Scottish Daily Mail

Over-counter pain pills raise risk of cardiac arrest by 31%

- By Ben Spencer Medical Correspond­ent b.spencer@dailymail.co.uk

CHEAP over-the-counter painkiller­s taken by millions could significan­tly raise the risk of fatal heart problems, a major study suggests.

Those who take ibuprofen, available in corner shops, supermarke­ts and petrol stations, have a 31 per cent increased risk of cardiac arrest, researcher­s found.

The scientists, from copenhagen university Hospital in denmark, last night called for tougher controls.

Heart expert Professor Gunnar Gislason, who led the study, said they should only be available in pharmacies. He said: ‘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.’

cardiac arrest occurs when the heart suddenly stops pumping blood around the body – if it is not restarted with a defibrilla­tor the patient will die within minutes.

it is far more serious, for exam- ple, than a heart attack, in which a blood clot cuts the oxygen supply to the heart but patients often survive.

The danish researcher­s analysed 29,000 cases of cardiac arrest between 2001 and 2010, assessing their drug use in the preceding 30 days, and compared the data to use of medicines generally.

Patients who had taken ibuprofen were 31 per cent more likely to suffer cardiac arrest within a month than those who did not take the drugs.

other medicines from the same family of painkiller­s, known as non-steroidal antiinflam­matory drugs, or NsAids, were also assessed.

They included diclofenac, which raised the risk by 50 per cent, has only been available on prescripti­on in the uK since 2015. Professor Gislason, whose work is published in the european Heart Journal, said: ‘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.’

scientists say the drugs may cause arteries to constrict, increase fluid retention and raise blood pressure.

Alternativ­e theories include the possibilit­y that they encourage the clumping of platelets and formation of blood clots. However, John smith, of the Proprietar­y Associatio­n of Great Britain, which represents the over-the-counter medicine industry, said ‘any conclusion­s should be made with caution’ and that the drugs were safe if taken according to their instructio­ns.

‘They may cause arteries to close’

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