NSAID’s a no no for pain relief? - British Heart Fou...

British Heart Foundation
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NSAID’s a no no for pain relief?


Had a sudden, unexpected cardiac arrest two and half years ago age 65. Had two stents fitted. Now fully recovered and very active again. Got severe, very painful tendinitis in foot. Are NSAID’s e.g. Naproxen or Ibrabrufen out of the question for reducing pain and inflammation? If so what alternatives are there?

9 Replies

Hi mcoops. You’ll be on Aspirin or Clopidogrel I guess. So the answer’s yes. Paracetamol is OK for pain relief.

Hi mcoops. I have always been told NSAIDs are definitely not allowed. I am only allowed paracetamol for pain relief. I am allowed Voltarol gel for arthritic knees when the pain is so bad.

MichaelJHHeart Star

NSAIDs are a no-no for most of us hearties. I have an arthritic hip. The next level of pain killer is Co-codamol. This is also a no-no for me. For severe pain I take Tramadol as required. Tramadol is not for all as many become zombies after 1 or 2 tablets. Both Co-codamol and Tramadol cannot be taken with Warfarin and most other blood thinners. For additional pain relief you need to see your GP. Good luck. Pain is incredibly tiring!

I am currently waiting on a referral to a Pain Management Clinic.

NSAIDs also are a bigger problem if you have kidney disease. I am not even allowed the gel. Recently, I have had excruciatingly painful gout. I am now on the third lot of Prednisolone. Steroids are the only really effective drug for this condition with my history but I have now been referred to Rheumatology so perhaps they will introduce allopurinol or something like that to reduce the uric acid formation. Anyway, I sympathise with you. Having heart problem and kidney failure is enough with being in pain to top it off! Maybe a short course of steroids would do the trick for you? Speak to your GP!

Thank you for the replies so far - as I expected and very helpful.

Interesting. I have been prescribed both Naproxen and diclofenac quite recently (for gout) and my GP is fully aware of the fact that I had a triple CABG 2 and a bit years ago and the routine drugs I take every day. I take them as needed, which is fortunately very infrequently. I was made aware of the cardiac concerns but the risks are pretty low in my case. So never say never. As with so many drug things it’s a balance of risks.

Incidentally, and a good reason why saying classes of drugs are no nos is not always the best way to look at things, aspirin is a nsaid.

I too have had a cardiac arrest. Was told I can only take paracetamol. Take care x

Hi mcoops,as in all cases ask Quack 1st Solpodol 8/500 or maybe you can have 30/500.

In UK Paramol is strongest over the counter Without Prescription.

Hi mcoops,

I have 3 stents and am aged 61. For me, paracetamol is in but ibuprofen is out. I take aspirin, omeprazole and atorvastatin. The reason for using paracetamol is that it affects my stomach lining less than ibuprofen. The reason for the omeprazole is to offset the impact of the aspirin on the stomach. I will use voltarol as required.

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