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Medical Forum / Diseases and Disorders / Breast Cancer / June 2007Tablets question
Does anyone know why my bc nurse should ask me to stop taking my Diclofenac Sodium (NSAID)? She's left a message on my answerfone, and I can't get her again until Monday morning. I've phoned the 0808 800 6000 line and they can't think of any reason either. I need my NSAIDs for my arthritis, so it seems a bit odd. Ta heaps if you can help Jan > Does anyone know why my bc nurse should ask me to stop taking my Diclofenac > Sodium (NSAID)? [quoted text clipped - 7 lines] > Ta heaps if you can help > Jan Assuming you are not planning to be eaten by vultures (its use for veterinary purposes was found to be killing vultures in India), and don't have gastrointestinal problems, I would imagine it has something to do with the recent suggestions that there may be an increased risk of heart problems with this drug (it is being investigated following the Vioxx withdrawal). However the increase in risk, if it exists at all, is small, and I'm sure will wait until Monday. Tim Jackson >> Does anyone know why my bc nurse should ask me to stop taking my >> Diclofenac Sodium (NSAID)? [quoted text clipped - 16 lines] > > Tim Jackson I'm not stopping taking mine - although since seeing the thing about vultures I'm very careful to pick one up if we eat outside, I drop it and our hens show interest :-) My GP hasn't said anything about potential problems. My acupuncturist was concerned about gastrointestinal effects but I'd rather have heartburn and take a Rennies than have sciatic pain :-) I only rarely have gastrointestinal problems and only after bending down in the garden! Mary Mary >>> Does anyone know why my bc nurse should ask me to stop taking my >>> Diclofenac Sodium (NSAID)? [quoted text clipped - 27 lines] > I only rarely have gastrointestinal problems and only after bending down > in the garden! Haven't seen any vultures in my garden lately either Mary lol, but if I see my cat hiding I'll know the tablets are working:)) Janet >>> Assuming you are not planning to be eaten by vultures (its use for >>> veterinary purposes was found to be killing vultures in India), and [quoted text clipped - 19 lines] > Haven't seen any vultures in my garden lately either Mary lol, but if I > see my cat hiding I'll know the tablets are working:)) Nice one! Mary > Janet >> Does anyone know why my bc nurse should ask me to stop taking my >> Diclofenac Sodium (NSAID)? [quoted text clipped - 16 lines] > > Tim Jackson I've decided to keep taking them Tim, otherwise I won't be able to walk by the end of next week. I'm having surgery on July 3rd, and am sure the nurse has made a mistake. She was with me when the surgeon told me to stop taking my HRT tablets, which I did immediately. Hopefully she's just muddled them up. Thanks Jan "taking them Tim, otherwise I won't be able to walk by > the end of next week. I'm having surgery on July 3rd, and am sure the > nurse has made a mistake. She was with me when the surgeon told me to stop > taking my HRT tablets, which I did immediately. Hopefully she's just > muddled them up. > Thanks > Jan It is common surgical practice here where I live to STOP NSAIDs prior to surgery. NSAIDs can prolong bleeding and there is no antidote ( like blood thinners have). In larger doses it can effect renal and liver function ( which anesthesia taxes). The nurse should have suggested an alternate pain medication prior to surgery which does not cause bleeding issues such as Tylenol. Alex > "taking them Tim, otherwise I won't be able to walk by >> the end of next week. I'm having surgery on July 3rd, and am sure the [quoted text clipped - 10 lines] > alternate pain medication prior to surgery which does not cause bleeding > issues such as Tylenol. I've had about 12 general anaesthetics for joint replacements over the last 10 years, Alex, and I've never been asked to stop taking my NSAIDs before. I don't have pain as such, just inflammation and stiffness of the joints. I'll see what they say on Monday and report back Jan >> "taking them Tim, otherwise I won't be able to walk by >>> the end of next week. I'm having surgery on July 3rd, and am sure the [quoted text clipped - 17 lines] > I'll see what they say on Monday and report