Can Advil Increase the Risk of a Heart Attack?

0 31 May 2013

A patient of mine was recently put on high-dose ibuprofen to reduce progression of his osteoarthritis (OA), which in his case appears to be genetic in origin. His dose is 800mg three times per day. That’s pretty much the max dose and he was asked to be on that indefinitely since some research indicates that it can help in the outcome of his osteoarthritis. Today, I was alerted to a study published in The Lancet that showed elevated cardiovascular events in patients taking common anti-inflammatory drugs such as Celebrex, diclofenac and ibuprofen. The study was a meta-analysis that looked at data from over 600 trials. Meta-analyses are good studies, but they do have their limits. While I wouldn’t hang my hat on them, they are helpful in gaining a better understanding. The study found that for diclofenac (Cambia, Voltaren) and cox-inhibitors like Celebrex, the risk of a major vascular event and coronary event was about one-third higher. Ibuprofen (Advil, Motrin) had double the risk of coronary events. Naproxen (Aleve) did not have an increase in cardiovascular risk. Of course, I let my patient know that he may want to switch to naproxen instead of ibuprofen based on this new study. Having said that, I have moved most people away from these medications in general (except for short t

Posted in Blog, Health and Wellness, Vitamins by admin
0 27 March 2013

Hypothyroidism is one of the most commonly unrecognized conditions that people face today. By some estimates, up to 40% of the population may be subclinically hypothyroid. Thyroid hormone is a little bit like “how fast is the engine revving?” — too little, and you have trouble with energy, losing weight, sluggishness and a number of other physical signs and symptoms. Too much, and you may have trouble gaining weight and experience muscle wasting. Because simple lab values can be misleading, it’s very important to consider the clinical picture of symptoms to see if your thyroid gland is underperforming and preventing you from optimal health and happiness. One way to do this is to check your Basal Body Temperature. This the temperature of your body as soon as you wake up. Here’s how to do it:

  1. Get a glass or Mercury based thermometer for the readings. You’ll want to shake it down and put it by your bedside as you go to sleep. You’ll want to sleep alone so that your body doesn’t pick up heat from your spouse (you can still be in the same bed).
  2. Upon awakening, place the thermometer underneath your armpit for 10 minutes and record the temperature.
  3. Check the basal body temperature for 3 – 5 consecutive days. Women who are still menstruating should check the temperature on the first 3 days of their period. Men and post-menopausal women can check it at anytim

Posted in Blog, Health and Wellness by admin