Naproxen now a no no

[David21]

Hi everyone - my hip osteoarthritis kicks in occasionally & is terribly painful. Naproxen used to do the trick but as I am now on Apixaban that is off limits. Can anyone suggest an alternative please (paracetamol only helps a little) ?

[Hidden]

It might be best to consult your GP or your regular pharmacy, however, I am on Warfarin and for my osteoarthritis in right shoulder I use CoCodomol 30/500. Only available on prescription. It is also known as Zapain 30/500. I used this extensively before my knee replacement, and after knee surgery too.

John

[David21 in reply to Hidden]

Thanks

[jedimasterlincoln]

Tramadol might be an option but they don't tend to give that long term.

Sadly whilst the apixaban or any anticoagulant is being taken you're very limited by None-steroidal antiinflammatories like Ibuprofen, Naproxen, Diclofenac.

As carneuny says, there are options. Best to discuss

[David21 in reply to jedimasterlincoln]

That's a thought - many thanks

[absolutepatsy in reply to David21]

I have been on tramadol for 5 years now, both normal tramadol and slow release tramadol, so it is given in Scotland long term.

[David21 in reply to absolutepatsy]

Thanks

[Mary-miles in reply to absolutepatsy]

Do you take anti coagulants with the tramadol

[David21 in reply to Mary-miles]

Only apixaban and flecanaide

[absolutepatsy in reply to Mary-miles]

Yes, Riveroxiban, I am also on Atenolol and have had no issues with any of the drugs.

[absolutepatsy]

I have AF so I have to take tramadol and paracetamol. I had both hips replaced which is amazing as there is absolutely no pain there now (might be worth considering). Unfortunately osteoarthritis is in my spine so I still have to take the drugs. The pain is always there but is manageable now.

[David21 in reply to absolutepatsy]

I will raise Tramadol with my GP - thanks

[cali111]

I can use a pain patch with ibuprofen even with Apixiban

[David21 in reply to cali111]

Interesting thanks

[jedimasterlincoln in reply to cali111]

This is because it isn't risking a GI bleed as its not entering the stomach to be digested, it's topical/local. This is also a good option David21

[MazzyB]

It is upsetting I used to take Naproxen for back pain and a jumping nerve I get! That’s terrible but they really don’t like it anymore not certain why! As I was given it to stop taking Diclophenic originally so why stop it! Hope you get sorted. I’m on strong Cocodamol now 30/500.

[David21 in reply to MazzyB]

Just spoken with GP. He is prescribing a strong Cocodamol so thanks

[MazzyB in reply to David21]

Great 👍

[Ginny_Ickle]

Curcumin (active extract of turmeric) helps me some.

(Do check for possible adverse interactions, even though it's an extract if a common spice - anything that can have a medical effect can have a medical side effect.)

I miss NSAIDs, though!

[David21 in reply to Ginny_Ickle]

I already take that, very good generally for joints - thanks