Six cardiologists co-authored the recently updated guidelines for use of pain medications. Patients with arthritis and others who need to take pain relievers several times a week, were advised to pay closer attention to choices and talk with their doctor.

• Pain Medications: Consider Your Options Carefully

The updated guidelines which were announced by the American Heart Association (AHA) take into account the increased risk for heart attacks and strokes which have been attributed to COX-2 selective inhibitors and all other NSAIDs (nonsteroidal anti-inflammatory drugs). The AHA also recommends that pain medications be tried in a specific order to minimize risk while finding effective relief for pain. Do rheumatologists who specialize in treating patients with chronic arthritis pain agree with the new recommendations?

An article in Family Practice News (Volume 37, Issue 9) reports that Dr. Roland Moskowitz, a rheumatologist and professor of medicine at Case Western Reserve University in Cleveland, Ohio has "mixed feelings" on the recommendations put forth by the AHA. Moskowitz suggests that rheumatologists, who specialize in treating patients with arthritis and related conditions, see the need for the medications in question but he also agrees doctors and patients should be cautious. Rheumatologists are aware of cardiac risks but must balance gastrointestinal risks and effective pain control. The role of NSAIDs is a debate that will continue for some time. For your specific situation, ask your doctor to explain why a certain pain medication is chosen over another. Understand the benefits and risks.

More Related Resources:

• The Facts of NSAIDs
• FDA Announces Changes for All NSAIDs
• 20 Questions About FDA Actions for All NSAIDs
• Safety of Arthritis Drugs: Weighing the Risks and Rewards

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