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A free online accredited CPD program for healthcare professionals

Revisiting Acetaminophen for Mild to Moderate Pain Relief in Patients with Hypertension or Cardiovascular Concerns

1.00 Mainpro+ Credit(s)

Program available online until: July 11, 2019

This Self-Learning program has been certified by the College of Family Physicians of Canada for up to 1.00 Mainpro+ Credit(s).

Acetaminophen: A Better Pain Relief Option For Hypertensive Or CVD Patients?


Treating pain poses many challenges in an aging population, especially in patients with comorbidities or other health concerns. Taking a “multimodal” approach that includes non-pharmacological and pharmacological treatments can help in the management of pain. Determining the best course of pain relief for certain patients can be challenging. This includes patients with hypertension, those taking daily low dose acetylsalicylic acid 81 mg (ASA) for cardioprotection and some osteoarthritis (OA) patients.

This program discusses the role of acetaminophen in providing mild to moderate pain relief for certain patients.

Planning Committee

  • Jean-Francois Roux, MD, FRCPC.
  • Sol Stern, MD, MCFP.
  • Christine Palmay, HBArt Sci., MD, CCFP.
  • Lydia Hatcher, MD, CCFP, FCFP, CHE, CAPM.

Learning Objectives

Upon completion of this program, participants will be able to:

  1. Effectively utilize acetaminophen for mild to moderate pain relief in those suffering from hypertension or currently on low dose acetylsalicylic acid (ASA) 81 mg for cardioprotection.
  2. Identify appropriate use of over-the-counter (OTC) pain relievers such as acetaminophen for specific patients (e.g. patients with hypertension, cardiovascular disease, osteoarthritis).
  3. Explore the efficacy and safety of acetaminophen and its role in providing mild to moderate pain relief for specific patients.
  4. Identify reasons for recommending an OTC pain reliever such as acetaminophen compared to other products, particularly in certain patient groups.
  5. Implement patient counselling regarding the appropriate use of an OTC pain reliever such as acetaminophen.

Ask the Expert

  • What do you advise your patients experiencing mild to moderate pain about the use of an over-the-counter OTC analgesic like acetaminophen, particularly when they suffer from hypertension or cardiovascular disease?
  • What do you advise specific patients about the appropriate use of an OTC pain reliever such as acetaminophen?
  • What are the key points to communicate to patients or caregivers about possible interactions with some pain relievers such as NSAIDs when they are taking medication for heart disease or acetylsalicylic acid (81 mg) for cardioprotective heart health?
  • What specific information do you provide when counselling patients about the proper use of (OTC) analgesics and acetaminophen in particular?
  • How do you counsel patients currently taking warfarin as an anticoagulant and using acetaminophen for pain?

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