Clopidogrel with ibuprofen query - British Heart Fou...

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Clopidogrel with ibuprofen query

25 Replies

Hi me again sorryAnyone taking clopidogrel antiplatelet med been able to also take ibuprofen for a few days

Im having dbl tooth extraction Mon and usually take alternate doses paracetamol then ibuprofen for aft procedure but now im on clopidogrel i was told NO ibuprofen

From past experience i know para wont be enough

Gp has NO appt avail to talk to me not even on phone

Pharmacist says ask gp !

Dentist says stop clopidogrel day bf oral op

Help lol

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25 Replies
Yumz199725 profile image
Yumz199725

Ahh no that's alot to process aswell how you gona get through this with out a form of pain relief 💔😢. Definitely ask pharmacist x

in reply toYumz199725

I will have paracetamol at least x

annpavitt250448 profile image
annpavitt250448 in reply to

You could buy some co-codamol from the pharmacy, they are a bit stonger than paracetamol and you can take them with clopidogrel. Not recommended for more than 3 days tjough

in reply toannpavitt250448

Thanks Ann im unsure abt the codeine element as I had a bad reaction to it once after an accident...

annpavitt250448 profile image
annpavitt250448 in reply to

The ones you can buy are not as strong as those on prescription. I was told by my g.p. if you only wanted to take one, take a paracetamol with it as well to get the full effect of paracetamol . Obviously you shouldn't take 2 co-codamol and more paracetamol together. Hope your surgery goes well. I had a tooth extracted earlier this year when on clopidogrel, didn't have too much trouble with bleeding after thank goodness

in reply toannpavitt250448

Thank you Ann

Petercat1 profile image
Petercat1 in reply to

Hi. Codeine can also make you constipated.

Chinkoflight profile image
Chinkoflight

Hi Jessica. That's a dilemma I've just been sharing with a ripping headache that paracetamol won't touch. But, on antiplatelet, Clopidogrel, you shouldn't take Ibuprofen.But you might want to check whether there are oral versions like say Bongela pain relief brands that could be used.

Otherwise ask for a telephone appointment or prescription change from your GP, you don't need to go in as such to discuss pain relief.

If the GP access is so restricted, I think having to have dental treatment is an emergency as is pain relief, then ring 111 for a solution and or go back to pharmacist.

Do let us know what the outcome is. I'm sure I'm going to be in that position at some point

in reply toChinkoflight

Thanks for yr reply much appreciated will update asap

in reply toChinkoflight

The latest !UPDATE

SO TODAY I managed to find a very nice pharmacist in a Tesco supermarket pharmacy, without a massive queue, who patiently took the trouble and time to explain and have a chat with me

And I am categorically NOT allowed any ibuprofen, I also checked abt the ibuprofen and diclofenac skingels that I used to have for my dodgy knees, not allowed either

So its paracetamol and she cautioned abt the co codamol as Id had a reaction to a small dose of codeine in AE aft a fall yrs ago

My late Mum had co codamol for severe arthritis so I know the side effects of that

So Itll be "man up get on with it" and itll hopefully settle by the Thurs when im then off to Dermatologyfor a "punch biopsy" of a "zygomatic arch cyst " on my poor face,

I was never a great beauty in all my years but for heavens sake what next

Think its called "getting yr moneys worth out of the wonderful NHS"

😅

Chinkoflight profile image
Chinkoflight in reply to

Thanks for the update. That's interesting about the use of gels being prohibited too. Hope things go okay.

22alfie profile image
22alfie

Check with your doctor!!

in reply to22alfie

as I wrote above GP has no current apps available even by phone and procedure is on Mon

thank you

I'd call 111 and ask for advice... I'd expect you would need to stop taking the clopidogrel for a day or two tbh but definitely worth double checking.

Well this is interesting to me.

I had an Nstemi 8 weeks ago. Asked for ibuprofen whilst collecting a prescription. By chance the heart attack was mentioned. The pharmacist overheard and said yiu cannot take ibuprofen with your meds. Well I was very surprised as I’ve never been told that an maybe have missed reading it somewhere.

I use ibuprofen to help with the flare up in pain after knee replacement and when my lesser migraine headaches kick off.

So by chance a lesson has been learnt for me and I will send a form to my GP and ask for something compatible.

