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Can Paracetamol be taken for pain relief when on Anticoagulants?

lynwest profile image
21 Replies

After taking Paracetamol for pain relief on a regular basis when on Apixaban, I had bad reaction with terrible pain in my leg - was eventually diagnosed as Cellulitis which was cured with wide spectrum antibiotics for 7 days. I am no longer on Apixaban and have gone back to Aspirin, as this is what brought me round from a Stroke and took this for the last 10 years. When I was diagnosed with AF I was put on Anticoagulants (which I cannot tolerate). Has anyone else had bad experiences with Anticoagulants?

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lynwest
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21 Replies
BobD profile image
BobDVolunteer

Yes fine. Paracetamol is O.K. Aspirin is not an anticoagulant by the way and whilst useful post stroke has little benfit in AF for stroke prevention.

Buzby62 profile image
Buzby62

I see BobD has answered your question.

You can find all the medication info sheets on the following link including one for aspirin.

heartrhythmalliance.org/afa...

Best wishes

BenHall1 profile image
BenHall1

I use CoCodomol 30/500 for pain relief along side my Anticoagulant, Warfarin ....no problem!

Desanthony profile image
Desanthony

I take paracetamol and some time co-codamol prescribed for me for chronic neck and back pain and also on Eliquis. Also been prescribed "Zapain" and told voltarol gel is OK too, and take Eliquis - Apixaban

FraserB profile image
FraserB

My mum, years back, had cellulitis and the doctor said it was caused by infection, not her medications. Maybe to get clarity and ensure you're on the best treatment, I'd speak with your doctor about it?

And I have atrial flutter and I take paracetamol which my doctor said was okay because sometimes my osteoarthritis acts up.

lynwest profile image
lynwest in reply toFraserB

I was diagnosed with Cellulitis by the DVT Clinic and they sent a report to my Doctor saying stop taking anticoagulants. Different opinions!

wilsond profile image
wilsond

Can I ask who took you off anticoagulants and put you on aspirin?Sounds odd.

No paracetamol is the only recommended pain relief for many of us

pusillanimous profile image
pusillanimous in reply towilsond

I'm a great Paracetamol fan, seems to work for pain anywhere !

Leechg profile image
Leechg in reply topusillanimous

Wow, I have never found paracetamol to reduce pain anywhere. It’s useless for me. Pleased that it works for you and very jealous.

pusillanimous profile image
pusillanimous in reply toLeechg

I do have quite a high pain threshold. My dentist was amazed that I could sit in the chair for 3 hours while he inserted implants, with just a local anaesthetic, not even a sniff of nitrous oxide or any pills !

lynwest profile image
lynwest in reply towilsond

I took myself off 3 anticoagulants - Edoxaban, Apixaban and Xarelto because of bad reactions to all of them. I trust Aspirin because 300mg a day for 2 weeks brought me back from a Stroke in 2009 and I have been on 1 Aspirin a day since then until last year when my Pacemaker Consultant said I need ed an Anticoagulant because of AF. As I have intermittent AF, I am trying to prevent this by natural means - exercise etc, because I have bad reactions to anticoagulants. Saw my Doctor last week who asked me how I felt and I said fine. He said 'that's all that matters.

Have you seen the latest from the NHS warning about the dangers of taking anticoagulants with NSAIDS, even Paracetamol?

wilsond profile image
wilsond in reply tolynwest

Yes I am quite clear about NSAIDs and AF,due to concerns on possible internal bleeding being provoked. Good luck with your efforts to avoid anticoagulants. I'm not sure of your Dr's opinion at all. ' feeling fine ' is not all that matters!

I 'felt fine' until I had a mini stroke!

Please be careful .

opal11uk profile image
opal11uk

Yes, no problem.

secondtry profile image
secondtry

I should be able to answer this question myself having followed this Forum for years but....

I had a DVT (clot) in my leg 20 yrs ago and was put on clopidogrel for some time, forget how long. My wife had a mild stroke recently with high BP and was put on clopidogrel indefinitely. I am now deemed to be at stroke risk because of 8% AF & other ectopy and have been put on Edoxaban.

So why sometimes clopidogrel & other times a DOAC to cover the same risk?

Drone01 profile image
Drone01 in reply tosecondtry

You highlight an interesting conundrum. NICE guidelines in the UK stop clinicians from prescribing antiplatelets (aspirin and clopidogrel) for patients diagnosed with AF. Instead, they are prescribed DOACs. So far as I have been able to ascertain, the DOACs are considered better at preventing the formation of a clot in the heart that then travels to the brain, and have a better stroke v bleeding risk profile. On the other hand, if you’ve had a suspected TIA or stroke and haven’t (yet) been diagnosed with AF a neurologist will prescribe antiplatelets to prevent clot formation in the small vessels of the brain.

escardio.org/Journals/E-Jou...

secondtry profile image
secondtry in reply toDrone01

Thanks Drone01. So if brain clopidogrel, if heart DOAC. That suggests I guess that DOAC's are more powerful.

Thomas45 profile image
Thomas45

You ask if people have bad reactions to anticoagulants. I had a very bad reaction to Rivaroxaban, so didn't trust any of the other new anticoagulants, and so take Warfarin. I have my own INR monitor, and have no problems it. My diet is mainly vegetarian, with the occasional fish.

For pain, paracetamol. For really bad pain, after fracturing my fibula, my doctor prescribed high dose of co-codamol, plus a laxative, as that dose can cause constipation.

Blearyeyed profile image
Blearyeyed

Yes, definitely, paracetamol is the preferred medical option for people to take.If your pain persists it's better to get advice from the GP about which antiinflammatory you are safe to use with your combination of medications rather than just buying things over the counter.

If the pain is muscular or joint based you can also use a topical inflammatory cream or lotion because these don't generally affect your medications . Flexiseq are recommended by both doctors and patients for relief without causing interaction with meds or increased bruising.

RoyMacDonald profile image
RoyMacDonald

I'm on Apixaban and take paracetamol regularly for pain relief with no problems. I'm over 80.

All the best.

Roy

lynwest profile image
lynwest in reply toRoyMacDonald

How long have you been taking Apixaban and Paracetamol?

RoyMacDonald profile image
RoyMacDonald

I think about 7 years.

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