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Takes Warfarin. Has Arthritis In Base Of Spine And Is Painful. Advised Anti Inflammatories. Suggest?

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Posted on Thu, 1 Aug 2013
Question: My 87 year mother takes warfurin. She has arthritis in the base of the spine and is in extreme pain at he moment. She has been advised not to take anti inflammatories. Are there any alternatives to warfarin or anti inflammatories she coul d take.
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Answered by Dr. Anil Grover (1 hour later)
Hi,
welcome to health care magic.
why is your mother on warfarin you did not revealed.
is it necessary for her health.

because any oral anticoagulant can have interaction with anti inflammatory drugs.

NSAID (COX-2 Inhibitor): May enhance the anticoagulant effect of Vitamin K Antagonists.
you can try acetaminophen for pain , but this
May enhance the anticoagulant effect of warfarin. Most likely with daily acetaminophen doses >1.3 g for >1 week.
so with monitoring PT with INR regularly , and under care of your doctor you can try it.
Or otherwise you can try skin patches of analgesic, or ointment after a spine specialist advise.
thank you.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Anil Grover

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Practicing since :1981

Answered : 922 Questions

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Takes Warfarin. Has Arthritis In Base Of Spine And Is Painful. Advised Anti Inflammatories. Suggest?

Hi,
welcome to health care magic.
why is your mother on warfarin you did not revealed.
is it necessary for her health.

because any oral anticoagulant can have interaction with anti inflammatory drugs.

NSAID (COX-2 Inhibitor): May enhance the anticoagulant effect of Vitamin K Antagonists.
you can try acetaminophen for pain , but this
May enhance the anticoagulant effect of warfarin. Most likely with daily acetaminophen doses >1.3 g for >1 week.
so with monitoring PT with INR regularly , and under care of your doctor you can try it.
Or otherwise you can try skin patches of analgesic, or ointment after a spine specialist advise.
thank you.