Q:I suffer from heart disease and take aspirin and Plavix as blood thinners, as well as Lipitor and fish oil to lower cholesterol. The medical literature suggests that ibuprofen interferes with the heart benefits of aspirin and may cause an increase in heart attacks. I need an anti-inflammatory drug for muscle aches and joint pain. What can I take safely?
Answer: Low-dose aspirin appears to protect against heart attacks, but NSAID pain relievers such as ibuprofen (Advil, Motrin), naproxen (Aleve) and diclofenac (Cataflam, Voltaren) might counteract this benefit. NSAIDs raise blood pressure, cause fluid retention and can worsen heart failure. Such drugs can be hard on the digestive tract and kidneys. They also can interact with Plavix to increase the risk of gastrointestinal bleeding.
Acetaminophen may be a safer option, or you might want to consider food remedies. Many readers have found gin-soaked raisins, tart cherry juice, pineapple juice or grape juice mixed with vinegar or with Certo helpful.
Q:You often have questions on nosebleeds, particularly on whether using certain products in the nose would cause lung problems. I have had many nosebleeds through the years and not long ago had to go to the emergency room to get one stopped.
Some doctors have told me to use Neosporin or Bacitracin in my nostrils. Others say these products could cause lung problems. The only product I've found that works and is safe is Ayr Saline Nasal Gel.
I have sleep apnea and use a CPAP mask that tends to dry out my nose. I got this tip from a doctor.
Answer: A CPAP mask is a respiratory device that helps people breathe properly while sleeping and prevents snoring. Because it pushes air into the nose, the nostrils may become dry.
Pulmonologists have warned that regular use of petroleum jelly or similar products in the nose could lead to lung inflammation. Water-based saline gels or sprays (like Ayr) are safe and effective.
In their column, Joe and Teresa Graedon answer letters from readers. You can e-mail them via their Web site: www.PeoplesPharmacy.com.
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