NSAIDs

[Cabot]

Hello All!

I am writing to ask about the received wisdom of NSAIDs in this group...

I have wicked foot and Achilles problems and it is possible an NSAID would be helpful. But apparently some are linked with a 76% higher probability of having Afib!

A cursory glance at google tells me that Naproxen may the best bet for Afib according to some.

Does anyone have any experience with NSAIDs or thoughts? I am not on anticoagulation and my Afib burden is relatively light (one half hour per month more or less). I am, however, really sensitive to everything and have to do a lot to keep Afib at bay. For example, I read that for some taking Vitamin D sets off Afib so I did a trial of Vitamin D, taking literally a baby dose. Sure enough, Afib within the hour. So no Vitamin D supplements for me, unfortunately.

Thank you so much!

[BobD Volunteer]

NSAIDs are a known cause of AF.

[Cabot in reply to BobD]

Thanks Bob, I appreciate it.

Sadly, I am in a complicated situation and may need to go ahead with them anyway. Or at rate consider the pros and cons. In the long run being able to walk versus not will have an even greater impact on my heart...

[Ppiman]

An NSAID is unlikely to be allowed (and you should avoid buying them over the counter, even aspirin) since all of these drugs can cause some level of internal gastric bleeding, and this can be made worse with an anticoagulant.

Steve

[petmice in reply to Ppiman]

And if you absolutely have to take one (with your doctor's blessing) NEVER take it on an empty stomach. Only take it with food to minimize the damage to your stomach lining.

[Ppiman in reply to petmice]

Well said. For her lower disc pain (but she’ll only rarely take it), my wife was given omeprazole to take along with each naproxen tablet to protect from internal erosion and bleeding.

Steve

[2learn]

Found Ibuprufen has twice sent me into AF. When I was hospital for heart op they only used large doses of paracetemol which seems ok. I have a prescribed painkiller which is a mixture of paracetamol and codeine. My personal preference is ice and that seems the most effective for any inflammation related pain. Ice bandages are a good buy and heat patches. Problem I find is pain usually starts at 1am so getting out of bed to start icing is a bind and thats when I use the prescription tablet which acts more like a sleeping pill. My impression is most medics are poor at helping with ongoing pain and you have to try different things to see what works for you.

[SuziElley]

I use cocodamol when needed. Because of a peculiar condition I have, my GP prescribes strong ones but you can get lower dose over the counter

[Adiepie]

having an ongoing hip and shoulder issue, I asked my cardiologist what would be ok. He stated that topical nsaid cream would be ok, due to low absorption through the skin. This works for me, with no apparent increase in AF. Hope that helps

[JOY2THEWORLD49]

Hi

Naproxan didnt help me pre AF. but 100mg Ibuprofen did.

Take it with big glass of water and food.

Codeine is for pain as is Tramador.

At the hospital after op I got paracetamol and OXY-Norm. But

the later is Opium and addictive so only for 3 days.

cheri JOY. 74. (NZ)

[Cabot]

Thank you all so much for your very helpful replies! I so much appreciate it. It is hard won knowledge. I hope that is whatever unpleasantness is causing you to be able to reply to a post on NSAIDs quiets down.