Page last updated: 2024-10-28

ibuprofen and Bleeding

ibuprofen has been researched along with Bleeding in 20 studies

Midol: combination of cinnamedrine, phenacetin, aspirin & caffeine

Research Excerpts

ExcerptRelevanceReference
"Dalteparin is superior to the NSAID ibuprofen in preventing extension of superficial thrombophlebitis during the 14-day treatment period with similar relief of pain and no increase in bleeding."9.16A randomized trial of dalteparin compared with ibuprofen for the treatment of superficial thrombophlebitis. ( Aston, CE; Rathbun, SW; Whitsett, TL, 2012)
"Perioperative ketorolac alone is not associated with an increased risk of significant bleeding in children undergoing appendectomy for perforated appendicitis."8.12Ketorolac use and risk of bleeding after appendectomy in children with perforated appendicitis. ( Kelley-Quon, LI; Kim, E; Kingston, P; Lascano, D; Ourshalimian, S; Russell, CJ, 2022)
" We determined whether paracetamol or ibuprofen use is associated with major cardiovascular events (MACE) or major bleeding in 19 120 patients with recent ischemic stroke or transient ischemic attack of mainly atherothrombotic origin included in the Prevention of cerebrovascular and cardiovascular events of ischemic origin with terutroban in patients with a history of ischemic stroke or transient ischemic attack (PERFORM) trial."7.83Paracetamol, Ibuprofen, and Recurrent Major Cardiovascular and Major Bleeding Events in 19 120 Patients With Recent Ischemic Stroke. ( Amarenco, P; Bousser, MG; Chamorro, A; Fisher, M; Ford, I; Fox, KM; Gonzalez-Valcarcel, J; Hennerici, MG; Labreuche, J; Mattle, HP; Rothwell, PM; Sissani, L; Steg, PG; Vicaut, E, 2016)
"Dalteparin is superior to the NSAID ibuprofen in preventing extension of superficial thrombophlebitis during the 14-day treatment period with similar relief of pain and no increase in bleeding."5.16A randomized trial of dalteparin compared with ibuprofen for the treatment of superficial thrombophlebitis. ( Aston, CE; Rathbun, SW; Whitsett, TL, 2012)
"Perioperative ketorolac alone is not associated with an increased risk of significant bleeding in children undergoing appendectomy for perforated appendicitis."4.12Ketorolac use and risk of bleeding after appendectomy in children with perforated appendicitis. ( Kelley-Quon, LI; Kim, E; Kingston, P; Lascano, D; Ourshalimian, S; Russell, CJ, 2022)
" We determined whether paracetamol or ibuprofen use is associated with major cardiovascular events (MACE) or major bleeding in 19 120 patients with recent ischemic stroke or transient ischemic attack of mainly atherothrombotic origin included in the Prevention of cerebrovascular and cardiovascular events of ischemic origin with terutroban in patients with a history of ischemic stroke or transient ischemic attack (PERFORM) trial."3.83Paracetamol, Ibuprofen, and Recurrent Major Cardiovascular and Major Bleeding Events in 19 120 Patients With Recent Ischemic Stroke. ( Amarenco, P; Bousser, MG; Chamorro, A; Fisher, M; Ford, I; Fox, KM; Gonzalez-Valcarcel, J; Hennerici, MG; Labreuche, J; Mattle, HP; Rothwell, PM; Sissani, L; Steg, PG; Vicaut, E, 2016)
" In a cohort study comparing the risk of upper gastrointestinal complications in celecoxib or traditional NSAIDs (diclofenac, ibuprofen) initiators with rheumatoid arthritis and osteoarthritis, we (1) aggregated medications and International Classification of Diseases-9 (ICD-9) diagnoses into hierarchies of the Anatomical Therapeutic Chemical classification (ATC) and the Clinical Classification Software (CCS), respectively, and (2) sampled the full cohort using techniques validated by simulations to create 9,600 samples to compare 16 aggregation scenarios across 50% and 20% samples with varying outcome incidence and exposure prevalence."3.79Effects of aggregation of drug and diagnostic codes on the performance of the high-dimensional propensity score algorithm: an empirical example. ( Beach, KJ; Brookhart, MA; Layton, JB; Le, HV; Poole, C; Schoenbach, VJ; Stürmer, T, 2013)
"To study the role of the vasodilatory, antiaggregatory prostacyclin (PGI2) and its endogenous antagonist thromboxane A2 (TxA2) in acute pancreatitis, we measured serum thromboxane B2 (TxB2, which indicates platelet TxA2 production) and plasma 6-keto-prostaglandin F1 alpha (6-keto-PGF1 alpha, which indicates systemic PGI2 production) from sequential blood samples in trypsin and taurocholate induced acute canine hemorrhagic pancreatitis (AHP)."3.67Prostacyclin and thromboxane in acute hemorrhagic pancreatitis in dogs. ( Jalovaara, P; Kairaluoma, M; Kiviniemi, H; Laitinen, S; Rämö, J; Ståhlberg, M; Viinikka, L, 1987)
"(1) hemorrhagic pancreatitis was associated with high levels of PGI2 in blood 15 times and in hemorrhagic ascitic fluid 25 times that of baseline; (2) steroids and ibuprofen blocked PGI2 production (p less than 0."3.67Effect of prostaglandin blockers on ascites fluid in pancreatitis. ( Farias, LR; Frey, CF; Gunther, R; Holcroft, JW, 1985)
"No studies have examined postoperative pain control following transsphenoidal surgery for pituitary lesions."2.87Randomized, double-blinded, placebo-controlled trial comparing two multimodal opioid-minimizing pain management regimens following transsphenoidal surgery. ( Jahnke, H; Little, AS; Shepherd, DM; White, WL, 2018)
" Data suggesting that conditions associated with chronic liver damage reduce the dosing threshold for induction of liver failure are of particular concern."2.61Symptomatic treatment of dengue: should the NSAID contraindication be reconsidered? ( Fernandes, L; Kellstein, D, 2019)

