We have talked extensively about how various disabilities, such as arthritis, carpal tunnel syndrome, and chronic neck and back pain, can affect you and your practice. One of the ways of dealing with all of these disabilities is to take painkillers such as Advil and Aleve, or NSAIDs (non-steroidal anti-inflammatory drugs). Many people will be prescribed these medications, or take them over-the-counter, for issues ranging from a small headache to disabling pain.
However, just because these drugs are common doesn’t mean they’re completely foolproof or safe. Recently, the FDA has announced that there should be changes made to the labels of NSAIDs regarding their risks. Instead of saying that they “may cause” an increased risk of heart attack or stroke, the FDA urges that the wording should state that they do “cause an increased risk”.
In 2013, a study found that high doses of NSAIDs heightened the risk of heart attack by one-third. In a 2014 study, people taking NSAIDs were 19% more likely to die from a stroke. It is also important to understand that while higher risks occur at higher doses, the FDA warns that the increased chance of heart attack and stroke can occur as early as one week into treatment. Also noteworthy is that if you, or your family, have a history of heart disease, you are even more susceptible.
Even more interesting is that taking antidepressants and NSAIDs at the same time has been shown to heighten one’s risk for intracranial hemorrhage, which is bleeding that occurs around the brain. While the occurrence of bleeding was still relatively low (only about 6 per 1000 people studied), the combination of the two drugs increased occurrence by 60%.
This is especially relevant not only due to doctors and dentists having a great chance to develop debilitating pain due simply to their professions, but also because it is shown that doctors and dentists are also at a higher risk for depression and mental illness.
While we certainly don’t encourage you to stop taking your NSAIDs, we simply advise that you stay educated about what these medications mean for your health. We also recommend speaking with a doctor about your options and what would be best for your specific health needs. If your pain is so incapacitating that you you think you may need to file for disability, be sure to contact a disability insurance lawyer so they they can help you with the process.