Ibroprufen use post oesphagectomy

[wherethewindblows]

I have avoided ibroprufen since op 2 years ago but have started taking for back ,and now ,arm pain .I find it works significantly better than paracetomol .

I've received no advice about this but have at back of mind something about avoiding it . But as I now take omeprazole regularly ( which I understand long term users of NASIDs are advised to do ) I wonder if in fact it's ok .

Any thoughts/experience/advice ?

[yorkshirerose]

Hi, I had a frozen shoulder after my surgery, due l was told to laying on the shoulder for 8 hours of surgery. My GP gave me ibuprofen, but after a visit to the orthopaedic consultant he told me to stop taking it immediately as ibuprofen increases stomach acid. I did notice a difference after l stopped taking it.

Hope this helps 😊

Edwina

[chris_usa]

I would avoid long-term use of any NSAIDs, which include aspirin, ibuprofen, and naproxen, among others. Acetaminophen (Tylenol or Paracetamol) does not harm the GI tract the way that NSAIDs do. It may not work as well, but much safer and easier on the stomach. Occasional use of NSAIDs (ie headache) is OK, unless you notice major symptoms of GI distress.

Omeprazole helps, but doesn't eliminate the danger of NSAIDs, which work locally as acidic drugs but also decrease certain body chemicals which protect the stomach.

With long-term use of NSAIDs, the risk of stomach and duodenal ulcers and damage increase. And in patients after esophagectomy, we have enough problems without creating more. If you do choose long-term use of NSAIDs, make sure you are aware of signs and symptoms of GI bleeding and ulcer. \wc

[david001]

I've always found ibuprofen/Nurofen a preferable/faster painreliever to paracetemol but been persuaded to go back to paracetemol as:

i) it's apparently kinder on the stomach

ii) has less effect on blood pressure

This excludes ibuprofen gel which is absorbed locally

A pharmacist might wish to comment further