i have ms. i'm having really bad headache since sunday. my neuro np told me to take tylenol (acetaminophen) and drink tea. not working. otc meds not helping!

Question

I have MS and trigem neuralgia and have terrible pain. Tried gaba, baclofen, norco, (hydrocodone and acetaminophen) elavil, tegretol, otc, etc...What is the best pain med for this?

Answer 1

Trip to the ED?: Luckily, most urgent care centers and emergency departments are well stocked with pain medications which even your neuro NP may not be able to easily prescribe. Consider a trip to the ER. They may want to obtain a repeat MRI or perhaps even an LP if they feel it necessary. They should be able to properly evaluate and treat your headache.

Answer 2

Suggestions: MS patients experience 2-4X frequency of migraines than normal folks. Tylenol (acetaminophen) and tea fails to help migraines. But OTC remedies such as butterbur, feverfew, Co-Q10, or riboflavin can prevent. See your neurologist directly, as am skeptical about the NP. (also, blood in urine, foot swelling, ?kidney problems?)

Answer 3

It depends.: If your pediatrician thinks there could be a serious explanation for the headaches, they will make that decision. An MRI is better at finding abnormalities of the brain itself, such as a tumor. A CT is better for discovering bleeding or abnormalities of bony structures.

Answer 4

MRI: Mri is more expensive than CT scan, but research has recently suggested that infants and children who get CT scans of any type have an increased lifetime risk of getting cancer. A CT is quicker and cheaper, but may not give good enough information. The downside to an MRI is that infants and children may require sedation in order to get a good study.

Answer 5

Minimize radiation: If your insurance will cover it, i would do MRI in order to minimize the radiation.

Answer 6

Both have benefits: Hi, great question. Mri and ct often complement each other. Many times we need to get both of them to have a final answer or the best answer we can get. Bottom line MRI and ct each have benefits and risks. Each supplies us good information but the best way to determine which is the right one to start with is to do a thorough review of the history and physical exam. Then the doc should decide.

Answer 7

MRI scan: At a pediatric hospital they do sedation.

Answer 8

No: I don't know of any pain patches that contain tylenol or acetaminophen. They may contain fentanyl, a narcotic, or a NSAID (non-steroidal anti-inflammatory). To be sure, if you are using over-the-counter patches, read the label carefully. If you are being prescribed patches, ask your doctor.

Answer 9

No: There are many types of pain patches. Lidoderm 5 % , fentanyl, Butrans patch, ketamine, diclofenate, gabapentin, ketoprofeb. None of these pain patches contain acetaminophen.

Answer 10

Low dose recommended: Tylenol (acetaminophen) is generally not a problem for people with liver disease, so long as you take a relatively low dose (not to exceed 2 grams in 24 hours). In general, hepatitis patients do not have to worry about adjusting drug dosages until they start getting chronic liver problems. When these problems begin, they should avoid other anti-inflammtory drugs (like ibuprofen, aspirin, etc.) besides tylenol (acetaminophen).

Answer 11

Tylenol (acetaminophen) + Hep C: You should limit use to no more than 2000 mgs per day. Ideally, try not to use it.

Answer 12

Depends on patient: Mobic (meloxicam) is a non-steroidal anti-inflammatory agent (nsiad). Aleve (naproxen) is also an nsaid. Tylenol (acetaminophen) is not an anti-inflammatory medicine. Mobic lasts longer and in most cases needs to be taken once daily. Patients react differently to nsaids. So the efficacy frequently is patient dependent.

Answer 13

Mighty Mobic (meloxicam): All non-steroidal anti-inflammatories work equally well for relief of pain or fever. They vary in their chemical structure which is what gives them different effectiveness in different people. Tylenol (acetaminophen) is entirely different from either Mobic or Aleve in its action, but is also effective for fever and pain. Our unique differences make trying different meds a good strategy for best symptom relief.

Answer 14

Is it your first?: The odds are, you have a recurrent headache problem. So if the pain interferes with your work or leisure time, see a physician knowledgeable in headache care.

i have ms. i'm having really bad headache since sunday. my neuro np told me to take tylenol (acetaminophen) and drink tea. not working. otc meds not helping!

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Three day head ache! started with work sunday?

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