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Table 4 Regular use of analgesics in the absence or presence of interacting drugs

From: Analgesic use in a Norwegian general population: change over time and high-risk use - The Tromsø Study

 

Unadjusted

Age- and sex-adjusted

 

Interacting druga

Absent

Present

Absent

Present

p value

Potential clinical consequence

 

% (n)

% (n)

%

%

  

Non-steroidal anti-inflammatory drugs

      

 Warfarin (2.5)

12.9 (1637)

2.8 (9)

12.1

3.9

<.001

Increased bleeding risk

 ASA, low dose (11.7)

13.6 (1558)

5.8 (88)

12.5

7.4

<.001

Increased bleeding risk

 SSRI (1.5)

12.5 (1602)

22.0 (44)

11.8

19.5

.001

Increased bleeding risk

 Glucocorticoids (1.3)

12.7 (1625)

12.6 (21)

11.9

13.0

.672

Increased bleeding risk

 ACE inhibitors (3.8)

12.9 (1614)

6.5 (32)

12.0

7.8

.007

Diminished effect, renal impairment, hyperkalemia

 AT II antagonists (9.2)

12.8 (1508)

11.5 (138)

11.8

12.8

.326

Diminished effect, renal impairment, hyperkalemia

 Other antihypertensives (18.8)b

13.3 (1397)

10.2 (249)

11.8

12.1

.693

Diminished effect

Opioids

      

 CNS depressants (4.9)c

2.9 (359)

18.1 (116)

2.9

17.5

<.001

CNS depression, respiratory depression, falls

Paracetamol

      

 Warfarin (2.5)

13.6 (1719)

7.1 (23)

12.5

9.5

.154

Increased bleeding risk

  1. The Tromsø Study: Tromsø 6 (N = 12,981)
  2. ASA acetylsalicylic acid, SSRI selective serotonin reuptake inhibitors, ACE angiotensin converting enzyme, AT II angiotensin II, CNS central nervous system
  3. aThe number in parentheses is the prevalence (%) in the study population
  4. bATC-groups C02, C03, C07, C08
  5. cBenzodiazepines, z hypnotics and barbiturates (ATC-groups N05C A-F, N05B A, N03A E, N03A A)