Volume : 13, Issue : 04, April – 2026
Title:
A COMPREHENSIVE REVIEW OF NONSTEROIDAL ANTI-INFLAMMATORY DRUGS: MECHANISM, USES AND SAFETY
Authors :
T Rajitha Sree*, P Jessica, Nasu Priyadarshini, Najam Uddin Siddiqui, Chandra Sekhara Rao Baru
Abstract :
One of the most Popular treatments for treating pain, inflammation and fever is non-steroidal anti-inflammatory drugs (NSAIDS). Cyclooxydenase (COX) enzyme inhibition, which results in decreased prostaglandin synthesis involved in Inflammatory pathways is the main mechanism by which their therapeutic benefits are mediated. The mechanism of action categorization pharmacokinetic characteristics, and clinical uses of NSAIDs are all covered in detail in this article. It emphasises how COX- 1 and Cox- 2 selectively effects safety and efficacy profiles. Pharmacokinetic elements that affect drug distribution in inflammatory tissues are highlighted including absorption common distribution metabolism and elimination. The article also describes their involvement in anti-piracies and anti-thrombotic therapy as well as common therapeutic use in musculoskeletal inflammatory and post-operative disorders. Despite its therapeutic advantages NSAIDs must be used carefully because of side effects such gastrointestinal discomfort common renal impairment and medication interactions. The goal of recent developments is to increase safety and efficacy by concentrating or innovative hybrid molecules and selective COX2 inhibitors. NSAIDs are still necessary in clinical practice overall but their usage necessities careful assessment of each patients unique characteristics and risk profile.
Keywords: Metformin, Lactic Acidosis, Type 2 Diabetes Mellitus, Renal Failure, Adverse Drug Reaction
Cite This Article:
Please cite this article in press T Rajitha Sree et al., A Comprehensive Review of Nonsteroidal Anti-Inflammatory Drugs: Mechanism, Uses and Safety, Indo Am. J. P. Sci, 2026; 13(04).
REFERENCES:
1. Bovill JG. Mechanisms of actions of opioids and non-steroidal… : European Journal of Anaesthesiology (EJA) [Internet]. LWW. 2019.
2. Rainsford KD. History and Development of Ibuprofen. Ibuprofen. 2015 Jul 3;1–21.
3. Vane JR, Botting RM. The history of anti-inflammatory drugs and their mechanism of action. New Targets in Inflammation. 1996;1–12.
4. Kowalski ML, Asero R, Bavbek S, Blanca M, Blanca-Lopez N, Bochenek G, et al. Classification and practical approach to the diagnosis and management of hypersensitivity to nonsteroidal anti-inflammatory drugs. Allergy [Internet]. 2013 Oct [cited 2020 Jan 13];68(10):1219–32.
5. Ing Lorenzini K, Daali Y, Dayer P, Desmeules J. Pharmacokinetic-Pharmacodynamic Modelling of Opioids in Healthy Human Volunteers. A MiniReview. Basic & Clinical Pharmacology & Toxicology. 2011 Nov 9;110(3):219–26.
6. Ing Lorenzini K, Daali Y, Dayer P, Desmeules J. Pharmacokinetic-Pharmacodynamic Modelling of Opioids in Healthy Human Volunteers. A MiniReview. Basic & Clinical Pharmacology & Toxicology. 2011 Nov 9;110(3):219–26.
7. Calatayud S. Chemistry, pharmacodynamics and pharmacokinetics of NSAIDs [Internet]. ResearchGate; 2016 [cited 2026 Mar 25].
8. NSAIDs [Internet]. Physiopedia.
9. Wikipedia Contributors. Nonsteroidal anti-inflammatory drug [Internet]. Wikipedia. Wikimedia Foundation; 2019. Available from:
10. Wikipedia Contributors. Nonsteroidal anti-inflammatory drug [Internet]. Wikipedia. Wikimedia Foundation; 2019. Available from:
11. Hecht M. NSAIDs and Side Effects: Common & Urgent [Internet]. Healthline. 2019. Available from: https://www.healthline.com/health/side-effects-from-nsaids
12. Moore N, Pollack C, Butkerait P. Adverse drug reactions and drug–drug interactions with over-the-counter NSAIDs. Therapeutics and Clinical Risk Management [Internet]. 2015 Jul;11(11):1061. Available from:
13. Vostinaru O. Adverse Effects and Drug Interactions of the Non‐Steroidal Anti‐Inflammatory Drugs [Internet]. www.intechopen.com. IntechOpen; 2017. Available from: https://www.intechopen.com/chapters/54761
14. Ahmadi M, Bekeschus S, Weltmann KD, von Woedtke T, Wende K. Non-steroidal anti-inflammatory drugs: recent advances in the use of synthetic COX-2 inhibitors. RSC Medicinal Chemistry. 2022;13(5):471–96.




