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Painkillers

Barb1 profile image
20 Replies

In hospital recovering from Mondays hip replacement. Started on Edoxaban Tuesday. Painkillers they are giving me are paracetamol, codeine, liquid morphine and ibuprofen. I have been very nauseous and last night was sick after the midnight yogurt and ibuprofen. Also constipated. I am sure the sickness and constipation can be sorted but ibuprofen and an anti coagulent worries me. Any thoughts?

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Barb1 profile image
Barb1
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20 Replies
BobD profile image
BobDVolunteer

I would mention to them that Ibuprophen is not recommended if you have AF never mind the anticoag side of things. It has been shown to promote AF.

BobD profile image
BobDVolunteer

Get well soon by the way.

Barb1 profile image
Barb1 in reply to BobD

Thank you Bob

Barb1 profile image
Barb1

Bob, what is the ingredient in Ibuprofen that can cause AF? Is it the same for Neurofen?

BobD profile image
BobDVolunteer in reply to Barb1

Same drug just a trade name. any of the non steroidal anti inflamatory drugs (NSAIDs) are to be avoided if you have AF. A study a couple of years ago showed that long term use of NSAIDs increased the likely hood of getting AF, In other words it is more than a trigger but a cause.

Barb1 profile image
Barb1

Thank you Bob. They are now listening to me. I hope my AF doesn't come back because of this.

TonyRands profile image
TonyRands

I would keep away from the ibuprofen, I am certain that twice it has caused me to go into AF, although the cardiologist said he didn't "recongnise" that. However I read the published results of lab experiments which showed ibuprofen caused electrical disturbances in the hearts of some animals.

Barb1 profile image
Barb1 in reply to TonyRands

Thank you Tony. Yes I agree

PeterWh profile image
PeterWh in reply to TonyRands

See my response below.

TonyRands profile image
TonyRands

By the way codeine causes real constipation, and there's no apparent way round it. Regards, Tony

Barb1 profile image
Barb1

Yes. Am experiencing that!

cbsrbpm profile image
cbsrbpm

Hope you recover really soon and the hip works well. Yes codeine does make you constipated, I was actually given this by the doctor some years ago to stop Diarrea. Best wishes.

Brenda🐝

Barb1 profile image
Barb1

Thank you Brenda. Just wondering if paracetamol on its own would be enough. I was hoping to use Co Codamol but don't want to get bunged up again. 😡

Dottilind profile image
Dottilind

Hope you have a speedy recovery from your op. When I had my three ops last August I was on paracetamol, codiene. I was told never to take any product that contains ibuprofen while on warfarin. I found I was very constipated taking paras. Would mention to doctor if I was you.

PeterWh profile image
PeterWh

The ibuprofen study were it was shown to cause problems with AF was done in Denmark.

Barb1 profile image
Barb1

Now settled on Co codamol and movicol for the constipation. Let's hope it works.

Finvola profile image
Finvola

Barb - it's good to have the op over - best wishes for a speedy recovery.

The research into NSAID's that Peter mentioned seemed to get quietly ignored and I remember that a university in Holland backed up the findings of the Danish team. The original BMJ article and the NHS reaction to it are below:

bmj.com/content/343/bmj.d3450

nhs.uk/news/2011/07July/Pag...

Barb1 profile image
Barb1 in reply to Finvola

Very interesting Finvola. Just shows that the AF'ers are the experts - because we have to be and as such clinicians should listen to us, as the best do.

porsche profile image
porsche

Hi Barb, im pleased to hear they have sorted your meds & hope you are healing well. No wonder uou had all those symptoms, I do wish all medical practioners were made aware of the danger of giving heart patients ibuprofen, an A&E dr insisted I took it when in severe pain, I refused (I had heart transplant 2015) & had to show him in black & white why I couldnt.

Barb1 profile image
Barb1

Thanks Porsche. It wears me out though that we have to be so vigilant over treatment and not just lie back and accept it without question.

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