AF Association
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Pain relief for muscle and joint flare ups

I have lower back pain, must have pulled a muscle and I also have arthritis in my knees. Currently it’s very painful. I take rivaroxiban. What pain killers or gels can you use while on this drug.. can you take codeine and paracetamol? Or does that conflict with occasional AF?

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I have lower back pain at the moment and am taking co codamol and codeine at night. I too am on rivaroxiban. I don't tend to use a topical cream, am not too sure about this. Am sure someone else can point you in the right direction concerning this.

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I have also had bad back SI joint being locked this past week - Arnica Cream has been found to be just as effective as NSAID creams so I use that and often helps along with Paracetamol.

Took the edge off but no more than that.

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Hello

I have oestio arthritus (sorry cant spell it) and with what i take for AF and warfrin I can only take Paracetamol

CarolB

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Best to ask a pharmacist but I have been told paracetamol and codeine mix is ok, NSAIDs eg ibuprofen a no-no, even as gel.

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Thanks for all your comments. I am currently using hot water bottle! Seems to help. Someone said heat pads and Deep Heat are helpful. As we get older our arthritis may get worse so I wonder what suitable treatments will be developed for those with Abfib and a blood thinner. A chemist told me not to use codeine because of AF history! I found codeine helped last time..I tried not to use too often. Even so my pulse went low on it but at least helped pain. Think I will review all this with my GP. Last time I was given a NSAID cream so it is confusing.

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My dr gives my co codamol on a regular basis and has never stopped it and I’m on apixaban my dosage is 15/500 you can only get it on prescription but I’ve used it everyday for at least 5 yrs so I’m sure it would be ok for you to use

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I am sorry about the back pain and the arthritis. I have had both for for about 30 years. I manage to keep it under control most of the time thank goodness. I find citrus fruit and white wine are arthritic triggers so keep off them. I have been taking Omega 3 1000mg, glucosamine and chondroitin for years now and the arthritis has stabilised. Since May I have been off sugar (have real honey and a small amount of maple syrup in my diet) and also not had any grains except gluten free oats. I have noticed that my arthritis is miles better although the joints which had been affected are still swollen but no longer painful.

As for the back pain. When the back is painful it is because the muscles are in spasm. You need to relax them by stretching them. I do this by sitting on tennis balls. You know you have them in the correct place because it is the place which is most painful for them to be. Do this for a while and the taut muscles will stretch and the pain will ease. You can use the tennis ball method on any part of the back. - lean against them, lie on them. If necessary go into a warm bath and do it. (If you can get into one) Also move as much as you can. On your back, knees bent, move them from side to side gently and carefully. On back knees bent shoulders and buttocks on floor arch back gently and flatten. Do these exercises 30 times a day. 3x10 times or 10x3 times matters not. There are other excercises but those are the basics. I get my husband to put strong Ibruprofen cream onto the relevant bit when really bad. Heating pad excellent.

Hold onto the fact that eventually the back pain will ease.

Good luck

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Thanks for the info. Will certainly try the things you suggest.

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Hi there take Solpadol ( codeine 30mg an paracetamol 500 mg) prescribed by my GP on my repeat prescription for arthritis. I also take rivaroxban. I do have a topical gel that I sometimes use again by my GP Oruvail Gel it contains 2.5% Ketoprofen. I am told by my GP that this is quite safe. It does help sometimes on certain joints.

Cassie

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I take tramadol and paracetamol for arthritis pain, I am also on Riveroxiban with no problems.

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heat pads do really help but for severe pain i take Voltaren it works a treat and although im not allowed to take anti inflammatories in general a couple of days pills wont hurt you, it can be bought over the counter or from your GP it really is the only thing that gets rid of the pain not these gels or codeine beats me how anyone can get addicted to codeine or tramadol , does nothing to ease the pain for me.

i'm persistent A/fib and on Warfarin

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Thanks to all for ideas...

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I have the impression from reading on here, that rubbing on a topical cream with aspirin in it is OK, because so little of the aspirin gets into the blood stream.

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Which topical creams have asprin

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I suggest you approach your local pharmacist for the answer to that one! I'm sorry, I don't know the answer, having not needed to try one.

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One pharmacist told me I would be fine with voltarol gel the otber wouldnt let me buy it as " i have a heart condition" this is AF and meds are flecanide and apixaban and bisoprolol. I went to the one that said it was ok and had no problems with it at all. However, I was taking it for a temporary condition and may have reconsidered had it been a long term problem. X

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