Inflamation question

[gbn_]

Hello. Since having Afib and having my meds, I was told that I could only take Tylenol for pain, I can't take Advil or Alieve. I was initially taking a baby aspirin along with my blood thinner, but since having a bleed type injury under the skin around my trunk area from hard coughing from a cold earlier in the year I was told to stop the aspirin, which I did. The only thing is, Advil, Alieve, and aspirin help with both pain and inflamation, which has benefits, theTylenol I was told to take doesn't help me too much with pain, and does nothing for inflamation. It's probably because Advil, Alieve and aspirin can also thin the blood. Any info on helping with inflamation?

[wilsond]

I don't recognise the names of the drugs here,but I'm told I cannot take ibuprofen and similar for inflammation as it raises bleed risk internally due to being on anticoagulant.It's a nuisance as I have chronic back pain.

Recently I was prescribed an extra type of blood pressure tablet,which I took, reluctantly as I felt it unnecessary, for 4 days.

I then had drug induced Gout in one foot !

The worst pain ever. I was given Colchicine, a type of anti inflammatory which can be used alongside A/Cs.

Very effective. I didn't need to finish the course so have kept the rest in case...

Best wishes

[gbn_ in reply to wilsond]

Hi wilsond. Thanks for your reply. What blood thinner are you currently taking? I am currently on Xarelto, but may be put on something else in the near future, such as possibly Warefin. Exercising causes pain sometimes and raises inflamation, looking for a way to help with inflamation.

[wilsond in reply to gbn_]

I'm.on Apixaban, Eliquis in USA

[Buzby62 in reply to wilsond]

Advil in US is ibuprofen

Aleve is Naproxen

Tylenol is paracetamol

So it’s the same rule as we abide by in UK, no NSAIDs just paracetamol.

Best wishes

[Bagrat in reply to wilsond]

My husband had to stop statins while on colchicine ( they interact) and also take omeprazole while on colchicine to reduce chance of gastric bleed. As it was a repeat episode the GP who had never met him did entire consult by phone. I asked pharmacist ifI could buy colchicine otc to keep in case. He said "no, it's far to dangerous" I guess with pain of gout you don't care!!

[wilsond in reply to Bagrat]

Ooh I didn't get told to stop my statin!or ppi It's so worrying ,the inconsistencies in our health care!No to be honest I'd gave taken anything to stop it ,it was truly vile.

[Ppiman]

It is a real problem as you say. I believe all anti-inflammatory drugs (i.e. the aspirin and NSAID family) can cause "erosion" of the GI tract and this can lead to bleeding, which might become much worse if an anticoagulant is being taken.

Steve

[gbn_ in reply to Ppiman]

Hi Ppiman. You are correct, I believe that's why they say to take those products with food usually. But for those of us who were told not to take them, I just don't know what could be taken to help with the inflamation.

[wilsond in reply to gbn_]

I am on Apixaban. The only thing I could take was colchine, but its not recommended for longterm use I believe. Its a rotten situation when you have chronic inflammation.

I try to eat a lot of inflammation reducing foods to try to improve. X

[gbn_ in reply to wilsond]

Hi wilsond. I try to do the same, but Aleve and Advil worked so much better. it's a real problem because controlling inflamation really helps the body. Chronic inflamation is really not good for you which could cause other problems, and the doctors know it.

[Ppiman]

There seems little online to suggest any AI drug is safe to take with anticoagulants because of the bleeding risk. Even codeine and similar get little mention. The only safe painkiller seems to be paracetamol.

It must be a real problem for some people.

Steve

[gbn_ in reply to Ppiman]

Hi Ppiman. I remember years ago my wife at the time developed afib, the doctors mentioned to her about starting a blood thinner, but she refused, and has since only taken baby aspirin. Even though it has now been shown that aspirin doesn't do the job as once thought she continues to just take that.

[Ppiman in reply to gbn_]

Taking anticoagulants certainly does bring difficulties. Pain relief is harder, as are surgical operations.

Whether to take them is a calculation the doctor makes to work out risk of stroke. Your wife’s doctor should do this. I was told I had no option. So far, thank goodness, I haven’t needed any strong pain relief but I can’t imagine how people cope with arthritis and the like.

Steve

[gbn_ in reply to Ppiman]

Hi Ppiman. Totally understood. At the time with my wife, she told her heart doctor that she didn't want to take prescription blood thinners. That was well over 25 or so years ago. Over the years I have tried my best to guide her with diet and such along with stress levels. She just retired from work about a year ago, and her weight has been creeping up a bit, I guess it gets tougher with age. As for stress levels, there seems to be no escape these days, things can really get tough. I'm going to ask my doctor about inflamation and pain, but I think for the most part that he will have no real clear cut info for me. Maybe I'll be candid with him and ask him just what does he take, or, if he were in my shoes, what would he do?

[Ppiman in reply to gbn_]

I tend to ask that same question - or what would you do if I were your brother or father? I asked the heart specialist I see that recently and he replied that he cannot answer that kind of question!

Steve

[gbn_ in reply to Ppiman]

Steve, it might take some time, my next appointed doctor visit isn't until March! But, I'll let you know if he gives me the same answer! I'm sure your heart specialist has an answer to a question put that way, but the ethics behind it can't be shared due to I'm sure a few factors. Even though I will ask the same basic question I'm ready for him to give me a similiar reply. But, I'm sure a few doctors have actually answered with specifics.

[Ppiman in reply to gbn_]

My GP, who we’ve known for many years, answers straightforwardly, but the specialist is more guarded.

We are left to “make decisions” that we are in no position to rationally make at times.

Steve

[wilsond in reply to Ppiman]

It's very hard. Some days I just have to give up normal life.

[Ppiman in reply to wilsond]

Hi WD! Yes - and being an anxious type, I know that I add to my problems.

I hope you don’t suffer so much with that and find some peace even on difficult days. Your experience with AF and even of treatment has been tough and far worse than mine, except perhaps for my early atrial flutter issues when I truly thought the end was nigh.

Steve

[wilsond in reply to Ppiman]

Ah thank you. Sorry this just came through now!Your kind thoughts are appreciated. X