Research

Studies (20)

TimeframeStudies, this research(%)All Research%
pre-19903 (15.00)18.7374
1990's4 (20.00)18.2507
2000's2 (10.00)29.6817
2010's9 (45.00)24.3611
2020's2 (10.00)2.80

Authors

AuthorsStudies
Kingston, P1
Lascano, D1
Ourshalimian, S1
Russell, CJ1
Kim, E1
Kelley-Quon, LI1
Contorno, S1
Cozzi, G1
Berti, I1
Barbi, E1
Taddio, A1
Cunningham, MJ1
Kellstein, D1
Fernandes, L1
Le, HV1
Poole, C1
Brookhart, MA1
Schoenbach, VJ1
Beach, KJ1
Layton, JB1
Stürmer, T1
Gonzalez-Valcarcel, J1
Sissani, L1
Labreuche, J1
Bousser, MG1
Chamorro, A1
Fisher, M1
Ford, I1
Fox, KM1
Hennerici, MG1
Mattle, HP1
Rothwell, PM1
Steg, PG1
Vicaut, E1
Amarenco, P1
Quiroga, B1
Basterrechea, MÁ1
Fernández-Francés, J1
de Arriba, G1
Iannuccelli, C1
Di Franco, M1
Pulcinelli, FM1
Shepherd, DM1
Jahnke, H1
White, WL1
Little, AS1
Aranda, JV1
Beharry, KD1
Valencia, GB1
Rathbun, SW1
Aston, CE1
Whitsett, TL1
Woitzek, K1
Sudheer Kumar, M1
Sridhar Reddy, B1
Kiran Babu, S1
Bhilegaonkar, PM1
Shirwaikar, A1
Unnikrishnan, MK1
Mielens, ZE1
Bhandari, JC1
Barbolt, TA1
Stecher, VJ1
Ertel, W3
Morrison, MH2
Meldrum, DR1
Ayala, A3
Chaudry, IH3
Maunuksela, EL1
Ryhänen, P1
Janhunen, L1
Perrin, MM1
Wang, P1
Kiviniemi, H1
Rämö, J1
Ståhlberg, M1
Laitinen, S1
Jalovaara, P1
Viinikka, L1
Kairaluoma, M1
Farias, LR1
Frey, CF1
Holcroft, JW1
Gunther, R1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Non-Steroidal Anti-inflammatory Drugs (NSAIDS) vs. Tramadol in Pain Management After Transnasal Transsphenoidal Surgery Among Patients With Pituitary Adenomas: A Prospective Randomized Controlled Trial[NCT04611685]202 participants (Anticipated)Interventional2020-10-31Recruiting
Randomized, Double-Blind, Placebo-Controlled Trial Comparing Opioid-Sparing and Opioid-Containing Analgesia Regimens Following Trans-sphenoidal Surgery for Pituitary Tumors[NCT02351700]Phase 462 participants (Actual)Interventional2015-02-01Completed
Management of Superficial Thrombophlebitis[NCT00264381]Phase 472 participants (Actual)Interventional2002-10-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Breakthrough Narcotic Requirement

