Acetaminophen, Nonsteroidal Anti-Inflammatory Drugs, and Hypertension. Issue 9 (7th July 2022)

• Record Type: Journal Article
• Authors: Spence, J. David; Grosser, Tilo; FitzGerald, Garret A.
• Is Part Of: Hypertension. Volume 79:Issue 9(2022)
• Page Start: 1922
• Page End: 1926
• Publication Date: 2022-07-07
• Subjects: acetaminophen -- blood pressure -- nonsteroidal anti-inflammatory drugs -- prostacyclin -- thromboxane; Hypertension -- Periodicals; Hypertension -- Treatment -- Periodicals; 616.132005
• DOI: 10.1161/HYPERTENSIONAHA.122.19315
• Languages: English
• ISSNs: 0194-911X

Abstract

Abstract : Acetaminophen is widely regarded as a safe therapy for pain and fever in patients with cardiovascular disease and those taking anticoagulants. However, recent studies report that acetaminophen, like most other nonsteroidal anti-inflammatory drugs, increases blood pressure, and a formulation containing sodium increases cardiovascular risk. Those findings call into question guidelines recommending acetaminophen for patients with cardiovascular disease and pain, and those taking anticoagulants. We review evidence that acetaminophen has effects in common with nonsteroidal anti-inflammatory drugs, and its influence on coagulation via effects on vitamin K metabolism. Possible alternatives to acetaminophen for patients with pain are discussed.