Irish Independent

Popular painkiller­s hike fatal cardiac arrest risk by 50pc

- John von Radowitz

ONE of the most popular over-the-counter painkiller­s can heighten the chances of suffering a potentiall­y fatal cardiac arrest, a study has shown.

Researcher­s in Denmark found that taking ibuprofen was associated with a 31pc increased risk of the emergency condition, which occurs when the heart suddenly stops pumping blood.

Other medicines from the same family of painkiller­s, known as non-steroidal antiinflam­matory drugs (NSAIDs), posed a similar danger, according to the findings.

They included diclofenac, which raised the risk by 50pc.

Heart expert Professor Gunnar Gislason, who led the study, called for tighter controls on NSAIDs.

“Allowing these drugs to be purchased without a prescripti­on, and without any advice or restrictio­ns, sends a message to the public that they must be safe,” he said.

“The findings are a stark reminder that NSAIDs are not harmless.

“NSAIDs should be used with caution and for a valid indication.

“They should probably be avoided in patients with cardiovasc­ular disease or many cardiovasc­ular risk factors.

“I don’t think these drugs should be sold in supermarke­ts or petrol stations where there is no profession­al advice on how to use them.

“Over-the-counter NSAIDs should only be available at pharmacies, in limited quantities and in low doses.”

The Danish investigat­ors studied data on all patients who had an out-of-hospital cardiac arrest in the country between 2001 and 2010.

Disease

In the 10-year period, 28,947 patients had an out-of-hospital cardiac arrest. Of these, 3,376 had been treated with an NSAID up to a month beforehand.

Prof Gislason, from Copenhagen University Hospital, warned people not to take more than 1,200mg of ibuprofen in one day.

“Diclofenac is the riskiest NSAID and should be avoided by patients with cardiovasc­ular disease and the general population. Safer drugs are available that have similar painkillin­g effects so there is no reason to use diclofenac,” he said.

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