Which pain killers are safe to use after a heart attack?
CEO & Chief Cardiac Surgeon,
National Heart Institute,
New Delhi
Q: I am a 38 years old man who had an anterior wall myocardial infarction six months back and am on medication for it. Stenting was not required as the blockage was not severe. I have heard that people with myocardial infarction should avoid non-steroidal anti-inflammatory drugs (NSAIDs) for pain relief. Hence, I would like to know what kind of non-NSAID medications could be taken for generalised body pain, headache, joint pain and muscle pain. I am using computer most of the time. Due to this, I have developed wrist pain and leg pain.
A:Special group of drugs called COX2 Inhibitors have been associated with heart problems and have therefore been banned and should not be taken. In general, painkillers are harmful not only to the heart and the intestinal tract but also to the kidneys and their over usage is strongly discouraged. Being a computer specialist, you should take other simple measures like adopting a comfortable posture, using proper furniture specially chair with lumbar (back) support maintaining adequate lighting, frequently taking the eyes off the computer screen and looking at distant objects and neck muscle and back exercises to prevent pain. However, should a painkiller be required, I think the safest is Paracetamol tablet. I hope I have answered your queries to your satisfaction. However, if you have any further doubts please feel free to contact us.