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- Avoid chronic/regular NSAIDs whenever possible
Use only for short periods (3–7 days max) at lowest dose if absolutely needed.
- Safer pain relief first-line options
- Acetaminophen (paracetamol/Tylenol) — max 2,000–3,000 mg/day (lower ceiling for seniors)
- Topical NSAIDs (diclofenac gel/cream) — very low systemic absorption → much safer for heart
- Non-drug methods — heat/cold packs, physical therapy, TENS, acupuncture, gentle stretching
- Natural anti-inflammatory support (many cardiologists now suggest)
- Turmeric + black pepper (curcumin)
- Ginger tea
- Omega-3 fish oil (1–2 g EPA+DHA/day)
- Extra-virgin olive oil (2–4 tbsp/day)
- Monitor closely if you must use NSAIDs occasionally
- Check blood pressure daily during use
- Watch for leg swelling, shortness of breath, chest discomfort
- Stop immediately if any new heart or kidney symptoms appear
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