Our Members Asked:
Can any supplements be used to reduce inflammation in people sensitive to NSAIDs such as ibuprofen, high-dose aspirin, or naproxen?

Answer:
Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used to reduce pain and swelling, but some individuals cannot take these medications due to NSAID-induced hypersensitivity reactions. Symptoms of these reactions may include shortness of breath, congestion, airway obstruction, skin wheals, swelling beneath the skin (angioedema), hives and, in some cases, anaphylaxis (Kowalski, Allergy Asthma Immunol Res 2015). While some people with NSAID-induced hypersensitivity react to only one NSAID, others react to multiple NSAIDs.
There are essentially two main types of hypersensitivity to NSAIDs. The first, which is least common, is an allergic reaction to a specific NSAID and possibly chemically similar NSAIDs. These patients may tolerate other NSAIDs that are not chemically similar. Most NSAID-induced hypersensitivity reactions, however, are not allergic reactions, but relate to sensitivity associated with inhibition of cyclooxygenase-1 (COX-1), which is a common property of many NSAIDs. This type of hypersensitivity is cross-reactive, meaning that these individuals may react to more than one NSAID, even ones that are not chemically similar. Although most of these individuals may tolerate NSAIDs that target cyclooxygenase-2 (COX-2), some may react to these more specific NSAIDs as well (Kowalski, Allergy Asthma Immunol Res 2015).
Sign in to the full answer to find out if supplements such as turmeric, fish oil, MSM (methylsulfonylmethane), SAMe (S-adenosyl-methionine), boswellia, ginger, white willow bark, arnica, or GLA (gamma-linolenic acid) may, or may not, be helpful to people sensitive to NSAIDs.
Join today to unlock all member benefits including full access to all CL Answers and over 1,400 reviews.
Join NowAlready a member? Sign In Here.
Join now at www.consumerlab.com/join/
Sean21960
February 11, 2025I find it funny how my experience and experience I've seen from others is so much different from the studies done.
For me, when I stopped glucosamine/chondroitin/MSM supplements, the arthritis in my hands was so bad I had to take NSAIDS every day. And that only reduced the pain while it was active, did not make it stop. Only took a week or 2 for the supplements to start working again. Now, I can spend 12 to 15 hours at times on the computer with arthritis (managed by supplements) and not have any pain or need for NSAIDs. And stairs don't bother my knees anymore.
A couple people had told me glucosamine completely fixed their knee joint pain and stiffness.
My vet recommended a Vetri Science (no affiliation) for joints which has many things included in the joint supplement reviews. It made a huge difference in my cats. And one of the cats it helped didn't even have arthritic joint pain, but a pinched nerve in their spine.
Reply to this post…
Darlene15833
September 27, 2022I use Arnica cream to relieve muscle pain in my knees.
Reply to this post…
Gale15830
August 29, 2022Years ago, I developed an extreme allergic reaction to Motrin (Ibuprophen)--giant hives and facial pain after I was handed a couple of Motrin after a root canal. Unaware Motrin may cause facial pain, my dentist prescribed MORE Motrin, finally resulting in difficulty breathing and, days later, giant hives. I went to ER in extreme respiratory distress where small injections of ephrinephrine finally stopped my extreme allergic reactions. I was hospitalized for 3 days. For many years, I've used curcumin, ginger, Boswellia, Arnica, Feverfew/other natural remedies as needed. Anyone taking Ibuprophen who develops a rash or difficulty breathing should know about this potentially deadly allergy--as should all medical personnel who don't always read pkg. warnings (which, themselves, are often inadequate). Get medical help immediately for any breathing problems or unusual rashes when taking Ibuprophen--or any other med. And show pkg. to your physician. Sadly, medical personnel are often unaware of these allergies --and may brush concerns aside. Remain persistent in educating others, as you'll be saving lives!
Yes, as noted in our article, a person can be allergic to ibuprofen. This is particularly common among people allergic to aspirin, as is noted in the Warnings for ibuprofen (https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/ibuprofen-drug-facts-label#:~:text=Allergy%20alert%3A%20Ibuprofen%20may%20cause,facial%20swelling)
Catherine15831
December 08, 2023Thank you for bringing attention to this! I had an anaphylactic reaction to aspirin about 25 years ago and at that time, a very smart allergy specialist warned me about using NSAIDs, explaining the possibility of a cross-reaction. Then, about 19 years ago, I took olive leaf (in a capsule) for it's supposed anti-viral properties (I was suffering with a bad cold at the time) and the allergic reaction came on so fast I called 9-1-1. So experience has taught me to read every part of a product label and research anything I will put in (or on) my body. Kudos to you for being your own advocate, and thank goodness for sites like consumerlab.com that is filled with useful information helping us make informed decisions.
Reply to this post…
LYNN15825
June 07, 2021Thank you for this article. My husband almost died, his eyes rolled up and he was out when the paramedics took him away, from an aspirin. He had adult onset asthma and then nasal polyps (removed) which, I later learned forms a syndrome with NSAID allergy. NO doctor warned us of the possibility of NSAID allergy. This was at least 20 years ago, so maybe they didn't know. He has not taken any NSAID since on the advice of doctors. His infrequent migraine attacks totally disappeared more than 10 years ago, so he rarely needs pain relievers. Pain relief was a big problem when he had back surgery, as he started hallucinating and thinking I was trying to kill him, from narcotic pain medication. He's 76. I write this so it may help someone with asthma and nasal polyps avoid nearly dying. We simply don't have pain relief medication that is not dangerous. I hope someone will develop some.
CHARLES15826
January 31, 2023Hi Lynn, the syndrome was called "Samter's Triad", which is a presentation of asthma, nasal polyps (polyposis), and hyper-reactivity to aspirin/NSAIDs.
These days, it is called "AERD"; aspirin exacerbated respiratory disease. It is still poorly understood.
Take a look at https://www.samterssociety.org/ for more information.
Reply to this post…