CFS & Fibromyalgia Treatment Taking NSAIDs for Fibromyalgia and Chronic Fatigue Syndrome Risks and Considerations By Adrienne Dellwo linkedin Adrienne Dellwo is an experienced journalist who was diagnosed with fibromyalgia and has written extensively on the topic. Learn about our editorial process Adrienne Dellwo Medically reviewed by Medically reviewed by Anita C. Chandrasekaran, MD, MPH on March 24, 2020 linkedin Anita Chandrasekaran, MD, MPH, is board-certified in internal medicine and rheumatology and currently works as a rheumatologist at Hartford Healthcare Medical Group in Connecticut. Learn about our Medical Review Board Anita C. Chandrasekaran, MD, MPH Updated on April 20, 2020 Print When you have fibromyalgia (FMS) and chronic fatigue syndrome (ME/CFS), you can end up taking a lot of different medications, including common medications for pain. While that may help you feel and function better, it can also be dangerous. It pays to really understand the drugs that are available to you. Several types of painkillers are available over the counter (OTC), and a large percentage of us are given prescription painkillers at some point in our illness. These drugs each have their own dangers and possible side effects, and some can interact badly with other medications. ROBERT BROOK / Getty Images Common NSAIDs One of the most common types of painkillers is anti-inflammatory drugs. A commonly used type of anti-inflammatories is called NSAIDs, which stands for non-steroidal anti-inflammatory drugs. Popular OTC NSAIDs include: Advil, Motrin (ibuprofen)Aleve, Naprosyn (naproxen)Bayer, Bufferin, Excedrin (aspirin) These drugs are also available in prescriptions strengths. Prescription-only NSAIDs include: Relafen (nabumetone)Feldene (piroxicam)Orudis (ketoprofen)Voltaren (diclofenac)Lodine (etodolac)Celebrex (celecoxib) Most of us are familiar with the use of NSAIDs to reduce pain caused by inflammation. However, some NSAIDs may alleviate pain by blocking particular enzymes that are part of your body's response to painful stimuli. It's not clear whether this mechanism is effective against the unusual pain types associated with FMS. For this reason, the trend with doctors is to prescribe fewer NSAIDs and instead prescribe drugs that work on the central nervous system, which is where our pain is believed to stem from. That's according to research published in a 2013 issue of the European Journal of Medicine. Regardless of the specific roles of inflammation in these conditions, we know that many people take NSAIDs for FMS and ME/CFS-related pain, and some with these illnesses also take NSAIDs for other medical problems that involve inflammation. Risks While you can find NSAIDs in most homes and buy them almost anywhere, they do still come with serious risks. According to the American Journal of Medicine, more than 100,000 people are hospitalized due to NSAIDs each year in the U.S. Additionally, 15-20,000 die each year from NSAID-related problems such as ulcers and gastrointestinal bleeding, and as many as 60 percent of NSAID users may develop digestive side effects. NSAIDs are also linked to an increased risk of dying from heart attack or stroke. These drugs can lead to liver or kidney problems, as well. Taking two NSAIDs together is dangerous—a 2004 study published in the European Journal of Clinical Pharmacology showed that it increased the risk of liver injury or kidney failure by 500-600 percent over the use of a single NSAID. Long-term use, such as you'd expect with a chronic condition, may increase these risks. Some of the problems stemming from NSAID use may be due to people's attitudes toward OTC drugs. They may think they're not important or dangerous and therefore don't report use to their doctor or pharmacist. It's crucial that these health professionals know everything you're taking, including OTC drugs and dietary supplements, so they can help you avoid serious problems. Side Effects and Interactions In addition to the above risks, NSAIDs can cause several side effects. The most common ones are: NauseaVomitingDiarrheaConstipationDecreases in appetiteRashDizzinessHeadacheLightheadednessBalance problems Some of these side effects (digestive problems, dizziness, headache, drowsiness) are also common symptoms of FMS and ME/CFS. When you start taking a new NSAID, it's important to note any changes in symptoms that may be due to the medication. NSAIDs can interact negatively with several other drugs, so be sure to talk to your doctor and pharmacist about all of your medications. Because NSAIDs reduce your blood's ability to clot, it can be dangerous to combine them with anticoagulants (blood thinners) such as Coumadin (warfarin). If you're being treated for hypertension (high blood pressure), you need to know that NSAIDs may make your medication less effective. Reducing Your Risk According to the FDA, to protect your health you should only use NSAIDs exactly as prescribed, at the lowest possible dose, and for as short a time as you can. When your pain is chronic, that last recommendation is difficult to follow. Be sure to report any increase in side effects to your doctor. Your doctor should monitor markers of liver health and kidney function if you're taking NSAIDs long-term. Smoking cigarettes and drinking alcohol can increase your risk of NSAID-related ulcers or bleeding problems, both of which can cause strike without warning and can kill you. Be sure your doctor knows about your smoking and alcohol use. A Word From Verywell You and your doctor should decide together whether NSAIDs are appropriate for you, based on your diagnoses, symptoms, overall health and lifestyle factors. It's important to note that one NSAID may work better for you than others, so it may take experimentation with different drugs to achieve the best results. If you don't feel NSAIDs are effective at reducing your pain, talk to your doctor about possible alternatives and weigh the risk against the benefits. Was this page helpful? Thanks for your feedback! Learn about treatment and lifestyle changes to cope with fibromyalgia and chronic fatigue syndrome. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit Article Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Carruthers BM, et. al. Myalgic encephalomyelitis: International consensus Criteria. Journal of internal medicine. 2011;270(4):327-38. doi:10.1111/j.1365-2796.2011.02428.x Clinard F, et. al. Association between concomitant use of several systemic NSAIDs and an excess risk of adverse drug reaction. A case/non-case study from the French Pharmacovigilance system database. European journal of clinical pharmacology. 2004;60(4):279-83. Kovac SH, et. al. Association of health-related quality of life with dual use of prescription and over-the-counter nonsteroidal anti-inflammatory drugs. Arthritis and rheumatism. 2008;59(2):227-33. Liptan GL. Fascia: a missing link in our understanding of the pathology of fibromyalgia. Journal of bodywork and movement therapies. 2010;14(1):3-12. Wolfe F, et al. Longitudinal patterns of analgesic and central acting drugs use and associated effectiveness in fibromyalgia. European journal of pain. 2013;17(4):581-6.