A recent review from Arthritis UK looked at the risks and benefits of non-steroidal anti-inflammatory drugs (NSAIDs). These are very commonly used to manage painful arthritic conditions, and include drugs such as ibuprofen, meloxicam and diclofenac (Voltarol). Most of the traditional NSAIDS are effective and safe when given in small doses. There are some concerns about a slightly increased risk of cardiovascular events such as heart attacks, and all of the anti-inflammatories can damage the gut and kidneys when taken for long periods of time. The advice seems to be to take NSAIDs at the lowest effective dose and for the shortest time possible. As always if you have any concerns about the medications that you take, it is best to discuss them with your general practitioner who will offer clear advice about your particular circumstances.