ORLANDO, Fla. (Ivanhoe Newswire) -- People in pain
often reach for a common painkiller like ibuprofen. However, a new study reveals
the anti-inflammatory drug may be harmful for patients who are at high risk for
cardiovascular problems.
Cardiology researchers studied osteoarthritis patients who
were at high risk for cardiovascular problems like a stroke or heart attack.
They found when taking common ibuprofen medications such as Advil and Motrin
along with aspirin, patients were approximately nine-times as likely to have a
stroke or heart attacks compared to patients taking lumiracoxib (Prexige).
Previous research has suggested ibuprofen interferes with the heart-helping
effects of aspirin.
Researchers looked at 3,000 of the 18,325 patients who were
taking part in the Therapeutic Arthritis Research and Gastrointestinal Event
Trial (TARGET). Mark E. Farkouh, M.D., of Mount Sinai Cardiovascular Institute
in New York explained to Ivanhoe: "The mechanism here is that ibuprofen
interacts with aspirin, and it blocks the receptor for aspirin and therefore
basically negates the effects of aspirin. So here you have a strategy to protect
the patient with aspirin, and what happens is the painkiller blocks the effect
and puts the patient at risk."
Dr. Farkouh stressed the importance of having each patient's
therapy individualized. "Any medication added to your current medication needs
to be put into perspective with regards to the interaction of these drugs," Dr.
Farkouh said. "Here is a drug that is relatively safe and available over the
counter, and here we are giving it to our cardiac patients because we are afraid
of all of the drugs [prescribed to patients], and low and behold, we are causing
more heart attacks by giving this drug, which is the irony of this whole thing,"
he added.
Dr. Farkouh said the next step in the process is looking at
more patients in larger studies.
Source: Ivanhoe interview with Michael E. Farkouh, M.D.;
Study to be published in an upcoming issue of Annals of the Rheumatic
Diseases, 2007