Common Indications Osteoarthritis & rheumatoid arthritis Acute musculoskeletal pain Post-operative pain Dysmenorrhea Migraine (in some formulations) Top Formulations` Oral tablets (immediate & extended-release) Topical gels (great for localized pain with fewer systemic effects) Eye drops (post-cataract surgery inflammation) Injections (acute severe pain) Key Safety Considerations Cardiovascular risk: Increased risk of thrombotic events use lowest effective dose, shortest duration GI toxicity: Ulcers, bleeding consider PPIs in high-risk patients Renal impairment: Can reduce renal blood flow caution in CKD, dehydration, heart failure Hepatotoxicity: Monitor LFTs with long-term use Contraindications: Post-CABG, 3rd trimester pregnancy, aspirin-sensitive asthma Drug Interactions to Watch Anticoagulants ( bleeding risk) ACE inhibitors/ARBs & diuretics ( renal risk) Lithium & methotrexate ( toxicity) Other NSAIDs (additive toxicity) Pro Tips for Practice Topical diclofenac = excellent efficacy with minimal systemic exposure for localized conditions Always screen for CV and GI risk factors before prescribing The 200mg/day ceiling is a good rule of thumb for oral dosing Consider switching to COX-2 selective agents (like celecoxib) in high GI risk, but remember CV risk still exists What's your go-to NSAID

Studies show Mounjaro may lead to more average weight loss than Ozempic, but side effects and results can vary from person to person
Let us use $200 as a moderate estimate for a 4-week supply
Light Exposure Semaglutide is sensitive to light, which can break down its active compounds over time
Originally developed as a medication for managing Type 2 diabetes, semaglutide has a unique ability to mimic a hormone called GLP-1 (glucagon-like peptide-1), which regulates appetite and blood sugar levels