Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Can Etodolac Be Taken For High Blood Pressure?
Question: Is it alright to take 500mg etodolac for high blood pressure if I have congested heart failure and also had a quadruple CABG in 2004?
Brief Answer:
it depends...
Detailed Answer:
Hello,
etodolac is a non-steroidal-anti-inflammatory-drug (NSAID). NSAIDs may cause elevation of blood pressure. Elevated blood pressure in a patient with heart failure may result in worsening of heart failure and perhaps symptoms of acute heart failure like shortness of breath (usually caused by pulmonary edema). The problem in answering such a question is that I can't possibly know the current condition of your heart. Your cardiologist is the most appropriate person to answer such questions based on his knowledge about your heart's capacity to cope with increased load. For example if you have a low ejection fraction in the echo then putting more load on your heart may cause major dysfunction. Patients in better shape may use etodolac and other NSAIDs without serious problems.
Another thing to consider is that most patients with CABG and heart failure use antiplatelet drugs like clopidogrel or aspirin. Using any of them in combination with a NSAID increases the risk for gastrointestinal bleeding even more than using any of them separately. I know that you haven't mentioned any of the above drugs in "Medications tried" but I assumed that you forgot about it because it's very rare for patients with your profile to be treated without such drugs.
So in conclusion, this is a question for your cardiologist to ask because your cardiologist is the only person that knows your heart's current status.
I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.
Kind Regards!
it depends...
Detailed Answer:
Hello,
etodolac is a non-steroidal-anti-inflammatory-drug (NSAID). NSAIDs may cause elevation of blood pressure. Elevated blood pressure in a patient with heart failure may result in worsening of heart failure and perhaps symptoms of acute heart failure like shortness of breath (usually caused by pulmonary edema). The problem in answering such a question is that I can't possibly know the current condition of your heart. Your cardiologist is the most appropriate person to answer such questions based on his knowledge about your heart's capacity to cope with increased load. For example if you have a low ejection fraction in the echo then putting more load on your heart may cause major dysfunction. Patients in better shape may use etodolac and other NSAIDs without serious problems.
Another thing to consider is that most patients with CABG and heart failure use antiplatelet drugs like clopidogrel or aspirin. Using any of them in combination with a NSAID increases the risk for gastrointestinal bleeding even more than using any of them separately. I know that you haven't mentioned any of the above drugs in "Medications tried" but I assumed that you forgot about it because it's very rare for patients with your profile to be treated without such drugs.
So in conclusion, this is a question for your cardiologist to ask because your cardiologist is the only person that knows your heart's current status.
I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.
Kind Regards!
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
