What is the primary treatment for pericarditis?

The primary treatment for pericarditis is non-steroidal anti-inflammatory drugs (NSAIDs). NSAIDs are commonly used because they effectively reduce inflammation and alleviate pain associated with pericarditis. The condition typically arises from viral infections, post-myocardial infarction, or other inflammatory conditions, leading to inflammation of the pericardium. By targeting the underlying inflammatory processes, NSAIDs help to relieve symptoms and promote healing.

While corticosteroids may be indicated in certain cases of pericarditis that are refractory to NSAIDs or in specific types such as autoimmune-related pericarditis, they are not the first-line treatment due to potential side effects and the general effectiveness of NSAIDs. Beta-blockers are not indicated in the management of pericarditis as they primarily address conditions such as hypertension or arrhythmias rather than the inflammatory process of the pericardium. Antibiotics would only be appropriate if a bacterial infection was confirmed as the cause of pericarditis, which is less common than viral etiologies, making them a secondary consideration in treatment. Therefore, NSAIDs are the established first-line therapy for managing pericarditis.