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FDP Forum / Moe's Tavern (_8^(I) / OTC drugs better than Oxy for pain management

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littleuch
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Florida

I'm not as clever as my dog thinks
Nov 9th, 2017 06:44 AM   Edit   Profile   Print Topic   Search Topic

I know that when I take Ibuprofen (Motrin) at bed it allows my body enough comfort to actually have a decent night sleep. Unfortunately my guts are a mess and taking any NSAID is asking for big trouble. I reserve it for nights when the pain meter is pegged. Never have tried combining it with Tylenol, which works well for headaches for me.

HeavyDuty
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Northeast IL

Not very bright but does lack ambition
Nov 9th, 2017 06:46 AM   Edit   Profile   Print Topic   Search Topic

I’m very suspicious of this report. I trashed my ankle two years ago, and I found opioids did a lot more for my early discomfort than any of the OTC alternatives. Only after a week or two was I able to tolerate stepping down to OTC antiinflammatories.

Gato
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Southern Calif

Nov 9th, 2017 06:56 AM   Edit   Profile   Print Topic   Search Topic

When I was at the trauma center in September, following my car crash, the Motrin/Tylenol combo was what I was advised to take for my busted up ribs and spine.
I had never taken them in combination before; it was always one or the other.

reverendrob
FDP Data Goon
Moderator

We all want

our time in hell
Nov 9th, 2017 06:56 AM   Edit   Profile   Print Topic   Search Topic

Yea, I find this one to be frankly bull.

Mixing OTCs didn't more than slightly dent the screaming, and for a SHORT time.

The opiates, well....do the job.

MJB
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Who's we sucka?

Smith, Wesson and me.
Nov 9th, 2017 07:00 AM   Edit   Profile   Print Topic   Search Topic

Tylenol has never been an effective pain killer for me.

Peegoo
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Enjoying

the downtime
Nov 9th, 2017 07:28 AM   Edit   Profile   Print Topic   Search Topic

Whoever is funding the "study" is working an agenda.

A single study means nothing. If there's some truth to this, there will be some independent activity to confirm or refute the..."facts."

thumbpicker
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St. Louis

"Thumbpicks don't slide into soundholes"
Nov 9th, 2017 07:41 AM   Edit   Profile   Print Topic   Search Topic

What the rev said. Some folks with real actual debilitating pain need opioids. That’s the only thing that will keep them functioning. Saying that Tylenol etc. will help may be true to a certain extent but in certain cases will finish off a liver or kidney for you and can’t be used long term because of this ,well that’s a crappy option.

009
Contributing Member
*****

USA

Nov 9th, 2017 07:45 AM   Edit   Profile   Print Topic   Search Topic

Even better are Yoga and Meditation....




NO, I'm being facetious. Next month I go to see my current doctor for an annual checkup. I've always been able to get about 100 tabs of Tylenol #3 to last the entire year for my episodic back pain; been taking this for about 23 years, as needed. Codeine works well for me, and with the relatively low dose of codeine, I can titrate my dose to match my pain, 1 tab vs. two if that isn't enough, etc. I hate to get "high" (dopy) off of drugs, but the feeling of pain disappearing rivals sex.

Anyway, with this opioid hysteria sweeping the nation, I'm afraid I won't get anything, or very much. I may be forced to either ditch this guy, or visit a pain clinic in order to circumvent general irrational prescribing behavior. I had a doctor back in the mid-1990s who was either a knucklehead or afraid to be questioned about his narcotic prescribing (military) - which he probably feared would show up on his efficiency report, and ultimately decrease his chances for promotion. I suffered needlessly a lot of the time during that first year where I could hardly walk. A lab test revealed the possibility that I had ankylosing spondylitis (?) and I was referred to a rheumatologist. This older guy knew what pain was and the chronic nature of back pain, and gave me 90 tabs, and another 90 the next visit. I was grateful. If you take the minimum dose of one tab every six hours (four per day), a hundred pills won't last a month. I still had to limit my use to one tab per day just to make sure I had some at all. When in hell do you take your one tab when you freekin' hurt all day long? I found that at bedtime was best, allowing me to get a good night's rest was most beneficial.

Even today, there are news stories about the benefit of opioid management for pain.... Doctors are just like everyone else in society -- they have their fair share of knuckleheads. (The doctor who attacked Sen. Paul, for example.) I read a Q&A response to an article where a nurse, referring to the many studies and reports of opioid abuse/addiction/deaths, asked, "Where are the studies showing the benefits of opioid pain management?" noting significant help for many patients.

Anyway, I guess I "worry" somewhat when I go to see a doctor; not what he will do to me, but rather, what he won't do for me.

You can probably tell that this is a hot button topic for me....

Jake
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West Chester PA

Wait, what?
Nov 9th, 2017 08:01 AM   Edit   Profile   Print Topic   Search Topic

Getting cortisone shot today, interested.

