Which NSAID is recommended for patients using steroids?

The recommendation for using a specific NSAID for patients on steroids is primarily concerned with the gastrointestinal (GI) safety profile of the medication. When patients are on corticosteroids, their risk for gastrointestinal bleeding or irritation increases.

Diclofenac is often recommended in these scenarios because it has a relatively favorable gastrointestinal safety profile compared to other non-steroidal anti-inflammatory drugs. It can provide effective pain relief while minimizing the risk of exacerbating GI issues in patients already taking steroids.

The other options, while effective in pain management, may not offer the same level of GI safety. For instance, some NSAIDs have stronger associations with GI irritation and complications, making them less ideal for patients who are also on corticosteroids. Additionally, the selection of NSAIDs may vary based on specific patient factors, but in general, diclofenac is a common choice in this context due to its balance of efficacy and safety.