11/03/2026
Anti-inflammatory drugs (also called anti-inflammatories) are medications that reduce inflammation — the body's response to injury, infection, or irritation that causes swelling, redness, heat, pain, and sometimes fever. They are among the most commonly used drugs worldwide for conditions like arthritis, headaches, muscle strains, menstrual cramps, and chronic autoimmune diseases.
NSAIDs dominate the market (about 40% share in recent analyses) because they are effective.
Mechanism of Action (Simplified)
Most NSAIDs inhibit cyclooxygenase (COX) enzymes:
- COX-2 → drives inflammation, pain, and fever (main target for relief).
- COX-1 → protects stomach lining and helps blood clotting (inhibition here causes many side effects).
Selective COX-2 inhibitors (like celecoxib) aim to reduce stomach risks but may increase cardiovascular concerns in some people.
Common Uses
- Short-term: Headaches, toothache, back pain, sports injuries, fever, post-surgery pain.
- Long-term/chronic: Osteoarthritis, rheumatoid arthritis, gout, tendonitis, inflammatory bowel disease.
Side Effects and Risks
NSAIDs (most frequent issues):
- Stomach upset, heartburn, ulcers, bleeding (take with food; higher risk with long-term/high-dose use).
- Increased blood pressure, heart attack, or stroke risk (especially in people with heart disease).
- Kidney problems, fluid retention.
- Allergic reactions (rare but serious).
*Corticosteroids (long-term): Weight gain, osteoporosis, high blood sugar, weakened immunity, mood changes.
* DMARDs/Biologics: Increased infection risk, liver issues, low blood counts.