Overdosing on Ibuprofen Causes Stomach Bleeding

Overdosing on Ibuprofen Causes Stomach Bleeding
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Overdosing on Ibuprofen Causes Stomach Bleeding

Overdosing on Ibuprofen Causes Stomach Bleeding

Many adults who use ibuprofen and other so-called nonsteroidal anti-inflammatory (NSAID) drugs take too much, increasing their risk of serious side effects like internal bleeding and heart attacks, a US study suggests.

About 15 percent of adults taking ibuprofen (Motrin, Advil) or other NSAIDs like aspirin, naproxen (Aleve), celecoxib (Celebrex), meloxicam (Mobic) and diclofenac (Voltaren) exceeded the maximum recommended daily dose for these drugs, the study found.

“NSAIDs are among the most commonly used medicines in the U.S. and worldwide,” said lead study author Dr. David Kaufman of Boston University.

“These drugs can have serious side effects, including gastrointestinal bleeding and heart attacks, and are often taken without medical oversight because many products are available over-the-counter,” Kaufman said by email. “The attitude that users can choose their own dose regardless of label directions, along with poor knowledge of dosing limits, is associated with exceeding the daily limit.”

For the study, 1,326 people who reported taking ibuprofen in the previous month completed online medication diaries every day for one week.

All of the participants took ibuprofen during the diary week, and 87 percent of them only used over-the-counter, or nonprescription, versions, researchers report in Pharmacoepidemiology & Drug Safety.

Overall, 55 percent of participants took ibuprofen at least three days during the week, and 16 percent took it every day.

In addition to ibuprofen, 37 percent of the participants reported taking at least one other NSAID during the week, most often aspirin or naproxen. Less than half of them recognized that all of the products they were taking were NSAIDs.

One limitation of the study is that researchers only focused on recent and current ibuprofen users, which may not reflect what doses might be typical for sporadic or new users, the authors note.

Even so, the findings highlight a potential downside of making NSAIDs widely available without a prescription, said Dr. Gunnar Gislason, director of research for the Danish Heart Foundation in Copenhagen.

“I believe that the message sent to the consumer when these drugs are widely available in convenience stores and gas stations is that these drugs are safe and you can use them safely for pain relief - thus no need for reading the label,” Gislason, who wasn’t involved in the study, said by email.

Even when people do read the label, they may still ignore it.

“If the recommended dosage does not give sufficient pain relief, it is easier to take more pills than seeking professional advice from a healthcare person or doctor,” Gislason added.

While doctors may prescribe NSAIDs for some muscle and joint disorders and certain other health problems, these drugs aren’t appropriate for many of the reasons that patients may buy them at the drugstore, said Dr. Liffert Vogt of the Academic Medical Center at the University of Amsterdam in the Netherlands.

“In my opinion NSAIDs should not be available as an over-the-counter drug, because of all their deleterious effects,” Vogt, who wasn’t involved in the study, said by email.

“For occasional use, acetaminophen (again in the right dose) is a much safer option and very efficacious as a painkiller,” Vogt added. “But we know that many people use NSAIDs for indications other than pain, such as flu, allergies, fever - and there is no medical base that indicates that NSAIDs or acetaminophen are of any use under these circumstances.”



SHAMS Engages Community with New Coral Initiative for Red Sea Protection

SHAMS Engages Community with New Coral Initiative for Red Sea Protection
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SHAMS Engages Community with New Coral Initiative for Red Sea Protection

SHAMS Engages Community with New Coral Initiative for Red Sea Protection

The General Organization for the Conservation of Coral Reefs and Turtles in the Red Sea (SHAMS) is set to launch a new environmental initiative titled “Adopt a Coral” this Saturday. The initiative aims to involve community members in the restoration of coral reefs and raise awareness of the importance of their sustainability as part of national efforts to protect the Kingdom’s marine environment.

This initiative aligns with SHAMS’ goals of enhancing community partnership and increasing public involvement in marine conservation. It also supports Saudi Vision 2030’s sustainability objectives and complements national programs such as the Saudi Green Initiative, which aims to reduce ecosystem degradation and preserve biodiversity, SPA reported.

SHAMS emphasized that the initiative is the result of years of field experience in coral reef restoration. The organization has demonstrated its capabilities in accurately identifying degraded reef areas using scientific indicators, developing innovative restoration techniques, and implementing long-term monitoring programs to assess ecological recovery.

The “Adopt a Coral” initiative offers various opportunities for public participation, including hands-on involvement in coral planting following specialized field training, attending awareness workshops and events that highlight threats to coral reefs such as climate change and marine pollution.

These opportunities empower the diving community to engage in reef monitoring and environmental advocacy, and foster a shared sense of responsibility by enabling individuals and groups to “adopt” coral as a symbol of ongoing environmental commitment.

The first phase of the initiative will be carried out at a designated coral reef site along the Red Sea coast, with participation from volunteers, divers, and environmental enthusiasts. SHAMS plans to expand the initiative in future phases to ensure long-term ecological impact and sustainable community engagement.

Coral reefs in the Red Sea are a vital artery for marine ecosystems, a rich source of biodiversity, and a key driver of economic and eco-tourism activity. In response to growing environmental challenges, the initiative emerges as a forward-thinking model of community engagement in the restoration of sensitive ecosystems. Through this program, SHAMS seeks to redefine environmental protection by directly connecting the public with the stewardship of this valuable natural resource.