HOME >> MEDICINE >> NEWS
AHA statement recommends doctors change approach

Many doctors should change the way they prescribe pain relievers for chronic pain in patients with or at risk for heart disease based on accumulated evidence that nonsteroidal anti-inflammatory drugs (NSAIDs), with the exception of aspirin, increase risk for heart attack and stroke, according to an American Heart Association statement published today in Circulation: Journal of the American Heart Association.

"We believe that some physicians have been prescribing the new COX-2 inhibitors as the first line of treatment. We are turning that around and saying that, for chronic pain in patients with known heart disease or who are at risk for heart disease, these drugs should be the last line of treatment," said Elliott M. Antman, M.D., FAHA, lead author of the American Heart Association scientific statement and Professor of Medicine at Harvard Medical School and Brigham and Women's Hospital.

"We advise physicians to start with non-pharmacologic treatments such as physical therapy and exercise, weight loss to reduce stress on joints, and heat or cold therapy. If the non-pharmacologic approach does not provide enough pain relief or control of symptoms, we recommend a stepped-care approach when it comes to prescribing drugs," he added.

"Take into account the patient's health history and consider acetaminophen, aspirin and even short-term use of narcotic analgesics as the first step. If further relief is needed, physicians should suggest the least selective COX-2 inhibitors first, moving progressively toward more selective COX-2 inhibitors, which are at the bottom of the list, only if needed. All drugs should be used at the lowest dose necessary to control symptoms and prescribed for the shortest time possible."

Drugs in the NSAIDs class work by inhibiting cyclooxygenase (COX), an enzyme system that comes in two major forms: COX-1, which the body produces constantly in most tissues, and COX-2, produced during the body's inflammatory response. Becaus
'"/>

Contact: Cathy Lewis
cathy.lewis@heart.org
214-706-1324
American Heart Association
26-Feb-2007


Page: 1 2 3

Related medicine news :

1. CHPA statement regarding Monitoring the Future findings on cough medicine abuse
2. International AIDS Vaccine Initiative statement on male circumcision
3. AASM position statement: Treating insomnia with over-the-counter sleep aids, herbal supplements
4. American Thoracic Society publishes new statement on hepatotoxicity of antituberculosis therapy
5. NHLBI and NIH statements on totally implanted permanent artificial heart
6. ESC statement on the CHARISMA trial on Clopidogrel (Plavix)
7. ESC issues policy statement on reperfusion therapy
8. Joint statement on Savvy Phase 3 trial in Ghana to test the effectiveness of Savvy Gel in preventing HIV
9. American Dietetic Association statement on new MyPyramid
10. Study recommends universal newborn screening for cystic fibrosis
11. Task force recommends greater use of exercise testing in chronic disease

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:9/1/2020)... Calif. (PRWEB) , ... September 01, 2020 , ... As ... “safe side”, the Cohn Health Institute has taken this time to expand ... celebration of its 30th Anniversary, the Cohn Health Institute will be relaunching its brand ...
(Date:8/31/2020)... N.J. (PRWEB) , ... August 31, 2020 , ... Just found out your dear friend ... It’s heartbreaking when your friend or family member shares their diagnosis. Once the shock wears ... I say the wrong thing? What are the best ways to help? Words are failing ...
(Date:8/31/2020)... Colo. (PRWEB) , ... August 31, 2020 , ... ... provider of innovative higher-learning opportunities through high-quality, career-relevant, and affordable online education – ... Responder Psychology . , Among the first of its kind in the ...
(Date:8/31/2020)... ... 31, 2020 , ... In an effort to give back to the community ... of each hotel room booked with a special new rate code to benefit children ... , effective immediately. Donations will be applied to any room type, any time, ...
(Date:8/28/2020)... ... August 28, 2020 , ... Ernst & Young ... named an Entrepreneur Of The Year® 2020 Florida Award finalist. Now in its ... ambitions deliver innovation, growth and prosperity as they build and sustain successful businesses ...
Breaking Medicine News(10 mins):
(Date:9/2/2020)... ... September 02, 2020 , ... ... Penetration Technology, LLC, (APT) a Texas- and Indiana-based company ( http://www.aptt3x.com ) ... Counter (OTC) products, was today provided results of an independent laboratory evaluation ...
(Date:9/1/2020)... ... 01, 2020 , ... While coronavirus cases continue to increase across the country, ... organizations remain closed. Because about 80% of blood donations are made at drives hosted ... and blood drive hosts to ensure blood products are readily available for patients. ...
(Date:8/31/2020)... PHOENIX (PRWEB) , ... August 31, 2020 , ... ... Mobile Sanitizing and Disinfecting - a broad-spectrum sanitization, disinfection and deodorization provider ... company will offer door-to-door sanitizing and disinfecting services for businesses and residents throughout ...
Breaking Medicine Technology:
Cached News: