“万能”止痛药布洛芬 千万别乱吃

Core Viewpoint - Ibuprofen is a widely used analgesic but has limitations and potential health risks associated with its misuse [1] Group 1: Pain Relief - Ibuprofen is effective for acute mild to moderate pain, including joint pain, muscle pain, headaches, toothaches, and menstrual cramps [2] - It also has good antipyretic effects for fever caused by common colds and influenza [3] Group 2: Limitations - Ibuprofen is ineffective for sharp pain, severe trauma, and smooth muscle spasms (e.g., biliary colic, gastrointestinal cramps) [4] - It poses risks for infants under 6 months, including gastrointestinal reactions, renal failure, necrotizing fasciitis, and Reye's syndrome, and is not recommended for use in this age group [4] - Increased risk of complications for varicella patients using ibuprofen; alternative antipyretic and analgesic medications are advised [4] Group 3: Precautions - While ibuprofen is generally safe as an over-the-counter medication, it can cause mild to moderate gastrointestinal discomfort, and severe cases may lead to ulcers, bleeding, liver and kidney damage, and tinnitus [5] - Regular monitoring of liver and kidney function is recommended during ibuprofen use, and any abnormalities should prompt immediate medical attention [5] Group 4: Contraindications - Ibuprofen is contraindicated for individuals allergic to ibuprofen, its excipients, aspirin, or other NSAIDs; pregnant women in early pregnancy and after 20 weeks; breastfeeding women; and patients with severe liver, kidney, or heart diseases, as well as those with active peptic ulcers or gastrointestinal bleeding [6] Group 5: Ceiling Effect - Ibuprofen exhibits a "ceiling effect," meaning that increasing the dosage beyond a certain point does not enhance pain relief but increases the risk of adverse effects [7] - Various formulations of ibuprofen exist, including regular tablets, sustained-release tablets/capsules, suspensions, granules, suppositories, and syrups, with effectiveness varying by individual and type of pain [7]