Di­clo­fenac must on­ly be avai­la­ble with pre­scrip­ti­on

Times of Suriname - - ENGELS -

Rad­j­en­dra Ra­mau­tar, chair­man of the As­so­ci­a­ti­on of GD Phy­si­cians (VRA), on Thurs­day ma­de it clear that it is very ir­res­pon­si­ble for pe­o­p­le to buy the strong pain­kil­ler di­clo­fenac at lo­cal phar­ma­cies wit­hout a pre­scrip­ti­on. “This me­di­ci­ne may on­ly be pur­cha­sed with a pre­scrip­ti­on be­cau­se the phy­si­cian can ex­plain to the pa­tients what the si­de ef­fects are and if the pa­tient could ha­ve an al­ler­gic re­ac­ti­on to cer­tain in­gre­dients.” Di­clo­fenac may be lin­ked with an in­crea­sed risk of heart pro­blems, a lar­ge Da­nish stu­dy sug­gests. Di­clo­fenac is a non-steroi­dal an­ti­in­flam­ma­to­ry drug (NSAID) that’s of­ten used to tre­at ar­thritis and other pain­ful joint con­di­ti­ons. In ma­ny coun­tries, it’s avai­la­ble wit­hout a pre­scrip­ti­on. Re­searchers found that the ra­te of first­ti­me car­di­o­vas­cu­lar events was 20 to 30 per­cent hig­her among pe­o­p­le who star­ted ta­king di­clo­fenac than among pe­o­p­le who star­ted ta­king ibu­pro­fen or na­proxen, which are al­so NSAIDs, or pa­ra­ce­ta­mol (ace­ta­mi­nop­hen). The­se events in­clu­ded heart at­tacks, de­vel­op­ment of an ir­re­gu­lar heart rhythm cal­l­ed atri­al fi­bril­la­ti­on, or de­ath from heart pro­blems. The ra­te of new heart pro­blems was 50 per­cent hig­her for di­clo­fenac users than for pe­o­p­le who we­ren’t ta­king any pain­kil­lers. Di­clo­fenac was al­so as­so­ci­a­ted with an in­crea­sed gastroin­tes­ti­nal bleeding risk.

Ra­mau­tar poin­ted out that most phar­ma­cies sell di­clo­fenac and that most pa­tients pre­fer this pain­kil­ler be­cau­se it is very ef­fec­ti­ve against se­ve­re pains. The phy­si­cian ma­de it clear that this pill may on­ly be used twi­ce a day be­cau­se li­ke other me­di­ci­nes it al­so has si­de ef­fects. “Di­clo­fenac is pre­scri­bed by our phy­si­cians when the pa­tient ex­plains that other pain­kil­lers are not ef­fec­ti­ve. That is why it must on­ly be avai­la­ble with a pre­scrip­ti­on. It is wi­se to know how the pa­tient re­ac­ts to this me­di­ci­ne. When things go wrong, the fa­mi­ly doc­tor must in­ter­ve­ne which is why it is wi­se to steer clear from il­legal me­di­ci­nes. One must al­ways con­sult a phy­si­cian first.”

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