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A female asked:

What pain reliever is safe to use with diabetic retinopathy? i know aspirin can increase bleeding risk, so i assume it wouldn't be safe for someone with diabetic retinopathy. are other nsaid's ok?

3 doctor answers4 doctors weighed in
Dr. Matthew Rauen
Ophthalmology 16 years experience
Diabetic : Diabetic retinopathy comes in many forms. In general, I do not advise stopping of nsaids or Aspirin in patients with diabetic retinopathy (some of these patients have underlying cardiac disease - an Aspirin daily is beneficial in these patients for systemic health). If someone has proliferative diabetic retinopathy, use of nsaids or Aspirin could theoretically increase the size of a bleed should it occur. Someone with proliferative diabetic retinopathy should be followed closely and treatment by laser can preserve vision in these patients.
Dr. Theodore Leng
Ophthalmology 17 years experience
Both : Both nsaids and Aspirin can increase bleeding risk. The pain reliever to use that doesn't increase bleeding risk is tylenol (acetaminophen).
Dr. John Kim
Dr. John Kimanswered
Ophthalmology 23 years experience
NSAID's : Nsaid's can cause thinning of blood similar to Aspirin but to much less degree. Tylenol (acetaminophen) does not have this property.

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Last updated Mar 1, 2019

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