What Pain Reliever Can I Take If I Have High Blood Pressure
In addition to treating high blood pressure, heart failure, and kidney problems, over-the-counter Tylenol is often the best choice for people who have these conditions. It is recommended to take the lowest dose you can to get enough pain relief from Tylenol, however, high doses can damage the liver. The maximum daily dose of melatonin is 4,000 milligrams .
Ibuprofen And High Blood Pressure
Q. My doctor prescribed 800 mg of ibuprofen a couple of times a day for the pain and inflammation of a severely twisted knee. When I took my blood pressure a few weeks later it was 180/96. Thats much higher than my usual 124/76.
That scared me, so I searched your website for answers. I discovered that ibuprofen and high blood pressure can go together. What else can I use for the pain?
Which High Blood Pressure Medicine Has A Recall
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Is Aleve Or Ibuprofen Safer To Take If You Have High Blood Pressure And You Are On Blood Pressure Medication
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Points To Remember About Dental Care And Heart Disease
- Give your dentist a complete list of the names and dosages of all the drugs you are taking for your heart condition . This will help your dentist decide on the best treatment course for you, including the appropriate medications to use for dental procedures.
- Give your dentist the name and phone number of your doctor in case your dentist needs to speak to them about your care.
- If you are particularly nervous about undergoing a dental procedure because of your heart condition, talk with your dentist and heart doctor. Your doctors can provide you with information and work with you on strategies for controlling dental pain and easing your fears.
Million American Adults Have At Least One Type Of Cardiovascular Disease2
When recommending an analgesic, its important to consider patients heart risks. The combination of certain pain relievers with some medicinal therapies can interfere with cardiovascular treatment. Because of its safety and analgesic efficacy, the American Heart Association has identified acetaminophen as a first-line pain relief option for patients with, or at high risk for, cardiovascular disease.3*
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Stay Away From These Pain Relievers If You Have High Blood Pressure Heart Failure Or Kidney Disease: The Frugal Patient
People with high blood pressure, heart failure and kidney disease should avoid ibuprofen, sold under the brand names Advil and Motrin, and some other pain relievers because they can cause complications. Acetaminophen, sold as Tylenol, is the best first option, according to the Choosing Wisely campaign.
Some pain relievers, such as ibuprofen, can be bad for you if you have high blood pressure, heart failure or kidney disease.
The drugs are called NSAIDs, short for nonsteroidal anti-inflammatory drugs, and are sold under the names Advil, Motrin, Aleve and the prescription drug Celebrex.
They can cause all kinds of problems for people who have the above-listed health conditions.
They can, for example, raise blood pressure or make a body hold onto fluid, which can worsen heart failure symptoms such as shortness of breath and swollen ankles.
If you have any of these conditions its best to take acetaminophen, sold as Tylenol, instead. But never take more than 4,000 milligrams a day. High doses can damage the liver.
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What Prescription Pain Medications Do Not Raise Blood Pressure
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High Blood Pressure And Drug Safety
To make sure your medication for high blood pressure is working effectively, avoid certain other drugs because:
- Some medicines can make blood pressure rise. If you have high blood pressure to begin with, it can rise to dangerous levels.
- Some medications may interact with your blood pressure medicine. This can prevent either drug from working properly.
Here are common types of drugs that can make your high blood pressure worse.
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Cough And Cold Medications
Many cough and cold medications contain NSAIDs to relieve pain. As mentioned above, NSAIDs may increase your blood pressure. Cough and cold medications also frequently contain . Decongestants can make blood pressure worse in two ways:
- Pseudoephedrine is a specific decongestant that can increase blood pressure.
What can you do? Avoid using cough and cold medicine that contains NSAIDs or decongestants, especially pseudoephedrine. Ask your doctor for suggestions about other ways to ease congestion symptoms, such as antihistamines or nasal sprays.
Sympathetic Nervous System Effect On Blood Pressure
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How Should I Take Advil
Use Advil exactly as directed on the label, or as prescribed by your doctor. Use the lowest dose that is effective in treating your condition.
An ibuprofen overdose can damage your stomach or intestines. The maximum amount of ibuprofen for adults is 800 milligrams per dose or 3200 mg per day .
A child’s dose of ibuprofen is based on the age and weight of the child. Carefully follow the dosing instructions provided with Junior Strength Advil for the age and weight of your child. Ask a doctor or pharmacist if you have questions.
Take Advil with food or milk to lessen stomach upset.
Shake the oral suspension before you measure a dose. Use the dosing syringe provided, or use a medicine dose-measuring device .
You must chew the chewable tablet before you swallow it.
Store at room temperature away from moisture and heat. Do not allow the liquid medicine to freeze.
Other Options For Pain:
A. Ask your doctor whether topical NSAIDs like diclofenac gel would help your pain without causing hypertension. There is research to suggest that when diclofenac is used as a spray, gel or patch, it is substantially less likely to cause stomach upset or ulcers compared to the oral formulation . That doesnt mean it is safe, just safer than pills.
You can learn more about the advantages of Voltaren Gel at this link.
Since you discovered that you are susceptible to ibuprofen and high blood pressure, you will need to be very especially careful. You will need to monitor your blood pressure even with a topical NSAID. We have heard from readers who report good success, though.
E.B.M. gets her Voltaren Gel without a prescription when traveling:
I have been buying Voltaren Gel in Germany and Mexico while traveling. It costs usually $10-15 overseas for a large tube. It has worked great for me and my friend who has rheumatoid arthritis and sometimes muscle spasms.
I dont use a lot since it is very easily spread . My blood pressure is normal. I would not be without it and was lucky to talk the nurse out of a sample one day.
Not everyone can tolerate topical NSAIDs, though.
My doctor prescribed Voltaren Gel since pain meds upset my stomach. It didnt upset my stomach, but on the fourth day of applying it, I broke out in a rash all over my arms and legs. I had to stop using it.
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Only 12% Of Consumers Are Aware Ibuprofen May Interfere With The Cardioprotective Benefits Of Aspirin1
Ask patients about aspirin heart therapy before recommending ibuprofen
Your patients may not realize that their choice of OTC pain reliever may have consequences, depending on their health conditions and other therapies, including aspirin heart therapy regimen. Your guidance can help.
Below is a list of potential drug interactions and contraindications to consider before recommending ibuprofen. It is not a substitute for the full OTC Drug Facts label. Patients should always read and follow the product label for additional product information.
1. Coexisting medical conditions to consider before recommending OTC ibuprofen
Patients with cardiovascular disease are at increased risk for cardiovascular events when taking a non-aspirin NSAID such as ibuprofen or naproxen sodium2.
For patients on an aspirin heart therapy regimen, ibuprofen may interfere with the cardioprotective benefit of aspirin3.
Recent FDA NSAID label updates with respect to CV risks4:
GASTRITIS OR ULCERS
Patients over age 60 and patients with existing GI risks who take ibuprofen or any other NSAID are at higher risk of developing serious GI toxicities such as an ulcer or bleeding.
Patients with renal dysfunction who take ibuprofen or other NSAIDs may develop chronic kidney disease5. NSAID-related renal adverse events may be dependent on dose and duration of therapy, and can include reduced glomerular filtration, nephritic syndrome, and chronic renal failure6.