Understanding drug interactions can potentially save lives, yet many patients neglect to inform their doctors about over-the-counter (OTC) drugs they are using. Many people incorrectly assume that medicines available without a prescription must be safe. However, just like prescription drugs, some OTCs can cause adverse drug interactions, ranging from minor discomfort to disaster.
One notable group of medicines that can be dangerous for heart patients includes nonsteroidal anti-inflammatory drugs (NSAIDs). Both prescription and OTC NSAIDs are commonly used to treat arthritis pain.
In recent years, it has become clear that newer NSAIDs called COX-2 inhibitors can raise the risk of heart attacks. As a result, many COX-2 inhibitors have been removed from the market. However, new research shows that older NSAIDs, such as Diclofenac, are associated with heart attack risks similar to those COX-2 NSAIDs. This is particularly concerning since older NSAIDs are widely used throughout the Western world, and many countries sell them without a prescription.
NSAIDs are popular for treating numerous conditions involving pain, swelling, and movement limitations that are linked to inflammation, such as arthritis. They may be given in prescription form or purchased at a drug store. Familiar OTC NSAIDs include Advil and Motrin.
Widespread Problem with NSAIDs
Recent research by Dr. Morten Schmidt and his team revealed that 60% of the adult population in Denmark was prescribed NSAIDs in a ten-year period. Heart patients accounted for up to 40% of this group.
The situation in the United States may be worse. National Ambulatory Medical Care Survey data show that approximately 89% of patients were prescribed NSAIDs between 2000 and 2007.
To address this issue, Dr. Schmidt’s team has formulated guidelines to help doctors identify the potential risks of prescribing NSAIDs. They hope that this will curtail dangerous prescriptions and educate patients about avoiding OTC NSAIDs.
Natural Alternatives for Pain Relief
Rather than taking NSAIDs, consider these natural solutions for relieving arthritis pain:
- Omega-3 fatty acids – Found in salmon, herring, and trout. Borage oil (1.4 grams daily), krill oil (1 gram daily), and cod liver oil (2 tablespoons daily) are also good sources of this nutrient. Krill supplements tend to provide the highest quality and most effective benefits.
- Turmeric (curcumin) – This spice can protect joints and enhance liver health by inhibiting COX-2 and 5-lipoxegenase inflammation pathways. Add turmeric to your favorite dishes, or try out a recipe for Golden Milk, a beverage made with turmeric.
These natural remedies can help reduce inflammation:
- CoEnzyme Q10 – Take 100 mg to 200 mg daily.
- Avocado – Incorporate this fruit into your meals.
- Ginger – Consuming 500 mg to 1,000 mg daily can improve blood flow to the joints and enhance lubrication.
Remember, always talk to your doctor about any over-the-counter medications or natural remedies you are taking, as well as any potential interactions with prescription medications. Awareness of drug interactions is crucial to your health and could even save your life.
