No, it is not safe for you to take Nucoxia 90mg. Nucoxia contains etoricoxib, a painkiller that significantly increases the risk of serious cardiovascular events like heart attacks. Because you have a history of heart bypass surgery, this medication is strictly contraindicated (unsafe) for you. Please do not take Nucoxia. I strongly advise you to consult your doctor or cardiologist for safer alternatives to manage your knee pain, such as paracetamol or topical pain-relief gels, which do not carry the same risks for your heart.

Pain that moves between the chest and back is often not related to the heart. It can also come from the muscles, ribs, spine, or stomach. Common causes include muscle strain from poor posture, costochondritis (mild inflammation of the chest wall), or spinal problems (such as irritated nerves). Acid reflux or trapped gas may also cause discomfort in the chest and upper back. Stress and anxiety can cause muscle tightness and increase pain sensitivity. You should see your doctor or pain specialist for a full assessment. The doctor may examine your back and chest and suggest physiotherapy, posture correction exercises, or medications to treat pain or acidity if needed. In the meantime, avoid heavy lifting, maintain good posture, do light regular exercise, and try relaxation techniques. Warm compresses may help ease discomfort. Seek urgent help if your pain becomes severe or if you develop breathlessness, dizziness, or sweating.

For severe back pain, you may take over-the-counter painkillers such as Paracetamol or non-steroidal anti-inflammatory drugs (NSAIDs) like Ibuprofen or Naproxen, following the recommended dose. If the pain persists, consult your doctor promptly to rule out any serious causes. Do not take more than one painkiller at the same time without a doctor?s advice.

For immediate pain relief after a chest impact, you may take over-the-counter pain relievers such as Paracetamol or Ibuprofen, if tolerated, and apply a cold compress to the affected area for 15-20 minutes every few hours. Seek urgent medical attention if you experience difficulty breathing, worsening pain, or bruising, as these may indicate a rib fracture or internal injury.