritis, NSAIDs and corticosteroids, while treating the condition can cause a lot of damage to the patient if administered without interruption. Conclusion: It is necessary further studies on the adverse effects of drugs, research on palliative alternatives and new therapeutic strategies such as drug therapy, physical therapy, psychosocial support and surgical treatments.
Keywords: Rheumatoid Arthritis; Consequences; corticosteroid; Chronic disease
How to cite this article:
Silva N. R. G., Silva A. P. C., Lins E. N. P., Briano G.L, Lucena T.M5, Júnior W.L.B. The Adverse Effects Of Prolonged Use Of Corticosteroids And (Non-Steroidal Anti-Inflammatory Drugs) Nsaids In Rheumatoid Arthritis. International Journal of Addiction Research and Therapy, 2018, 1:1. DOI: 10.28933/ijart-2018-06-1801