[xokelly2]

Sorry if this question was already discussed I tried to do a search but came up with nothing.
Pt started on a new med, lisinopril. I printed up some new med teaching info and noticed no advil, aleve, ibuprofen under the instructions. I looked into and only came up with contraindicated because of "increased risk for cardiac incident". How exactly do you explain this to pt?? I know I've seen a tylenol commercial mentioning this. Does anyone have any info or know where I can research more on this to better explain to pts? Is it even a significant enough risk to avoid altogether, or at a doctors discretion? Thanks.
xokell

[hrtprncss]

If the pt's already on lisinopril, you can safely say that he's at a higher risk for incidence. For the warning, research non selective cox inhibitors.

[Fairlythere]

We have a great pharmacy at our facility. Can you ask your pharmacy rep? They are well versed in contraindications and where to find them.

[prmenrs]

http://www.drugdigest.org/DD/Interac...,4109,,00.html

I just found this site--you enter your patient's meds (including herbals and OTCs), and it tells you what the interactions are.

[banditrn]

When I worked at the hospital, the pharmacist was always my friend.

[ankagor]

there is a danger of heart attack (like in the black box of vioxx), and every cox inhibitors can cause this, not matter if they are selective or not.
above this, the nsaids can cause a nephritis, that also causes HTN- i wouldn't give my patient an ibuprofen or derivates, if he has an HTN or any kidney problems (and of coarse a peptic dis)