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Is Ibuprofen Safe For Menstrual Cramps While Having FVL Mutation?

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Posted on Mon, 7 Dec 2015
Question: I have Factor V Leiden Heterozygous. I have never had a blood clot or had to take blood thinners. I wanted to see if it is safe to take Ibuprofen for menstrual cramping with having Factor V? I've been taking it and then thought maybe I should find out if it's something that could increase the risks of clots or if it's OK to use for this reason.
doctor
Answered by Dr. Panagiotis Zografakis (31 minutes later)
Brief Answer:
it can be used

Detailed Answer:
Hello,

having Leiden factor in heterozygous form increases the risk of thrombosis 5-7 times. Using NSAIDs may increase the risk too (up to x2). Among various NSAIDs, the selective COX-2 inhibitors seem to be the most dangerous. The rest (like ibuprofen) are less likely to cause thrombosis. Aspirin actually protects against thrombosis!

The absolute risk for thrombosis is low for heterozygous Leiden patients.

So in conclusion, although the risk is higher with your condition, taking ibuprofen cannot be prohibited.

I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (4 minutes later)
So just so I understand correctly, I can take it for a few days during menstruation safely?
doctor
Answered by Dr. Panagiotis Zografakis (9 minutes later)
Brief Answer:
the absolute risk low

Detailed Answer:
The answer is that you can take it because the absolute risk is low, despite the fact that the relative risk may be higher. Paracetamol (acetaminophen) would be a much better choice in many ways, although less effective than ibuprofen.
More important things to consider regarding thrombosis risk include contraceptives and smoking.

Kind Regards!
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3815 Questions

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Is Ibuprofen Safe For Menstrual Cramps While Having FVL Mutation?

Brief Answer: it can be used Detailed Answer: Hello, having Leiden factor in heterozygous form increases the risk of thrombosis 5-7 times. Using NSAIDs may increase the risk too (up to x2). Among various NSAIDs, the selective COX-2 inhibitors seem to be the most dangerous. The rest (like ibuprofen) are less likely to cause thrombosis. Aspirin actually protects against thrombosis! The absolute risk for thrombosis is low for heterozygous Leiden patients. So in conclusion, although the risk is higher with your condition, taking ibuprofen cannot be prohibited. I hope you find my comments helpful! You can contact me again, if you'd like any clarification or further information. Kind Regards!