SOURCES: Byron Cryer, MD, spokesman, American Gastroenterological Association; associate professor of medicine, University of Texas Southwestern Medical Center, Dallas. Nieca Goldberg, MD, spokeswoman for the American Heart Association; chief of women's cardiac care, Lennox Hill Hospital, New York; author, Women Are Not Small Men: Lifesaving Strategies For Preventing And Healing Heart Disease In Women . John Klippel, MD, president and CEO, Arthritis Foundation, Atlanta. Scott Zashin, clinical assistant professor, University of Texas Southwestern Medical Center; author of Arthritis Without Pain . American College of Rheumatology web site. Arthritis Foundation web site. American Heart Association web site. American College of Gastroenterology web site. American Gastroenterological Association web site. American Academy of Family Physicians web site. American Academy of Allergy, Asthma, and Immunology web site.
Kidney function: Long-term use of naproxen may lead to a higher risk of reduced kidney function. If you have kidney disease, liver disease, or heart failure; take diuretics (water pills); or are a senior; you have an increased risk for kidney problems while taking this medication. If you are taking medications such as diuretics (., hydrochlorothiazide, triamterene, indapamide), ACE inhibitors (., enalapril, ramipril), angiotensin receptor blockers (., valsartan, candesartan), or cyclosporine, you are also at an increased risk.
At the Dentist
Before dental treatment that might cause bleeding, hemophiliacs may need extra blood products (factor-replacement therapy). This will increase the amount of clotting factor in the blood. If you need blood products or proteins for dental procedures, you may need to have your treatment in a hospital. However, some people can administer the blood products themselves. Talk to your physician and dentist about your condition. You may need to have blood tests before treatment. These tests will show the levels of blood proteins and show if you are at risk for uncontrolled bleeding.