Pain reliever Diclofenac can harm the heart

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In high doses, the pain reliever diclofenac can harm the heart

Pain relievers with the active ingredient diclofenac pose a risk of cardiovascular diseases when used in high doses. The Federal Chamber of Pharmacists in Berlin issued this warning.

Risk of cardiovascular diseases
As the Federal Chamber of Pharmacists in Berlin pointed out, painkillers with the active ingredient diclofenac in high doses can lead to health problems. Dr. Andreas Kiefer, President of the Federal Chamber of Pharmacists, said: "Diclofenac in higher doses can increase the risk of cardiovascular diseases such as heart attacks." The board relies on information from the European drug approval authority PRAC.

Do not take for a long time
According to the PRAC, there is an increased risk with amounts of 150 milligrams (mg) per day that are taken over a long period of time. The analgesic and antipyretic agent can also be obtained without a prescription, but only in doses of up to 75 mg per day. The pharmacist advises not to take diclofenac in an amount of 25 to 75 mg for fever for longer than three days. The same dose should not be taken for more than four days in pain. Kiefer praised: “I would like to thank our pharmaceutical commission for informing the pharmacies. In this way, pharmacists stay up to date with the latest scientific developments and make drug therapy for their patients safer. ”

Do not stop taking without consulting a doctor
The benefit-risk ratio for diclofenac is rated positively. However, if high doses or a longer intake period have been prescribed, you should consult your doctor. However, warned against unauthorized action: "These new recommendations are no reason to panic - therefore, no patient should stop prescribed pain medication without consulting the doctor."

Some should give up entirely
People suffering from heart failure, angina pectoris or the so-called window disease should avoid diclofenac altogether. Likewise, patients with circulatory disorders in the brain or after a heart attack. And careful handling of such pain relievers is advised for people who suffer from high blood pressure, fat metabolism disorders or diabetes or who are smokers.

Withdraw approval worldwide?
Diclofenac is one of the most common pain relievers worldwide and belongs to the so-called non-steroidal anti-inflammatory drugs (NSAID). The World Health Authority (WHO) is listed on its list of essential medicines as NSAIDs ibuprofen and ASA, but not diclofenac. British and Canadian physicians even wrote in an older issue of PLOS Medicine: "There are strong reasons to withdraw your approvals worldwide." (Ad)

Image: Martin Berk /

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Video: How and When to use Diclofenac? Voltaren, Cataflam, Cambia, Zorvolex


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