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NSAIDS during or after meals

(42 Posts)
ExDancer Thu 22-Jun-23 14:04:12

I've been struggling with a 'frozen' shoulder for a couple of months and my gp has put me on the list for physiotherapy. Needless to say there is a long wait for an appointment and she has told me to take one paracetamol and one ibuprofen tablet four times a day.
The ibuprofen must be taken 'with or after food'.
What counts as 'food'?
I eat like a bird, or so DH tells me - slice of toast for breakfast, sandwich or soup for lunch, baked potato or poached egg or similar in the evening. ( I am not thin by any stretch of the imagination).
So, is a slice of toast and marmalade sufficient to protect me from the side effects of the ibuprofen or do I need to force myself to eat more?

MayBee70 Thu 22-Jun-23 14:18:55

It might be worth asking your GP to prescribe omeprazole to take as well to protect your tummy? I don’t want to scare you but a friend of mine was very ill after being prescribed ibuprofen for pain. Failing that I’d query exactly how much food you need to take with it.

Jaxjacky Thu 22-Jun-23 14:26:14

I’d check with your pharmacy.

MerylStreep Thu 22-Jun-23 14:27:00

ExDancer
You can buy Omeprozol anywhere. If you can’t get out: buy it online.

toscalily Thu 22-Jun-23 17:12:11

Sorry to hear you have hurt your shoulder, I hurt mine some time ago and it is most unpleasant. I have taken Ibuprofen on a fairly regular basis for years, (for my arthritis) I try to limit as much as possible, but sometimes you just want some relief. I would take the dose at the end of your meal or snack don't think you have to force yourself to eat large quantities. Every one is different and it does effect some peoples stomach far more than others but hopefully it is not going to be long term use. Something I would suggest you try is Aroma Active Laboratories Muscle Recovery and I will post a link. Won't cure but does make it more bearable, at least for me for my shoulder and I had tried Voltarol & Boots similar, maximum strength which did nothing. Massage it in or better still get someone else to gently massage it in for you. I hope you get some relief while you are waiting for physio.
www.boots.com/ProductDisplay?productId=2465968&langId=-1&storeId=11352&catalogId=28501

Theexwife Thu 22-Jun-23 18:04:47

I have never read the instructions on Ibubrofen and didn’t realise that were to be taken with food. I have never had side effects from them.

crazyH Thu 22-Jun-23 18:12:48

Exdancer - I have the same affliction. I had a very fast appointment (within a week) with the Physiotherapist. Frankly, I thought it was a waste of time. That’s all he did, examine me, said it was ‘impingement’ and gave me an exercise sheet. I could have gone on the Internet and found exercises, with demonstration.
I think any anti-inflammatories should be taken after food.
Hope you feel better soon …

Maggymay Thu 22-Jun-23 19:00:12

I had a frozen shoulder a few years ago , it was really painful .
I had a steroid injection it really helped and worked within a few hours, meant I could comfortably do the exercises which the physio gave me.

Baggs Thu 22-Jun-23 19:05:38

I understood years ago from somewhere or other that a glass of milk would count as food for nsaid purposes.

Baggs Thu 22-Jun-23 19:07:33

But, check with a pharmacist if you are worried.

MayBee70 Thu 22-Jun-23 19:19:31

Over 65 and you’re more prone to stomach ulcers. My friend ended up in intensive care.

Grandmafrench Thu 22-Jun-23 19:26:46

Don’t forget that Ibuprofen used regularly will increase your BP readings.

Marydoll Thu 22-Jun-23 19:32:04

Ibuprofen cannot be taken if you have certain health conditions. Best to check. I have COPD and heart failure and am not allowed it.

MandL Thu 22-Jun-23 19:42:28

MayBee70

Over 65 and you’re more prone to stomach ulcers. My friend ended up in intensive care.

I’m under 65 and I’ve ended up with a stomach ulcer. I’ve always eaten with ibuprofen. Please take for the minimum time possible.

grandMattie Thu 22-Jun-23 19:45:45

I can’t take any form of ibuprofen but a friend who works for Pfizer as pharmacist, suggested using “voltarol” which works the same but has a slightly different formulation. It is a gel, but use it at the same times as a pill. Give it a try.

