Skip to content

    Arthritis Health Center

    Font Size
    A
    A
    A

    Study: Most Painkillers Up Heart Attack Risk

    But Researchers Say Risk Is Minimal for Low Doses of Painkillers

    WebMD Health News

    June 15, 2005 -- A new study shows that most prescription and over-the-counter painkillers increase the risk of heart attacks.

    In the wake of the largest study to date showing most nonsteroidal anti-inflammatory drugs (NSAIDs) -- including ibuprofen, naproxen, and Celebrex -- increase the risk of heart attacks in people with arthritis, experts are once again urging all involved to weigh their individual risks when choosing a painkiller.

    "This is a class effect of all the drugs," researcher Gurkirpal Singh, MD, professor of medicine, immunology, and rheumatology at Stanford University Medical School in Palo Alto, Calif., tells WebMD. Singh's study was presented at the Annual European Congress of Rheumatology in Vienna, Austria.

    But the study shows the risk is minimal at lower doses.

    This controversy over painkillers and heart attacks first focused on drugs like Vioxx, Bextra, and Celebrex -- so called Cox-2 drugs. But Singh points out that even traditional anti-inflammatory painkillers carry this heart risk.

    "All the hysteria was over the Cox-2 drugs, and we are saying that it's not just Cox-2 ... drugs that are doing it. It could occur with any NSAID." He says that some of the older, traditional NSAIDs are associated with the highest heart risk.

    New Warnings

    Last April, the FDA issued new label warnings for all anti-inflammatory painkillers -- prescription and over the counter.

    Prescription painkillers will now carry "black box" alerts warning of heart disease and stroke risk. Over-the-counter brands -- usually taken at lower doses and for a shorter amount of time -- must alter their labels to include more risk information. At the same time, the FDA stressed that there was no increased risk from short-term use of over-the-counter painkillers. They recommend checking with your doctor if you need over-the-counter painkillers for more than 10 days.

    Aspirin is not included in the warnings as there is strong evidence that it can help prevent heart disease. Acetaminophen (Tylenol) is not an anti-inflammatory drug and also is not included in the warnings.

    Drugs With the Highest Risk

    Indomethacin (Indocin) and sulindac (Clinoril) -- both traditional NSAIDs -- had the highest risk in the new study. Indomethacin increased heart risk by 71% and sulindac by 41%.

    1 | 2 | 3

    Today on WebMD

    Mature woman exercise at home
    Hint: Warming up first is crucial.
    feet with gout
    Quiz yourself.
     
    woman in pain
    One idea? Eat fish to curb inflammation.
    senior couple walking
    Can you keep your RA from progressing?
     
    xray of knees with osteoarthritis
    Slideshow
    close up of man wearing dress shoes
    Slideshow
     
    feet with gout
    Quiz
    close up of red shoe in shoebox
    Slideshow
     
    salad
    Video
    two male hands
    ARTICLE
     
    Woman massaging her neck
    Quiz
    5 Lupus Risk Factors
    Article