back > Jan Stopping before surgery is common, but not this long before surgery, I would think. >>> "taking them Tim, otherwise I won't be able to walk by >>>> the end of next week. I'm having surgery on July 3rd, and am sure the [quoted text clipped - 19 lines] > Stopping before surgery is common, but not this long before surgery, I > would think. Yes, I'm inclined to agree with you. I'll be asking about that on Monday. Janet > I've had about 12 general anaesthetics for joint replacements over the > last 10 years, Alex, and I've never been asked to stop taking my NSAIDs > before. I don't have pain as such, just inflammation and stiffness of the > joints. > I'll see what they say on Monday and report back > Jan http://www.arthritis.org/preparing-for-surgery.php According to the standard of care here in the US, patients are requested to go off NSAIDs. I don't believe waiting until Monday to clarify will change a thing. My Dad had taken a aspirin prior to emergent surgery and they had to cancel surgery due to a prolonged bleeding time. They tried to give him plasma no luck, had a hematologist see him, etc but it was a wait and see situation. It was almost 2 weeks before they could safely do his surgery. I do believe he was on the extreme end of waiting for his bleeding time to return to normal. Good luck with your surgery and let us know if the message was right. Alex >> I've had about 12 general anaesthetics for joint replacements over the >> last 10 years, Alex, and I've never been asked to stop taking my NSAIDs [quoted text clipped - 15 lines] > > Good luck with your surgery and let us know if the message was right. Thanks for that link Alex. Yes, I'll post back on Monday. After reading that link I can see the message might have been right. If it is, I shall ask if I can take them for a while longer, or as long as possible. Jan >>My Dad had taken a aspirin prior to emergent surgery and they had to > cancel surgery due to a prolonged bleeding time. That reminds me of the old joke about the autocratic and much feared consultant doing grand rounds with a bunch of medical students. While reviewing a surgical case he spots one student's attention drifting and decides on a snap test. "You! Jones! What's the bleeding time?" "Uh? What? Oh. Er, it's half past two sir." Tim >>>My Dad had taken a aspirin prior to emergent surgery and they had to >> cancel surgery due to a prolonged bleeding time. [quoted text clipped - 6 lines] > > Tim Nice one Tim Jan >>>My Dad had taken a aspirin prior to emergent surgery and they had to >> cancel surgery due to a prolonged bleeding time. [quoted text clipped - 6 lines] > > Tim Doctor in the House :-) Mary >>>>My Dad had taken a aspirin prior to emergent surgery and they had to >>> cancel surgery due to a prolonged bleeding time. [quoted text clipped - 10 lines] > > Mary James Robertson Justice was the autocratic etc. consultant. I think Dirk Bogard gave the answer but could be wrong about that. Mary > "taking them Tim, otherwise I won't be able to walk by >> the end of next week. I'm having surgery on July 3rd, and am sure the [quoted text clipped - 12 lines] > > Alex Interesting. It hasn't been an issue when I've had surgery while taking Diclofenac (as well as co-codamol and dihydrocodeine). I've been told not to stop taking anything - then they've dished out paracetamol to help with post surgical pain even when I've said I neither need it nor want it! This isn't really the place do discuss this but I've recently begun a course of acupuncture (my GP suggested that it might help) to see if my neurological back, hip and leg pain can be alleviated. So far there seems to be some improvement, I'm not rattling as much from the number of pills I down. I'm hopeful. Mary > Does anyone know why my bc nurse should ask me to stop taking my > Diclofenac Sodium (NSAID)? [quoted text clipped - 7 lines] > Ta heaps if you can help > Jan After the nurse consulted with the surgeon today I've been told to stop taking my NSAIDs one or two days before surgery. So I'm aiming to stop two days before the blue dye test. As mentioned in earlier posts, it's because it can prolong bleeding. Thanks to everyone for being so helpful. If I think of any more questions, I'll be back lol Jan |
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