Daniel J. DeNoon, "Painkiller Risk: High Blood Pressure", Web MD,
February 26, 2007,
Link: http://www.webmd.com/hypertension-high-blood-pressure/news/20070226/painkiller-r
isk-high-blood-pressure

The most widely used medicines in the world -- over-the-counter pain
drugs -- raise a person's risk of high blood pressure.

It's true for men as well as for women, suggest new findings from Gary
C. Curhan, MD, ScD, and colleagues at Brigham and Women's Hospital and
Harvard Medical School, Boston.

The drugs in question include:

* NSAIDs such as ibuprofen (brand names include Advil and Motrin) and
naproxen (brand names include Aleve and Naprosyn)
* Acetaminophen (brand names include Tylenol)
* Aspirin

"Even though these medications can be bought without a prescription,
you have to think twice before taking them," Curhan tells WebMD.

Curhan's team studied more than 16,000 male health professionals who
did not already have high blood pressure. Their average age was 65.

Four years after entering the study, nearly 2,000 of the men had
developed high blood pressure. High blood pressure -- called "the
silent killer" by the American Heart Association -- can lead to
stroke, heart attack, heart failure, or kidney failure.
More Blood Pressure Risk With Daily Painkillers

The study found that, compared with men who did not use pain
relievers, the risk of high blood pressure:

* Went up 38% in men who took NSAIDs six or seven days a week.
* Went up 34% in men who took acetaminophen six or seven days a week.
* Went up 26% in men who took aspirin six or seven days a week.

That doesn't sound like a lot. But since the drugs are so widely used,
the impact is huge. Curhan estimates that a 65-year-old man has a 3%
annual risk of high blood pressure. With daily painkiller use, that
risk becomes 4% a year.

That 1% difference seems small, but it multiplies over time. Over just
four years, a man's 12% risk of high blood pressure becomes 16%.

The findings aren't a total surprise, says Steven Nissen, MD, chairman
of the Cleveland Clinic's department of cardiovascular medicine and
president of the American College of Cardiology.

"There has been a suspicion that all of these analgesics -- even a so-
called safe analgesic like acetaminophen -- can raise blood pressure,"
Nissen tells WebMD.

He notes that the design of the study does not definitively prove that
these drugs raise the risk of high blood pressure. Only a full-scale
clinical trial can do that. But Nissen says it's "probably true" that
acetaminophen and other common painkillers raise blood pressure. 'Over-
the-Counter' Doesn't Mean 'Safe'

Nissen warns that just because you can buy a drug without a
prescription doesn't mean it's safe.

"Some of the most risky medications out there you can buy over the
counter," he says.

For some people, the drugs' risks outweigh their benefits. For others,
the benefits still far outweigh the risks.

"This doesn't mean you should never take these drugs," Curhan says.
"But if you are taking them long term, it is important to talk to your
health care provider to see if there are alternative ways of
preventing your symptoms."

Curhan and colleagues report their findings in the Feb. 26 issue of
Archives of Internal Medicine.