If not an NSAID, then what?!?

By Gulcherboy Latest Reply 2012-07-23 22:54:08 -0500
Started 2011-12-28 18:44:19 -0600

Okay, I get it that NSAIDs are bad for me now that I have CHF. But I'm 51 years old and suffer all the aches and pains that go along with that. I have teen-aged children and all of the headaches that go along with that. I sometimes have trouble sleeping and an NSAID-PM sure helps get me through the night.

Given that it will be about four months before I can see a doctor, I need to know now; if I can't use NSAIDs, just what can I use for these problems? I sure don't want to use morphine or oxycodone!

I will thank you in advance for any thoughts/ideas/solutions you can share.

7 replies

Roses4me 2012-07-23 18:59:49 -0500 Report

my heart failure clinic told me tylenol only. no ibuprofen, aspirin, mag sulfate, etc

HeartHawk 2012-07-23 22:54:08 -0500 Report


Yup, Tylenol (acetaminophen) is the preferred product as it is considered an analgesic (pain reliever) and anti-pyretic (fever reducer) but not an anti-inflammatory (as in non-steroidal anti-inflammatory drug or NSAID). It does however have mild anti-inflammatory properties as, like aspirin, it inhibits prostaglandin production.


CWMecca 2012-01-08 17:10:46 -0600 Report

Stupid question probably. Is Tylenol or Acetaminophen an NSAID? I get migraines and I used to take Excedrin Migraine. Can I take that now?

HeartHawk 2012-02-11 23:29:47 -0600 Report


NSAID is short for non-steroidal, anti-inflammatory drug. Acetaminophen is non-steroidal but is considered a weak anti-inflammatory so it not typically classified as an NSAID.

Conversely, aspirin is considerd an NSAID. I believe Excedrin Migraine contains both plus caffeine which is a central cerebral vaso-constrictor and probably helpful in migraine treatment but not without other well-known heart side effects!

The best answer is to ask your doc who is familair with your ENTIRE health history.


Gulcherboy 2012-01-08 20:46:51 -0600 Report

Tylenol is an NSAID. Not only is it bad for CHF patients, but about six weeks ago — before I was diagnosed — I spent an evening digging out from under the rubble of the rhetorical roof that caved in on me when my Facebook friends who are nurses let me know just how bad Tylenol is for my liver. And now I see there is one of those "As Seen on TV" class action lawsuits involving it. It's all convinced me to stay away from it. And Excedrin Migraine at aceteminophen and aspirin in it — both are NSAIDs, but I will probably risk it when I get a migraine because it works so well for me and because (thank God!) I don't get migraines too often any more.

HeartHawk 2011-12-29 22:47:51 -0600 Report


In many studies aspirin was excluded from other NSAIDs as a precursor to CHF. Ask your doc or physicians aid if aspirin may be right for you.


Gulcherboy 2011-12-30 08:52:22 -0600 Report

Thank you! That's GREAT news — and aspirin is cheap, to boot! At least now I can take something for a headache!

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