I do hope you find a solution because Paracetomal is excellent but you’ll need something more for your extracts. Hope all goes well and thank you through your message as you’ve helped me.

in reply to

Thanks so much LammyUPDATE

SO TODAY I managed to find a very nice pharmacist in a Tesco supermarket pharmacy, without a massive queue, who patiently took the trouble and time to explain and have a chat with me

And I am categorically NOT allowed any ibuprofen, I also checked abt the ibuprofen and diclofenac skingels that I used to have for my dodgy knees, not allowed either

So its paracetamol and she cautioned abt the co codamol as Id had a reaction to a small dose of codeine in AE aft a fall yrs ago

My late Mum had co codamol for severe arthritis so I know the side effects of that

So Itll be "man up get on with it" and itll hopefully settle by the Thurs when im then off to Dermatologyfor a "punch biopsy" of a "zygomatic arch cyst " on my poor face,

I was never a great beauty in all my years but for heavens sake what next

Think its called "getting yr moneys worth out of the wonderful NHS"

😅

Tryphena134 profile image
Tryphena134

I agree with earlier contributors that CoCodamol would give you better pain relief I wouldn’t worry about reacting personally it is a very small dose of codeine.

My respiratory consultant says “I am just one of those allergic people who struggle with all kinds of drugs”

I have had a lot of extractions the last couple of years. Get home as soon as you can and into bed with everything you need to hand for a few hours.

I am glad I had the work done then as my condition has deteriorated recently and sitting at the dentist’s with my portable oxygen on is now a bit difficult.

I’m sure you’ll be OK but good luck.

jerry12953 profile image
jerry12953

Just stop taking the Clopidogrel as suggested by the dentist. Missing a few doses will not significantly raise the chance that you might have a heart attack.

in reply tojerry12953

Thanks JerryIve never had a heart attack to my knowledge mines aortic valve disease

So yes I certainly dont want a HA on top of everything else

Cheers

I would avoid taking ibuprofen with or without any other medication, and very definitely for more than two consecutive doses. It's awful stuff and can induce gastro intestinal bleeds as I found out years ago and was told if I had lost any more blood I would have needed a blood transfusion to recover my haemoglobin levels. So if you are taking clopidogrel and are already susceptible to bleeding and bruising, ibuprofen is not something to consider in my view, paracetamol is fine.

Beta70 profile image
Beta70

My GP advised me never to take Ibuprofen whilst taking Clopidogrel but I am prescribed Co Codamol for my arthritis. However your dentist may well have advised you to stop taking Clopidogrel due to the risk of bleeding after the extraction. I was advised by my consultant to stop taking Clopidogrel for five days before a minor operation.

Thanksnhs profile image
Thanksnhs

Hi my consultant told me no one with any kind of heart issues should take ibuprofen, I take prescription co codamol but I see you have had a reaction to it. The over the counter one is a much lower dose and may help, if your doctor or practice nurse aren't available maybe the BHF nurse or phoning 111 could suggest something else. I hope everything goes well. Char

wischo profile image
wischo

Tooth extraction I find is now painless and as long as there is no after infection paracetamol is more than enough for me. That said there are loads of strong pain killers out there that are heart friendly but the medical profession will always try and avoid giving them to you as most can be abused, which is ridiculous as you will only want one or two. Not sure when you last had a dental procedure but really they are so good now you will feel nothing.

Beatle45 profile image
Beatle45

Read the patient information leaflet that comes with the medication, it will tell you in there.

UPDATE

SO TODAY I managed to find a very nice pharmacist in a Tesco supermarket pharmacy, without a massive queue, who patiently took the trouble and time to explain and have a chat with me

And I am categorically NOT allowed any ibuprofen, I also checked abt the ibuprofen and diclofenac skingels that I used to have for my dodgy knees, not allowed either

So its paracetamol and she cautioned abt the co codamol as Id had a reaction to a small dose of codeine in AE aft a fall yrs ago

My late Mum had co codamol for severe arthritis so I know the side effects of that

So Itll be "man up get on with it" and itll hopefully settle by the Thurs when im then off to Dermatologyfor a "punch biopsy" of a "zygomatic arch cyst " on my poor face,

I was never a great beauty in all my years but for heavens sake what next

Think its called "getting yr moneys worth out of the wonderful NHS"

😅

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