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Question:

Must I avoid NSAIDS, given my heart history and current health?

How important is it for an 83 year old who had a very mild MI 6 years ago (and whose numbers have been great - with the aid of low dose BP meds and who is a vegetarian who exercises daily) to avoid NSAIDS to mitigate arthritic neck pain?  Sadly, Tylenol hardly helps at all.

submitted by Neil from Chicago on 10/10/2012

Answer:

by Texas Heart Institute cardiologist, George Younis, MD    

George Younis, MDIt's impossible at this point to quantify an individual patient’s risk of using NSAIDs in the presence or history of heart disease.  Certainly several observational studies suggest increased cardiac risk with these medications.  Still, it is reasonable to use a nonselective NSAID such as naproxen, at the lowest effective dose and frequency, in patients with musculoskeletal pain which does not respond to acetaminophen.      

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Updated October 2012
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Texas Heart Institute Heart Information Center
Through this community outreach program, staff members of the Texas Heart Institute (THI) provide educational information related to the prevention, diagnosis, and treatment of cardiovascular disease. It is not the intention of THI to provide specific medical advice, but rather to provide users with information to better understand their health and their diagnosed disorders. Specific medical advice will not be provided and THI urges you to visit a qualified physician for diagnosis and for answers to your questions.
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