Pain meds while on blood thinner, and using Dexcom G5

#1

I just started using the Dexcom G5 continuous glucose monitor (CGM), and they say not to use acetaminophen (like Tylenol) as a pain med, since it is known to give false high readings while using acetaminophen. However, I am also taking Eliquis as a blood thinner for my a-fib. Unfortunately, when using Eliquis it is recommended to use acetaminophen (Tylenol), instead of NSAIDs or aspirin. What would be an alternative pain medication to use,instead of acetaminophen/NSAIDs while I am using Eliquis and the Dexcom G5? (either prescription or OTC) A local pharmacist says there is nothing(!), and my 2 specialists point there fingers at each other to say it’s the other guy’s problem.

#2

@jkirkmd you might try Roxicodone a varients of Oxycodone for pain relief, which does not have acetaminophen (it’s cousin Percocet does). If you are looking for an anti-inflammatory you might have a search on your hands as almost every type is on the patient warning. Your Dr will ha e to weigh the pros and Cons for anti-inflammatories since the side effects are significant. Pain relief however, you have choices.

#3

You can POSSIBLY use Acetaminophen. However, Dexcom is required to make you aware that their testing has shown Acetaminophen to cause erroneous readings from the cgm.

If I was in your position, I would give it a try and check with a meter to see the level of impact. I probably would also not bolus from the cgm but would bolus from a meter. It is possible that the impact to the cgm readings may not be great enough to detract from the value of the cgm. Also possible it might. If it was me, I would still give it a try. Given the scenario you describe.

Bear in mind this is a relatively short situation as the restriction against Acetaminophen has been removed with the G6 which I assume you would switch to at SOME point in time.

1 Like
#4

Thanks for that suggestion. I’ll give that a try, since I am allergic to Percocet (bad reaction). It would be interesting to measure what all the fuss is about. I’ll switch to the G6 when it’s available for Medicare.

#5

I take Acetaminophen (Tylenol 3’s) when I get infused with IVgG. It certainly causes some brief “wonkiness” to my G5 readings, but usually only for 3 or 4 hours. Doesn’t appear to impact long term reliability of the G5 or its sensor filament.

I’d recommend taking it and finger poke more often for reference.

#6

the option I use is a combination of Hydrocodone and Advil. However Advil is an NSIAD so I am guessing that would not work. This medication combination is a bit difficult to find, but for others avoiding Acetaminophen but that require Hydrocodone it is a good option. Most doctors do not routinely prescribe it, and usually a pharmacy does not stock it, but can get it overnight.

#7

I’ve taken acetaminophen without any changes to the readings on my g5. Same thing with my wife.

#8

@jkirkmd fyi Percocet, Norco and hydrocodone have acetaminophen as an ingredient

1 Like