Doctor insights on:
Nsaids Vs Narcotics
A natural or synthetic alkaloid compound that has morphine-like qualities. Other examples are codeine, heroin, Meperidine (demerol). They are classified based on their intrinsic activity & where they interact in the central nervous system. They are involved in pain transmission ...Read more
?better: I would have to ask "better for what purpose"? ...Read more
Tramadol related: Depending on the type and severity of pain there is no reason why they cannot work. ...Read more
Work @ Injury: For the most part, these meds work at the site of inflammation which is causing the pain. They also have some effect on the brain's perception of pain but the main point of effect is at the area of injury. Injured tissues release toxins which the nsaid's retard the formation of in the local area.Celebrex (celecoxib) is unique from other nsaid's in that it does not thin the blood. ...Read moreSee 1 more doctor answer
Better for what???: Opioids may be all that a person needs for acute pain (broken bone, sprained ankle) but is NEVER the primary treatment of ANY chronic pain. Each of these drugs has a different half-life, side effect and safety profile, and some are better for some people, and some are more dangerous in some people. Methadone is the most dangerous, particularly when given by doctors with less experience using it. ...Read more
Which of these is most effetive> Oxycontin vs. fentanyl patches vs. methadone vs. nucynta (tapentadol)?
An impossible ?: All opioid drugs, when given in equivalent doses, are equally effective in most people. Some may be more effective in some people for some kinds of pain, and some may be better tolerated than others in some people. Depends on the kind of pain, the dose given, and the specific biology of the person. Methadone and Nucynta (tapentadol) may be more effective against neuropathy pain than the others in some people. ...Read more
NSAIDs: NSAIDs like ibuprofen, naproxen sodium and etodolac have slight ly different properties and side effects. Any patient may respond better to one or another - see which works best for you in. terms of how often you can take the drug and what side effects like stomach upset you experience. Good luck. ...Read more
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
How fast is celebrex (celecoxib) works? For acute pain, is it better to take celebrex (celecoxib) vs. Advil vs. Motrin ?
Not recommended: If weight lifting hurts - need to find out why or you should not be doing it. It should be fun. Need to see a trainer - let it heal and start under supervision If it still hurts you must see a physician ...Read more
Regarding analgesic pain management, is it safe to use nsaids such as Aleve (naproxen) in conjunction with acetaminophen?
Yes: Nsaids can cause kidney and GI toxicity, Acetaminophen can cause liver toxicity. Alternating the two can minimize the dose for both classes of drug and reduce toxicity. As always, i encourage working with your doctor to optimize your pain management and medical therapy. ...Read moreSee 1 more doctor answer