Rescue narcotic in both groups will be recorded and compared using a standard equianalgesic oral morphine equivalent (OME) calculation (NCT02351700)
Timeframe: until discharge from hospital, an expected stay of 2 days

Interventionmg (Mean)
Opioid-sparing Group26.3
Standard Treatment Group62.5

Comparison of Mean Pain Scores Between Two Arms (Measured Every 4 Hours Over 48 Hour)

Comparison of pain scores between two arms using Visual Analog Scale (VAS) for Pain. Units of measure are 0=No Pain, 1=Annoying, 2=Mild Pain, 3=Troublesome, 4=Nagging Pain, Uncomfortable, 5=Distressing, 6=Miserable, 7=Horrible, 8=Intense, Dreadful, 9=Unbearable, 10=Worst Possible Pain. Higher values represent a worse outcome. There are no subscales. (NCT02351700)
Timeframe: mean pain score over 48 hours

Intervention0-10 units on a scale (Mean)
Opioid-sparing Group1.7
Standard Treatment Group2.8

Length of Stay in Hospital Compared Between Two Arms

Length of hospital stay from time of surgery to time of discharge. (NCT02351700)
Timeframe: until discharge from hospital, an expected stay of 2 days

Interventionhours (Mean)
Opioid-sparing Group71.3
Standard Treatment Group51.7

Other Adverse Events

Epistaxis, potentially related to IV ibuprofen, will be compared between two groups (NCT02351700)
Timeframe: until discharge from hospital, an expected stay of 2 days

Interventionparticipants (Number)
Opioid Sparing Group0
Standard Treatment Group2

The Number of Participants Who Have a Bowel Movement During Hospitalization in Both Groups

patients with one or more bowel movement(s) in the first 48 hours after surgery (NCT02351700)
Timeframe: until discharge from hospital, an expected stay of 2 days

Interventionparticipants (Number)
Opioid-sparing Group9
Standard Treatment Group12

Total Number of Doses of Any Anti-emetic Required Post-operatively in Both Groups

Use of antiemetics in first 48 hours after surgery (NCT02351700)
Timeframe: until discharge from hospital, an expected stay of 2 days

Interventiondose (Mean)
Opioid-sparing Group9.8
Standard Treatment Group10.1

Change From Baseline to Day 14 in Pain Assessment

Change in pain at day 14 as measured by 11-point Box Pain Scale, 0 being the least amount of pain, and 10 the most amount of pain (NCT00264381)
Timeframe: Day 1, Day 14

Interventionunits on a scale (Mean)
Ibuprofen 800 mg Tid-2.28
Dalteparin 200 U/kg Then 10,000 U Daily-2.23

Major and Minor Bleeding Secondary to Dalteparin and Ibuprofen Treatment During the 3 Month Follow up.

