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New ACG Awareness Campaign Tackles Risk of Potentially Serious
GI Injury and Bleeding from NSAIDs
A new ACG program to educate physicians and patients about the
safe and appropriate use of pain medications will focus on the
potentially serious gastrointestinal complications of NSAIDs. In
Honolulu the College and the ACG Institute for Clinical Research & Education
launched a new educational initiative, Understanding Ulcers, NSAIDs & GI
Bleeding. This program will clarify for physicians and consumers
alike the potentially serious complications associated with NSAIDs.
ACG is undertaking this important new education initiative because
many patients who regularly used COX-II agents and are now using
traditional NSAIDs may have questions and are possibly unaware
of potentially serious issues regarding ongoing use of NSAIDs.
The College is concerned that if patients taking COX-II drugs revert
to NSAIDs in significant anti-inflammatory doses, the incidence
of gastrointestinal injury, ulcers and related bleeding could increase
significantly.
The goals of the ACG’s multi-faceted program are to introduce
new scientific information regarding the prevention of NSAID-induced
injury and GI bleeding and, most importantly, to clarify in the
minds of physicians and consumers appropriate options for pain
management as alternatives to the COX-II class of therapies.
Educational materials targeted to physicians, and through doctors
to patients, will be the cornerstone of this new program, which
features new patient brochures and an educational slide program,
among a range of other educational tools. These new materials were
developed under the auspices of an expert working group that included
ACG physician leaders David Y. Graham, M.D., MACG, Eamonn M.M.
Quigley, M.D., FACG, Frank L. Lanza, M.D., FACG, Francis K.L. Chan,
M.D., FACG and Neena S. Abraham, M.D.
The new NSAIDs
slides on CD-ROM for physician education and new patient
education materials are available free of charge for use by ACG
members and can be ordered
through the ACG Web Site through the Online Store.
New Tool Kit for Use with Primary Care Colleagues
In addition to these excellent new patient and physician education
materials, a new “Tool
Kit” for primary care physicians
is available that will be mailed in the coming weeks to College
members. Designed for ACG member GI specialists to send to their
referring physicians in the community, this kit includes a concise
Reference Guide
for Primary Care Physicians,
article reprints, samples of Patient
Education Brochures
and re-order forms, as well as an overview of case law in the
area of NSAIDs and GI injury. Two patient brochures included
in the Kit are Ulcers
and Gastrointestinal Bleeding: Protecting Your Health and a pamphlet What
You Need to Know about the Safe & Appropriate
Use of Common Pain Medications – The Essential Facts for
Consumers
The College developed this Tool Kit to help primary care physicians
in understanding, decision-making, and communicating with patients
about issues relating to chronic pain relief and risks of ulcers
and GI bleeding. The essential message to primary care colleagues
conveyed in the materials is that GI specialists, who are generally
the physicians who are called upon to identify the source of GI
bleeding and treat patients on an urgent basis in emergency rooms
when GI bleeding episodes occur, are available to assist in evaluating
the gastrointestinal risks in patients needing chronic pain relief.
The College acknowledges with thanks support from AstraZeneca
LP of Wilmington, Delaware and TAP Pharmaceutical Products Inc.
of Lake Forest, IL for various individual components of the NSAIDs
initiative, including grants in support of printing for new educational
brochures, and for their ongoing commitment to enhancing patient
awareness of gastrointestinal health.
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