14/08/2024
REMEMBER WHILE PRESCRIBING ANALGESICS IN CARDIAC PATIENTS
⏯⏯In cardiac patients, avoid selective COX-2 inhibitors (such as celecoxib and rofecoxib)
⏯⏯The second, third and fourth lines are NSAIDs.
⏯⏯ The rule is to avoid the use of NSAIDs (second, third and fourth lines)
⏯⏯If you have to give NSAIDs, use the lowest effective doses and for the shortest
duration (3-5days)
⏯⏯ Use Proton pump inhibitors whenever possible
⏯⏯lbuprofen decreases the antiplatelet effects of aspirin if given together...So if , you have to give aspirin with ibuprofen, give both at different times;
Either to give aspirin first, then give lbuprofen after 2 hours or to give lbuprofen first, then give aspirin after 4 hours
⏯⏯Aspirin for post MI pericarditis is given Up to 1500mg per day,at that much dose the antiplatelet function of Aspirin is maintained
