Codine

[jonjub]

Hi, i am aware that ibuprofen is an aggravation for AF but what about Paracetamol with Codeine? is there any evidence that would discourage its use? I would appreciate any input.

[cassie46]

Hi Jojub - Yes ibrubrofen is a no no for AF sufferers. I take solpadol (which is codine 30mg and Paracetamol 500mg) or known as co-codamol. I have this for arthritic pain and my GP has it on my repeat prescription. It works well but not quite as well NSADs but cant take those so have to make the most of what I can take.

Cassie

[Hidden]

Hi jonjub,

When I was diagnosed with AF I was put on Warfarin. At that time I was told not to take Ibuprofen or other similar anti-inflammatories as this will work against the impact of Warfarin. Not the AF per se, but the warfarin. I was told to take CoCodomol - ( I take prescription strength 30/500) - which I did following a partial knee replacement. So, unless you are on warfarin or some other anticoagulant it would seem OK BUT WHEN IN DOUBT check with your GP or your local Pharmacist.

John

[PaulDB in reply to Hidden]

I was told to only take paracetamol for pain ss I have bad reaction to co codamol. Now paracetamol gives me stomach pain and terrible diarrhea so as far as I know there ate no pain killers I can take.

[seasider18 in reply to Hidden]

I thought that CoCodomol was only for short term use.

[Hidden in reply to seasider18]

I don't believe so, I have mine on a permanent prescription 'repeat'. Basically, approved by GP and I reorder if I need a new pack (of 100), if I don't need any I don't reorder. Mind you I'm on Warfarin for life along with a party bag of other meds too.

john

[seasider18 in reply to Hidden]

My GP will only prescribe it for short term use. The PIL that you are obviously familiar with has a lot of warnings on it.

medicines.org.uk/emc/medici...

When you Google it with long term use it brings a lot of recent articles on its dangers. BBC featured it on a recent programme about the long term use of medications.

[Hidden in reply to seasider18]

Hi seasider, yep, I'd read the leaflet. Between that legalistic health warning and the likelihood of getting an AF originated stroke I'm on death row. Now that I've had my knee replacement I seldom need it and like Yatsura I take it only when required. However, during the 12 months or so leading up to knee surgery it was almost a food to deal with increasing pain from osteoarthritis and it was the only food that could handle post op pain that enabled me to deal with the exercises that enabled me to walk properly again. So it's horses for courses really, needs are as needs must. ☺

[seasider18 in reply to Hidden]

I need something at the moment as I have pain in my weight bearing joints (+ an all over itching without a rash) when walking that I again put down to warfarin. NOACs are contra indicated due to my tissue aortic valve. Twice over the past five years I have stopped warfarin for about a year and just taken aspirin and within weeks the joint pain and itching stopped.

I went back on Warfarin last February as I was hoping to get on the Amplatzer trial at the Royal Sussex but it didn't happen. Nor did the AV node ablation as I was waiting for an MRI scan as they did not want to do it while I was pacemaker dependent.

Finally seeing cardiologist on Friday after my GP's referrals in March and September last year went unheeded.

[DGET1 in reply to seasider18]

Co-codamol is both addictive and constipating.

[Hidden in reply to DGET1]

Agreed DGET1 It's very difficult when one is unable to take NSAID s. Just have to be sensible with intake and only use when absolutely necessary. I eat plenty of veg and fruit so don't find constipation a problem with these, although many do.

[Hidden]

I take co codamol 15/500 or 30/500 when necessary for arthritis and it hasn't affected my AF at all.

[Hidden in reply to Hidden]

Hi Yatsura,

I agree, same for me. Is the Cocodomol 15/500 prescription grade or 'over the counter' ? Now I've had my knee replacement I don't think I need the strong dose (30/500) but from time to time when I overdo things or when my upper back/lower neck plays up it is convenient to have something.

John

[Hidden in reply to Hidden]

Yes John I get my co codamol on prescription when my knee plays up .Keeps the worst at bay.

Sandra

[DGET1 in reply to Hidden]

You can only buy 8/500 over the counter as far as I know.

[jonjub]

Thank you all for your responses, useful advice.

[trtoothdr]

I don't think NSAIDs are related to AF onset, rather they are contraindicated when taking anticoagulants, which are prescribed for AF to decrease the incidence of stroke.