These drugs, as the name suggests, are antiinflammatory drugs. They are a step up from aspirin, paracetamol and acetaminophen, and a step down from steroids.

Inflammation is the body’s natural healing process and should only be suppressed as a last resort. Alternative and complementary medical treatment should be tried first before an anti-pain drug is used.

What is more, the British Medical Research Centre recently stated:’… high level of prescribing is still not justified’ and ‘. . . the therapeutic role of topical NSAIDs is unclear’. This is based on the poor trial evidence there is and the fact that they showed a ‘marked placebo response’.

Paracetamol and aspirin are often as effective as NSAIDs and seem to have fewer side effects.