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anti inflammatory

Morzine profile image
21 Replies

hi all

Now I know we r all told anti inflammatory are a no no with afib but I was in hospital AnE last year and thry gave me paracetamol morphine and a anti inflammatory fir three days

So when I saw my cardio for follow ups I saud is this right should I have had that and she said it’s fine fir a short period

I’m living in France .

Now I have a realty bad arthritis knee flare up the past two weeks and my GP

Has said it’s okay to have just a five day course along with paracetamol but certainly no longer plus physio…. If it doesn’t work cortisone injections

Quite honestly I’m happy to try anything as I need my mobility stuck up this mountain in the snow and getting logs in . It does seem yo be helping so I guess my question yo you guys is have any of you been told this ? I’m not advocating doing it at all so please don’t attack me I’m just interested now about this whole anti inflammatory thing…. How exactly does it affect afib for a start off??

Sue

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Morzine profile image
Morzine
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21 Replies
jeanjeannie50 profile image
jeanjeannie50

So sorry to hear you have this worry Sue. I've often been put on antibiotics with no problems.

Hope you soon feel fighting fit again.

Jean

JOY2THEWORLD49 profile image
JOY2THEWORLD49 in reply tojeanjeannie50

Jean

Anti-inflammatories she was told she could have for short periods like 3 days.

cheri JOY. 76. (NZ)

Jasper18 profile image
Jasper18

Hi there, there’s evidence that Turmeric, Bromelain and Ginger are all natural anti inflammatory.

Also, of course Glucosamine, though I’m not sure if Glucosamine is tolerable with Afib? Maybe other members might help?

BrotherThomas profile image
BrotherThomas in reply toJasper18

Turmeric is also a potent anticoagulant and shouldn't be taken as a supplement if you're on anticoagulant meds.It's ok in the sort of quantity you find in a decent curry though, thank god.

CDreamer profile image
CDreamer

One of the GP’s in my old surgery, to whom I was referred as they were also a Rheumatologist, told me to take Glucosamine but high dose - 1g/day with Chondroitin. He told me that it would take a month to have any effect and it did.

Why avoid anti-inflammatory meds:- Some medications, particularly NSAIDs, increase the risk of atrial fibrillation (AF) due to their effects on the kidneys and cardiovascular system, potentially leading to fluid retention, electrolyte imbalances, and blood pressure changes.

My view is that medications and supplements may help to manage temporarily but it’s not a long term solution. Pain is there for a reason - you have damage and unless and until that is repaired, nothing is going to solve your issue. Topical anti-inflammatory - in the form of gel or spray work quite well for very occasional use.

I have osteoarthritis in my hands and feet (probably a result of years of sailing in cold climates). Other things which have helped - warmth - wear a warm knee support; a course of acupuncture - therapist also gave me acupressure seeds - that helped most for pain. Keep moving and exercising, especially in the mornings; None weight bearing Knee exercises to strengthen muscles around the knee; stick to eating an antinflammatory diet.

ForensicFairy profile image
ForensicFairy

I’m not sure why you can’t take an anti-inflammatory with AF. It’s the anticoagulants that are the issue to my knowledge. Paracetamol should be fine also unless you have a specific reaction to it.

Speed profile image
Speed in reply toForensicFairy

I believe the issue is actually taking NSAIDs with anti-coagulants (often incorrectly referred to as blood thinners - which you take if have AF) as they (NSAIDs) increase the chance of a stomach bleed, which when on anti-coags can bleed heavily and be problematic.

wilsond profile image
wilsond in reply toSpeed

Absolutely right,literally just replied the same!

AfibSufferer profile image
AfibSufferer in reply toForensicFairy

That's my understanding too.

Peony4575 profile image
Peony4575

The response is an individual thing. I was given Celecoxib a prescribed anti inflammatory . I took half dose and went into my first AF episode on the second day . In susceptible few individuals it inhibits the potassium channels in the heart and no way of knowing in advance if that’s you . So my AF was triggered by an anti inflammatory . I sometimes wonder given the amount of elderly people taking them if they cause a proportion of them. But difficult choices if you can’t move

wilsond profile image
wilsond

It's not the effect on AF etc,it's if we are on anticoagulants. The anti inflammatory meds increase the risk of a stomach/ gastric bleed combined with them.Anti inflammatory gels can be used,as they are external.

quanglewangle profile image
quanglewangle

Spanner in the works time here ....

My AF was first confirmed back in 2010 and steadily progressed to permanent.

Throughout I have taken Diclofenac for chronic lower back pain but following a TIA in 2019 I was told to drop the anti-inflammatory and steadily worked my way through every possible alternative. My recollection is that a Danish study of people starting anti-inflammatories showed a maximum increase in major cardiac events of up to 60% (Diclofenac being worst)

In increasing pain (and now on Apixaban and Omeprazole) I reread the study and found that the 60% increase was from (here I am relying on my weak memory) something like from 1.4% to 2.3% per annum.

At this point I asked the cardiologist if he felt that I could resume Diclofenac and he said yes 75mg twice a day (maximum dose as recommended by another Danish study) but I found that 50mg twice a day was sufficient (relief started within days) and that is what I have taken ever since.....

We are all different and what has suited me may not be the answer you are looking for but QOL and peace of mind are very important so I hope that you find your solution soon....

Morzine profile image
Morzine

thanks everyone answering about the anti inflammatory drug I was naproxen apparently the best tolerated of the bunch, . It has helped but it’s upset my stomach even with the protection tablet. and I’m stopping after three days. I think what some of you said about it not so much being the afib it’s the anti coags and bleed. Maybe that’s why my doc said max five days. Thanks for tips I’m reading up on friendly foods for inflammation . I hate getting old! I hate winter! I hate snow ! and I hate stairs!!

Sue

jeanjeannie50 profile image
jeanjeannie50 in reply toMorzine

Your 'I hates' made me smile Sue. You let it all out girl!

I add ginger powder to my breakfast muesli and alternate it with cinnamon. Just having a healthy drink of lemon, ginger and manuka honey - can't really taste any of them in it though (all in a tea bag).

Take care.

Jean

Morzine profile image
Morzine in reply tojeanjeannie50

Ha ha yes I wish I wasn’t up a mountain!

Ginger sounds a good tip

Jean , how are you?

Sue

jeanjeannie50 profile image
jeanjeannie50 in reply toMorzine

Hi Sue, I'm in the midst of a horrible cough and cold, been 3 weeks with it. Went to doc yesterday and she could tell there was infection in my lungs and has put me on some antibiotics. I think it's a bug that's been doing the rounds over here.

Jean

Morzine profile image
Morzine in reply tojeanjeannie50

Oh god yes I had it and I thought please don’t go down the onemonia route again…. I’m still coughing at night it’s been an over month … fine the rounds over here too.

Hope u get rid of it soon

jeanjeannie50 profile image
jeanjeannie50 in reply toMorzine

Yes, the thought of pneumonia again worried me. Hope you're soon 100% well again.

Ppiman profile image
Ppiman

NSAID drugs can very rarely cause internal intestinal bleeding and, if you are taking an anti-coagulant, this could make it worse. That's why they are contraindicated, not because of AF itself, to my knowledge. However, your doctor will know your case history and weigh all the various aspects up to work out the best treatment for you. No one other than a doctor can do this.

Steve

Cat715 profile image
Cat715

I thought it was because I take Rivaroxaban that I am not allowed NSAIDS because of the gastric bleeding risk.

Morzine profile image
Morzine

thanks eryonefor all your input and advice

Sue xx

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