Gato
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Southern Calif

Nov 9th, 2017 08:49 AM   Edit   Profile   Print Topic   Search Topic

Some other countries already combine Ibuprofen and acetaminophen in a single capsule.

"Ibuprofen and acetaminophen affect different pain receptors in the body so using the two drugs together may be especially potent, said Dr. Andrew Chang, an emergency medicine professor at Albany Medical College in upstate New York, who led the study."

The great thing about this information is that you don't have to take anyone's word for it; just head on down to CVS, get the OTC's and try it yourself.

I must say that I was quite surprised/impressed at how effective the combo was for pain relief with my crash injuries, though I had doubts at first.

The nurses were dosing me every four hours and it wasn't until my second day in the hospital that I asked what was in the pills ...... assuming, of course, that they were some kind of narcotic. When they told me I was taking the OTC combo, I was stunned.

Hammond101
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So. Cal. USA

Nov 9th, 2017 09:33 AM   Edit   Profile   Print Topic   Search Topic

I think it depends on how much pain and what kind you are actually in. When I had shingles only the opiates worked.

Unfortunately with our managed health care and doctors running scared I would only be prescribed enough to just dent the pain, take it down maybe 40%. Still a level 6 on the scale of 1-10.

I've tried the combo. No joy. The OTC drugs didn't touch it...at all. Good whiskey did a better job.

Jake
Contributing Member
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West Chester PA

Wait, what?
Nov 9th, 2017 09:33 AM   Edit   Profile   Print Topic   Search Topic

"Ibuprofen and acetaminophen in a single capsule."

What's a good mix?

RDR
Contributing Member
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I tried to think

but nothing happened!
Nov 9th, 2017 09:52 AM   Edit   Profile   Print Topic   Search Topic

All I know is when a tree stand collapsed, dropped me, and broke my back is that shot of Dilaudid in the ER did not compare to any OTC or combo thereof.

HeavyDuty
Contributing Member
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Northeast IL

Not very bright but does lack ambition
Nov 9th, 2017 11:22 AM   Edit   Profile   Print Topic   Search Topic

Yeah, Dilaudid is what worked for me, too - luckily I only needed it for a short period each time.

Pre surgery when I was just splinted waiting for the swelling to come down I was on the oral version for two weeks, and then three or four days after surgery. And after the second surgery the same three or four days.

The oral stuff was the only opioid we tried that I could tolerate, but the injectable version I had in the ER - I could learn to love that. Scares me a little.

johnny1111
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Maplewood, MN

Nov 9th, 2017 11:40 AM   Edit   Profile   Print Topic   Search Topic

Ibuprofen works for me, but I have to take at least 4 x 200mg. Tylenol is a total joke. Never been prescribed opiates. Wait, I was prescribed Demerol for dental surgery many years ago (that may be a synthetic opiate). OMG--that really rocked my world.

Gato
Contributing Member
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Southern Calif

Nov 9th, 2017 11:44 AM   Edit   Profile   Print Topic   Search Topic

"What's a good mix?"

The dosage I was taking per the trauma center doctors was:

500 mg acetaminophen and 600 mg ibuprofen
every 6 hours

One cautionary note: loading up on ibuprofen can cause constipation. I was taking an OTC stool softener with each dose as well.


Charlie Macon
Contributing Member
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Austin, Texas

Yeeeehaaaa!
Nov 9th, 2017 12:54 PM   Edit   Profile   Print Topic   Search Topic

That shot of morphine they gave me, prior to a spinal tap when they thought I had meningitis, completely erased a mind-numbing headache I'd had for about 5 days...totally resistant to any over-the-counter pills.

reverendrob
FDP Data Goon
Moderator

We all want

our time in hell
Nov 9th, 2017 06:17 PM   Edit   Profile   Print Topic   Search Topic

I'm lucky to have obvious, can't be faked mangling and wounds - so the doc doesn't get *much* hassle, but I have to see him every six months when every year would suffice.

I tell him I'll see him and the DEA my next appointment.

009
Contributing Member
*****

USA

Nov 10th, 2017 05:55 AM   Edit   Profile   Print Topic   Search Topic

Has anyone tried kratom? I first heard of this on TV news as something that veterans turned to as they waited, mostly in vain, for treatment at a VA hospital.

Google search results: kratom

jhawkr
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Wichita, KS USA

It's all gravy from here on...
Nov 10th, 2017 06:07 AM   Edit   Profile   Print Topic   Search Topic

A very simplistic view of pain killers. For some pain, OTC's can do an effective job. But I can tell you that if you've had your chest cut open and your sternum sawed in half, Tylenol ain't going to do it! The problem is trying to treat chronic pain with opioids. Unless you are treating end-of-life chronic pain, (in which case, what does it matter?), treating some types of pain can cause problems with addiction. But, throwing the baby out with the bath water is pretty short sighted IMO.


Previous 20 Messages  

FDP Forum / Moe's Tavern (_8^(I) / OTC drugs better than Oxy for pain management




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