MayBee70 Thu 22-Jun-23 21:07:15

I’ve always used Voltarol gel. You mustn’t expose skin to the sun if it has Voltarol on it, though. I also take turmeric for my joints but you can’t take it if you’re on blood thinners. I really notice the difference if I don't take it.

silverlining48 Thu 22-Jun-23 21:30:17

A glass of milk will help but suggest you get the tablet to protect your stomach. I am currently taking a steroid and the stomach protector tablet.

Grannynannywanny Thu 22-Jun-23 22:03:14

Theexwife

I have never read the instructions on Ibubrofen and didn’t realise that were to be taken with food. I have never had side effects from them.

You’ve had luck on your side if you’ve been taking ibuprofen on an empty stomach. It can cause gastric bleeding even when taken with food. Not just ibuprofen but any non steroidal anti inflammatory tablets.

grandMattie Thu 22-Jun-23 22:09:34

Grannynannywanny

Theexwife

I have never read the instructions on Ibubrofen and didn’t realise that were to be taken with food. I have never had side effects from them.

You’ve had luck on your side if you’ve been taking ibuprofen on an empty stomach. It can cause gastric bleeding even when taken with food. Not just ibuprofen but any non steroidal anti inflammatory tablets.

I’ve had both shoulders frozen at different times. I don’t tolerate codeine, nor any NSAIDs by mouth, which is why I suggested gels.
BTW, both my shoulders have frozen atone time or another. The first was sorted privately (eventually) with steroid injections and the other was operated on.

maddyone Thu 22-Jun-23 22:31:49

MayBee70

It might be worth asking your GP to prescribe omeprazole to take as well to protect your tummy? I don’t want to scare you but a friend of mine was very ill after being prescribed ibuprofen for pain. Failing that I’d query exactly how much food you need to take with it.

This.
Ask the doctor for Omeprazole or Lansoprazole. It will protect your stomach.

MayBee70 Thu 22-Jun-23 22:41:45

I’m not actually a great fan of Omeprazole either as it creates its own problems but it’s probably the lesser of two evils when it comes to ibuprofen.

ExDancer Fri 23-Jun-23 09:14:49

I am aware of the damage done by ibuprofen, I'm convinced it killed my aunt who had chronic rheumatoid arthritis but died of a ruptured ulcer, so I do take omeprezole.

The reason I asked you knowledgeable ladies on here was to avoid cluttering up the surgery switchboard wasting time hanging on to the phone to get through to the receptionist and then the time wasted waiting at home for someone to ring me back.

BTW the 2 tablets do seem to give good pain relief.

henetha Fri 23-Jun-23 10:06:38

NSAIDS caused me dreadful digestive troubles, seriously, and I was told to never ever take them again. I think they are probably ok in the short term, but never longer.
I wish in a way I could take them for my back, but apparently they can lead to an ulcer.
Any food, I imagine. Toast would do I think.

icanhandthemback Fri 23-Jun-23 11:32:14

How painful for you. Until you have a shoulder problem, you don't realise how much you use them!
I can't take NSAIDS even though I am on Omeprazole. Occasionally I have to take Voltarol as a suppository which is revolting but gives me some relief but there are far reaching consequences if you are intolerant to NSAIDS. I would take the bare minimum with a glass of milk and food to keep the pain under control.
If your physio is not helpful, absolutely insist you see a consultant. I kept being told that it was probably because of my diabetes, just an injury which would heal, etc. I had an op twice now and each time it has been amazing. Both times it has turned out to be something more than a rotorcuff injury or frozen shoulder. Both times I had physio and injections to no avail. I know from this journey, I am not alone.
I hope you have a swift recovery.

Jacksgrandma123 Fri 23-Jun-23 11:48:43

Had frozen shoulders a few times, self-inflicted but took me a while to join the dots...steroid injection is definitely the way to go. Operational again within hours and no need for drugs by mouth. (Though obvs dr needs to diagnose first what is up with shoulder too but physio can be a long and painful route with slow and little reward. This is my experience but others may be different!) Good luck and hope better soon