Doctor insights on:
Acetaminophen Functional Groups
Allergic to morphine, vicodin, codeine, nsaids. Chronically ill, looking for pain relief. Tylenol (acetaminophen) is useless. Tramadol ok? Other suggestions?
Painful situation: You have a difficult problem which is not uncommon. You need a concerned physician to review the reactions and what alternatives are available for treatment. Ideally you could see an allergist and a pain specialist to resolve this issue. Also i would be looking into alternative methods of controlling pain such as stress reduction meditation and even possibly acupuncture. ...Read moreSee 1 more doctor answer
Look online: Since mitochondrial disorders are still considered rare disease entities, support groups at a local level would be very dificult to find. I suggest you go online to some of the big centers in the us who deal with the diagnosis and treatment of these disorders (ie. Children's hospital of philidelphia, cleveland clinic) and see if they have online support groups and parental geoups. ...Read more
No such thing as: "stronger." it is a misnomer to talk about strong and weak opiates, although doctors do this too. It depends on dose and side effects. Codeine is relatively impotent - takes 30 mg to equal 5 mg of hydrocodone, but at those same doses they do pretty much the same thing. However, Codeine has way more potential for side effects, especially at higher doses, so it is more poorly tolerated over 60 mg. ...Read more
Depends: There seems to be a confusion in your mind about physical dependence and addiction. Addiction is psychological dependence on the substance not for controlling the pain but feeling good. Pain is not the issue in such cases and usually illegal means employed to obtain the substance. For such persons there are detox clinics followed by support group. If you obtain opioids for pain, no need for group. ...Read more
Do the vast majority of people survive tylenol (acetaminophen) or ibuprofen intentional overdoses?
Why: Before that question is answered i would like to know why you ask. ...Read more
What's the least organ damaging/most body friendly of the OTC painkillers? Tylenol, (acetaminophen) Advil, or Aleve? (I realize those are brand names...)
All are safe: None will injure you used as directed. Some folks get elevated liver function tests from even a little Tylenol (acetaminophen). Advil reversibly damages the kidneys if you get dehydrated on the stuff. Same for Aleve. Some folks get liver sensitivity to any of these. I would choose the one that gives you the best pain relief, drink plenty of water, and not worry about this. ...Read more
YES: Try search for interstitial cystitis (ic) support group in your local area. I strongly recommend it. There many different way to deal with the symptoms. You may get one from the others just working for yourself. ...Read more
See a dentist ASAP: You must treat the source of the infection, not only the symptoms. Therefore, you need to clean out the inside of the tooth to remove the bacteria which is the source of the infection. The pain medication cannot reach the source of the infection. Ask your dentist for more information. ...Read moreSee 3 more doctor answers
It depends: It is really best to answer your question by a formal consultation with a pain specialist assuming you are a candidate for opioid medication. While there is a conversion table for common opioid. Each patient is different. ...Read more
Is there a difference between tylenol (acetaminophen) with codeine #3 and tylenol (acetaminophen) with codeine #4?
Moderate: Standard tables of equivalency for oral narcotics compare against morphine 30mg. Equivalent doses of other narcotics as compared to 30 mg of morphine are as follows: codeine 130 mg hydrocodone 20 mg meperidine 300 mg methadone 5-15 mg oxycodone 20 mg oxymorphone 10 mg. With narcotics there is some inter individual variation so these are rough guidelines. ...Read more
Migraine management : Any headache must be viewed as a valid medical disorder and the headache assessment must be comprehensive. Once a diagnosis of migraine has been made, effective management of migraine involves three specific strategies: 1) patient education, 2) nonpharmacological management, and 3) pharmacological (medical) management. Rec.: see an orofacial pain or headache specialist for evaluation. ...Read moreSee 1 more doctor answer
Is ultracet better for controlling arthritus pain than coated aspirin or extra-strength tylenol (acetaminophen)?
Different pain meds: Ultracet (tramdol and acetaminophen) is a combination of Tramadol(Ultam) is an opoid pain medication and acetaminophen(Tylenol) and is a stronger pain med than Aspirin and Extra strength Tylenol.We do not use Aspirin for pain that much as it can cause stomach bleeding if taken in therapeutic doses. Depends on the pain level.Ultracet (tramdol and acetaminophen) is stronger than extra strength Tylenol but can be habit forming and can cause constipation ...Read more
Can you take 1 ibuprofen 600mg 4-5 hours after taking 2 extra strength tylenols (acetaminophen) that are not working well?
Yes: But don't do this on a regular basis. Normally, it's recommended that you take 4 tabs of Ibuprofen 600 mg a day and 4-6 tablets of tylenol (acetaminophen) 500 mg a day. So if you combine both, i'd suggest 2 each of the tylenol (acetaminophen) and Ibuprofen per day on alternating doses. Don't drink alcohol with it. Drink lots of liquids. If you develop stomach upset, nausea, vomiting or fever, go see yourdr take care! ...Read more
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). ...Read moreSee 1 more doctor answer
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