9 Ways to Reduce Your Risk of Bleeding Ulcers from NSAID Use

Avoid steroid drugs (corticosteroids), if possible, in combination with NSAIDs. Some doctors may combine a low dose of prednisone with an NSAID -- but consider adding a PPI (see step #6) if this is necessary.

Coumadin and NSAIDs also interact to increase the risk of ulcers or bleeding. Talk to your doctor about reducing your risk of developing bleeding ulcers while taking NSAIDs. It's an important conversation that you must have with your doctor.

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Dr. Zashin is clinical assistant professor at University of Texas Southwestern Medical School and an attending physician at Presbyterian Hospitals of Dallas and Plano. Dr. Zashin is author of Arthritis Without Pain - The Miracle Of TNF Blockers. The book is useful for anyone on one of the biologic drugs or considering the biologic drugs.