Non steroidal anti-inÂźammatory drugs are the most widely used medicines for relief of pain. These drugs have some side eÂŹects, particularly toxicity in the gastrointestinal tract and kidneys. Various approaches have been used for obtaining safer anti-inÂźammatory drugs. In this review we have summarized the recent developments in the following areas; (i) Mode of action of NSAIDs, (ii) Role of COX-1 & COX-2 in inÂźammation, (iii) DiÂŹerent approaches used to improve gastric tolerance i.e chemical manipulation, formulation & co-administration, development of non speci c (COX