Ibuprofin/warfarin

[masma]

I'm on Warfarin for life, Is it ok to take 2 Ibuprofin before going to bed? Arthritis in my feet keeps me awake, taking 2 Ibuprofin helps a lot.

[Buenchico]

From the NHS website:
"Ibuprofen, including ibuprofen products applied to the skin (such as gels), can interact with the following medicines . . . warfarin":
http://www.nhs.uk/Conditions/Painkillers-ibuprofen/Pages/Interactions---other-medicines.aspx

Speak to a pharmacist to find the most suitable painkiller for you.

[murraymints]

can't imagine it will hurt you to do so masma..you need to speak to your gp though and get some proper analgesics prescribed ...hope you get some sleep xx

[murraymints]

stand corrected....but speak to your doc soon as..

[Sqad]

We are worried about bleeding particularly from the stomach and intestine caused by the action of Ibuprofen and the complication of the anticoagulant warfarin.

All analgesics may.....may.....cause G.I bleeding, but Paracetamol is the least likely to do this. Does paracetamol relieve your pain and if it does, there is your answer.

If it doesn't, then you either have to "suffer" with pain OR take Ibuprofen which you know does relieve your pain, but ..may....cause bleeding.

If, just if, you bled from any cause whilst on warfarin, there are many ways in which it can be reversed.

If i were in your situation and i had taken ibuprofen before whilst on Warfarin, i would take it again at night for pain relief.

Finally....this is a difficult decision, so consult your GP for his opinion.

[masma]

Thank you all for your replies - Sqad.. doc has prescribed Co-Codamol and they help for a while but keep me awake. The only things that help are Paracetamol during the day and the two Ibuprofin before bed.