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Old 7th, August 2008, 10:19 PM
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Jeff Jeff is offline
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Default Re: 2 NSAIDs for a patient aged 81

Quote:
Originally Posted by kemzero View Post
From previous posts,Johnep , I'm I right to assume you are over 65..., sorry if you think I am being forward

1.Celebrex should only be prescribed in patients who can't tolerate the non selective NSAIDs
but since you already take Aspirin, you shouldn't really be on celebrex, (NICE)
2.Over 65s shouldn't really take NSAIDs ,particularly high dose ones as they cause salt water retention (MHRA ,CSM)
3.I hope you don't suffer from high BP, if you do, its time to review your NSAID intake
Yes - johnep should stay in pain unable to go to work because that way he might live longer and it would help with the excess number of pharmacists.

I'm all for giving patients information about their medicines and explaining the pro's and cons - but the decision on risk vs benefit is an agreement between prescriber and patient not a paternalistsic NICE says you shouldn't do that.

Jeff
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