Can Ibuprofen increase the risk of a heart attack
and other heart problems.Ibuprofen is a common over-the-counter medication,
but does have serious and even DEADLY side effects when taken for a long time.
Coming up!
What is Ibuprofen ibuprofen?The brand name is Advil
or Motrin.It belongs to a class of drugs that we
know as non-steroidal anti-inflammatory drugs
or NSAIDS for short. How does ibuprofen work?
Ibuprofen helps with pain relief by blocking the production of
Prostaglandins. Prostaglandins are made at sites of tissue damage or
infection that are involved in dealing with
illness or injury. They are made as the body's response to
injury. What are examples of other NSAIDS? Some common over-the-counter NSAIDS
include Ibuprofen, Aspirin, Naproxen and some prescription
NSAIDS include Etodolac, Indomethacin,
Naproxen, Diclofenac.What is the most serious side effect? If Ibuprofen is
taken regularly and for a long time or at high doses
there's an increased risk of fatal heart attack or stroke
or heart disease such as congestive heart failure.
Please do not use NSAIDS before after heart bypass surgery.
Moreover, Ibuprofen can cause fatal stomach or intestinal bleeding,
this can happen all of a sudden and is especially worrisome
in older adults. If you're interested in what might happen
if you're on too many medications hit the link above.
What are other side effects of Ibuprofen? This is not a complete list,
however, some common ones to know or be aware of are
vision changes, shortness of breath, swelling in your face tongue hands or
feet, a rapid weight gain, skin rash that is
red or purple with blisters, bloody or tarry stools, coughing up blood
or vomit that looks like coffee grounds, GI
side effects such as nausea, upper stomach pain
itching, little or no urinating, dark urine, yellow or skin or eyes
which are yellow: this is called jaundice, a rapid heart rate.If you're finding
value in this video don't forget to like, share and subscribe. There's too many
side effects to remember. So WHAT do I need to ask my Doctor
before I take Ibuprofen. So, if you have heart disease
such as congestive heart failure,
coronary heart disease or had a stroke, talk to your doctor if it is safe to
take an NSAID. I will emphasize again NSAIDS can
increase their risk of heart attack, heart failure
and stroke however, if you're on low dose aspirin
this is cardio protective and you should take it as as directed by
your prescriber. If you have stomach gastritis, stomach
ulcers even a history of bleeding in your GI tract talk to your doctor
whether it is safe to take a NSAID such as Ibuprofen. If you have liver
cirrhosis or heart failure or kidney disease you
should avoid taking NSAIDS as this medication can
exacerbate these diseases. Talk to your doctor if
you have high blood pressure and you want to take an NSAID as they
can raise your blood pressure. There are certain
disorders that can increase bleeding such as hemophilia; so talk to your
Doctor or your provider if it is safe to take an NSAID. Usually
if you are scheduled to have surgery and NSAIDS are
stopped several days to a week before surgery. If you are on
other medications which can increase the risk of bleeding
such as Aspirin or Coumadin talk to your provider to see if it is safe
to take an NSAID such as Ibuprofen.
AVOID NSAIDS during the last three months of pregnancy
it increases the chance of a premature closure of a fetal vessel.
Also, early in the pregnancy it increases the chance
of miscarriage and malformations. So when do I have to immediately stop
taking an NSAID such as Ibuprofen? If you have any signs of an allergic
reaction such as swelling of the face. lips, tongue, throat, wheezing, you have trouble
breathing or hives. If you have any signs of a heart attack
or stroke: such as a chest pain radiating to your
jaw or shoulders or your arms; if you have signs of strokes like sudden
numbness or weakness on one side of the body
and you have impaired speech or slurred speech, leg swelling.
You have sudden shortness of breath in someone, especially with underlying
Asthma. If you have acute swelling or rapid
weight gain, signs of stomach bleeding, bloody or
tarry stools, coughing up blood or vomiting that looks
like coffee grounds. Signs of liver problems such as nausea,
upper stomach pain, itching, tired, feeling fatigue flu-like
symptoms, loss of appetite dark-colored urine or clay-colored
stools, jaundice. Signs of kidney problems like
little or no urination, painful or difficult
urination, swelling in your feet or ankles, feeling tired or short of
breath and signs of a low red blood cell count
such as your pale or feeling lightheaded, short of breath,
a rapid heart rate, trouble concentrating There are some severe potentially
life-threatening skin reactions called one of them is called Toxic
Epidermal Necrolysis, another one Steven Johnson syndrome.
These are rare but can present with red or purple skin rash
that spreads causing blistering and peeling
and if you hit the link above this explores the side effects of another
common over-the-counter medication called
Benadryl. So how should I take Ibuprofen and at what dose?
The maximum amount of Ibuprofen for an adult
is 800 milligrams per dose or around 3200 milligrams per day this is about
four doses. Use only the smallest amount of
Ibuprofen needed to get relief from your pain,
swelling or fever. I recommend to take Ibuprofen
with some food to lessen stomach pain,
stomach upset. Can older adults take Ibuprofen or any other NSAIDS? I
think it is important to consider non-pharmacological approaches such as
weight reduction, stretching, increased physical activity
and therapy to help these patients who are experiencing
musculoskeletal pain. In fact, in my practice
the next step would be to use Tylenol as needed or scheduled to help
with symptom relief or symptom management.
NSAIDS are very rarely used.If a patient still requires an NSAID
GI prophylaxis should be considered in older
patients especially those with other risk factors.
So what I use in my practice is something
like what we refer to as a protein pump inhibitor:
like Omeprazole or Pantoprazole to help protect the stomach. Then the NSAID
should be started at the lowest effective dose for the
shortest period of time. I rarely use it for more
than five days, especially, in older adults. One of the rarer side
effects just for you guys to know NSAIDS can also
increase potassium especially in older adults, especially if they're
diabetics or have kidney disease. Question of the
day? Are you on an NSAID such as Ibuprofen
and have you had any side effects. If you have had side effects
please list them in the description below. If you want to see more videos
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Do it again oh my God this video took so
long. Shhh, I think I'll take a NSAID, to help with my headache!