Clinical Case Database / Category: Patient Management

Non-steroidal anti-inflammatory drugs overdose

Publication details

Haitham Hawary BSC Pharmaceutical Sciences OSPAP (Aston University)
Foundation Years Journal, volume 4, issue 8, p.12 (123Doc Education, London, September 2010)


This case based discussion focuses on a 67-year-old male retired truck driver presenting with severe abdominal pain, haematemesis and persistent vomiting due to NSAID (non-steroidal anti-inflammatory drugs) overdose and discusses the assessment, differential diagnosis and treatment of NSAID toxicity, focusing on measures to prevent recurrence.

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Haitham Hawary BSC Pharmaceutical Sciences OSPAP (Aston University)

Preregistration Pharmacist
Lloyds Pharmacy


1. Y. Matsukawa, M. Aoki, S. Nishinarita, et al. (2003) Prevalence of Helicobacter pylori in NSAID users with gastric ulcer. Rheumatology journal. 42:947–950.
2. National Institute for Clinical Excellence. (2004) Dyspepsia: Managing dyspepsia in adults in primary care. London: NICE.
3. National Prescribing Centre. (2006) The management of dyspepsia in primary care. MeReCBriefing, 32.
4. Joint Formulary Committee. (2009) British National Formulary. 58th edn. London: British Medical Association and Royal Pharmaceutical Society of Great Britain.


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.