Number of participants with bleeding events related to treatment (NCT00264381)
Timeframe: 3 months

Interventionparticipants (Number)
Ibuprofen 800 mg Tid0
Dalteparin 200 U/kg Then 10,000 U Daily0

Thrombosis Progression and Venous Thromboembolism (VTE)

Thrombosis progression and deep vein thrombosis at day 14 by ultrasound testing (NCT00264381)
Timeframe: Day 14

,
Interventionparticipants (Number)
Thrombosis progressionVTE
Dalteparin 200 U/kg Then 10,000 U Daily00
Ibuprofen 800 mg Tid40

Thrombosis Progression or Venous Thromboembolism (VTE) at 3 Months

Symptomatic thrombosis extension (DVT) or pulmonary embolism at 3 months documented by radiologic testing. (NCT00264381)
Timeframe: 3 months

,
Interventionparticipants (Number)
Thrombosis progressionVTE
Dalteparin 200 U/kg Then 10,000 U Daily41
Ibuprofen 800 mg Tid60

Reviews

2 reviews available for ibuprofen and Bleeding

ArticleYear
Symptomatic treatment of dengue: should the NSAID contraindication be reconsidered?
    Postgraduate medicine, 2019, Volume: 131, Issue:2

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Contraindications, Drug; Dengue; Fever; Hemorrhage; Humans;

2019
Nonsteroidal anti-inflammatory drugs (NSAIDs) in the newborn - which ones?
    The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 2009, Volume: 22 Suppl 3

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Ductus Arteriosus, Patent; Hemorrhage; Humans; Ibuprofen; I

2009

Trials

4 trials available for ibuprofen and Bleeding

ArticleYear
Randomized, double-blinded, placebo-controlled trial comparing two multimodal opioid-minimizing pain management regimens following transsphenoidal surgery.
    Journal of neurosurgery, 2018, Volume: 128, Issue:2

    Topics: Acetaminophen; Administration, Intravenous; Adult; Aged; Aged, 80 and over; Analgesics, Non-Narcotic

2018
Randomized, double-blinded, placebo-controlled trial comparing two multimodal opioid-minimizing pain management regimens following transsphenoidal surgery.
    Journal of neurosurgery, 2018, Volume: 128, Issue:2

    Topics: Acetaminophen; Administration, Intravenous; Adult; Aged; Aged, 80 and over; Analgesics, Non-Narcotic

2018
Randomized, double-blinded, placebo-controlled trial comparing two multimodal opioid-minimizing pain management regimens following transsphenoidal surgery.
    Journal of neurosurgery, 2018, Volume: 128, Issue:2

    Topics: Acetaminophen; Administration, Intravenous; Adult; Aged; Aged, 80 and over; Analgesics, Non-Narcotic

2018
Randomized, double-blinded, placebo-controlled trial comparing two multimodal opioid-minimizing pain management regimens following transsphenoidal surgery.
    Journal of neurosurgery, 2018, Volume: 128, Issue:2

    Topics: Acetaminophen; Administration, Intravenous; Adult; Aged; Aged, 80 and over; Analgesics, Non-Narcotic

2018
A randomized trial of dalteparin compared with ibuprofen for the treatment of superficial thrombophlebitis.
    Journal of thrombosis and haemostasis : JTH, 2012, Volume: 10, Issue:5

    Topics: Administration, Oral; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Dalte

2012
[Ibuprofen/paracetamol combination therapy is more effective than monotherapy in knee pain, but increases bleeding risk].
    Praxis, 2012, Mar-14, Volume: 101, Issue:6

    Topics: Acetaminophen; Adult; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Steroidal; Chronic Pai

2012
Efficacy of rectal ibuprofen in controlling postoperative pain in children.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1992, Volume: 39, Issue:3

    Topics: Administration, Rectal; Anesthesia Recovery Period; Anesthesia, Inhalation; Anesthesia, Intravenous;

1992

Other Studies

14 other studies available for ibuprofen and Bleeding

ArticleYear
Ketorolac use and risk of bleeding after appendectomy in children with perforated appendicitis.
    Journal of pediatric surgery, 2022, Volume: 57, Issue:8

    Topics: Appendectomy; Appendicitis; Child; Hemorrhage; Humans; Ibuprofen; Ketorolac; Retrospective Studies

2022
Young child with painful edema and purpura: a case report.
    Italian journal of pediatrics, 2021, Mar-10, Volume: 47, Issue:1

    Topics: Acute Disease; Anti-Inflammatory Agents, Non-Steroidal; Diagnosis, Differential; Edema; Hemorrhage;

