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RE: Common Painkillers Increase the Risk of Heart Attacks

in #health8 years ago (edited)

chronic pain may itself up your risk of cardiovascular diseases so we need more information before reading too much into this.

This is a good point.

depression can increase cardiovascular outcomes like MI by a factor of 2-4 times (depending on the exact outcome) and that dwarfs the magnitude of the risk here quite significantly.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2771193/

2.6 fold increase in congestive heart failure occurrence for depression. Would have to look for more to find MI. But yeah seems like many confounding factors.

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Thanks for finding that link - yes it is quite striking! Another interesting point is that NSAIDs may be able to treat depression - it is still controversial but I have seen a number of studies that suggest this so would be interesting to examine this interaction.

I've never read anything about Cox inhibition and depression before. Might have to look into that a bit. Seems interesting.

The hypothesis is that it is based on the idea of depression being caused by a chronic inflammatory process. I seem to remember something in relation to paracetamol (acetaminophen) and depression too and obviously the mechanisms would be similar.

Tylenol is functional at inhibiting cox-2 in the CNS so it makes sense that it may help we're depression and inflammation linked.

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