Pain Medication Recommendations

Pain relievers known as non steroidal anti-inflammatory drugs (NSAIDs) can raise the risk of heart attack or stroke. 
This includes such widely used medications as Ibuprofen, Naproxen and Celecoxib. 

The U.S. Food and Drug Administration is currently strengthening existing label warnings on NSAIDs. 
Among their revisions:

• The risk of heart attack or stroke begins to rise within the first weeks of using an NSAID.
• The risk appears to climb in tandem with the dose.
• People with existing heart disease, or risk factors for it, are especially vulnerable.
• NSAIDs are also linked to a heightened risk of heart failure.

What should the many people with heart disease do when they have pain?

The safest approach is to first try the most conservative measures: 

• For occasional muscle or joint aches, use non-drug options such as ice or heat. 
• If that does not provide needed relief and medication is needed, start with acetaminophen (which is not an NSAID) or aspirin (an NSAID that actually protects the heart).
  
• If an NSAID is needed, read the package instructions and use the medication at the lowest dose possible, for the shortest time possible. 

When it comes to chronic pain conditions, such as arthritis, the situation becomes more difficult. In those cases, use the drugs only under medical supervision, and be especially vigilant about controlling your other heart risk factors. 

For more information and guidelines visit the American Academy of Pain Medication 

Medical Disclaimer: The information above is not intended to substitute for the advice of a physician. It is strongly suggested that any treatment be discussed with your physician prior to its use