2021
Posttonsillectomy Hemorrhage in the Ibuprofen Era: Not Just How Frequent but How Much.
    JAMA otolaryngology-- head & neck surgery, 2017, 07-01, Volume: 143, Issue:7

    Topics: Hemorrhage; Humans; Ibuprofen; Tonsillectomy

2017
Effects of aggregation of drug and diagnostic codes on the performance of the high-dimensional propensity score algorithm: an empirical example.
    BMC medical research methodology, 2013, Nov-19, Volume: 13

    Topics: Adolescent; Adult; Aged; Algorithms; Arthritis; Celecoxib; Confounding Factors, Epidemiologic; Cyclo

2013
Paracetamol, Ibuprofen, and Recurrent Major Cardiovascular and Major Bleeding Events in 19 120 Patients With Recent Ischemic Stroke.
    Stroke, 2016, Volume: 47, Issue:4

    Topics: Acetaminophen; Aged; Analgesics, Non-Narcotic; Brain Ischemia; Cardiovascular Diseases; Female; Hemo

2016
Diffuse alveolar damage and acute kidney injury induced by abusive use of non-steroidal anti-inflammatory drugs: a new and atypical renopulmonary syndrome?
    Internal medicine journal, 2016, Volume: 46, Issue:5

    Topics: Acute Kidney Injury; Anti-Inflammatory Agents, Non-Steroidal; Drug Overdose; Hemorrhage; Humans; Ibu

2016
Letter by Iannuccelli et al Regarding Article, "Paracetamol, Ibuprofen, and Recurrent Major Cardiovascular and Major Bleeding Events in 19 120 Patients With Recent Ischemic Stroke".
    Stroke, 2016, Volume: 47, Issue:9

    Topics: Acetaminophen; Brain Ischemia; Hemorrhage; Humans; Ibuprofen; Stroke

2016
Antiinflammatory and antiulcer activities of phytic acid in rats.
    Indian journal of experimental biology, 2004, Volume: 42, Issue:2

    Topics: Animals; Anti-Inflammatory Agents; Anti-Ulcer Agents; Cold Temperature; Ethanol; Famotidine; Gastric

2004
Differential effects of pharmacologic agents on the reverse passive Arthus reaction in guinea pigs.
    Agents and actions, 1984, Volume: 15, Issue:3-4

    Topics: Aminophylline; Animals; Anti-Inflammatory Agents; Arthus Reaction; Colchicine; Edema; Guinea Pigs; H

1984
Ibuprofen restores cellular immunity and decreases susceptibility to sepsis following hemorrhage.
    The Journal of surgical research, 1992, Volume: 53, Issue:1

    Topics: Animals; Blood Pressure; Cells, Cultured; Concanavalin A; Cytokines; Disease Susceptibility; DNA Rep

1992
Hemorrhage induces enhanced Kupffer cell cytotoxicity while decreasing peritoneal or splenic macrophage capacity. Involvement of cell-associated tumor necrosis factor and reactive nitrogen.
    Journal of immunology (Baltimore, Md. : 1950), 1991, Dec-15, Volume: 147, Issue:12

    Topics: Animals; Cytotoxicity, Immunologic; Hemorrhage; Ibuprofen; Interferon-gamma; Interleukin-1; Kupffer

1991
Eicosanoids regulate tumor necrosis factor synthesis after hemorrhage in vitro and in vivo.
    The Journal of trauma, 1991, Volume: 31, Issue:5

    Topics: Animals; Cytotoxicity Tests, Immunologic; Dinoprostone; Hemorrhage; Ibuprofen; Lipopolysaccharides;

1991
Prostacyclin and thromboxane in acute hemorrhagic pancreatitis in dogs.
    The Journal of surgical research, 1987, Volume: 42, Issue:3

    Topics: 6-Ketoprostaglandin F1 alpha; Acute Disease; Animals; Blood Pressure; Dogs; Epoprostenol; Hemorrhage

1987
Effect of prostaglandin blockers on ascites fluid in pancreatitis.
    Surgery, 1985, Volume: 98, Issue:3

    Topics: 6-Ketoprostaglandin F1 alpha; Acute Disease; Animals; Ascitic Fluid; Biological Assay; Electrolytes;

1985