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Doctor insights on: Using Otc Pain Meds

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Using Otc Pain Meds (Overview)

Over-the-counter pain relievers Pain relievers like acetaminophen (Tylenol) and aspirin are familiar choices for the treatment of osteoarthritis. * Acetaminophen generally is considered safe, although it may pose risks to some individuals with liver disease or when taken in excessive doses. * Aspirin is a popular medicine for many arthritic disorders because of its ability to relieve pain as well as inflammation (swelling, redness). However, aspirin is not suitable for people who have had a stomach ulcer or aspirin allergy. Nonsteroidal anti-inflammatory drugs (NSAIDs) NSAIDS relieve pain as well as inflammation. There are a wide variety of NSAIDs to choose from. Over-the-counter forms include: * Ibuprofen (Advil, Motrin) * Naproxen (Aleve)


Using Otc Pain Meds (Overview)

Over-the-counter pain relievers Pain relievers like acetaminophen (Tylenol) and aspirin are familiar choices for the treatment of osteoarthritis. * Acetaminophen generally is considered safe, although it may pose risks to some individuals with liver disease or when taken in excessive doses. * Aspirin is a popular medicine for many arthritic disorders because of its ability to relieve pain as well as inflammation (swelling, redness). However, aspirin is not suitable for people who have had a stomach ulcer or aspirin allergy. Nonsteroidal anti-inflammatory drugs (NSAIDs) NSAIDS relieve pain as well as inflammation. There are a wide variety of NSAIDs to choose from. Over-the-counter forms include: * Ibuprofen (Advil, Motrin) * Naproxen (Aleve)


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What do I take for a lupus flare? I'm on lupus meds but what about OTC pain meds?

What do I take for a lupus flare? I'm on lupus meds but what about OTC pain meds?

Call your rheum: Without knowing whether or you have kidney involvement and what type of flare you having, it is best for you to let your rheumatologist know so that they can evaluate you. ...Read more

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Managing Pain from Cancer (Checklist)

Ask oncologist to refer you to cancer pain specialist
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Ask pain specialist about both interventional and medication options
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If pancreatic cancer, ask about a celiac plexus block
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If neuropathy, request trial of ketamine-based topical creams
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(I can't take otc pain meds) I took one 45mg dose of prescribed codine at noon, can i drink around 6? If not when is it safe to drink?

(I can't take otc pain meds) I took one 45mg  dose of prescribed codine at noon,  can i drink around 6? If not when is it safe to drink?

Don't drink tonight: Opiates like codeine and alcohol are a dangerous mix. At 6 hours out, most codeine is on its way out (with 90% gone in 24 hrs.) but prudent medical advice would be to give it a rest at the bar tonight. See codiene discussion at: http://www.rxlist.com/tylenol-codeine-drug/clinical-pharmacology.htm If you have to drink every day, that is another HT post. ...Read more

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Are homeopathic remedies like cobrynol and arnica tablets really safe to use? How effective are they? Are they safe to take with other OTC pain meds?

Are homeopathic remedies like cobrynol and arnica tablets really safe to use? How effective are they? Are they safe to take with other OTC pain meds?

Most homeopathy safe: Almost all homeopathic remedies are extremely safe & often effective though i reserve judgment on cobrynol; the main exception is low potencies of toxic substances;cobrynol does not reveal potency on its website & does list many side effects but most homeopathics have no side effects;consider nyloxin, a similar product with a longer track record (though it can have mild side effects)- see comment:. ...Read more

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Managing Neck Pain (Checklist)

Use pain medication as directed
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Avoid fast movements
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See your doctor if your neck pain hasn't improved in 1 week
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I broke my sacrum and pelvis 3mos. Ago, dr wont give me anymore pain meds. He suggested otc. They do not work. What can I do?

I broke my sacrum and pelvis 3mos. Ago, dr wont give me anymore pain meds. He suggested otc. They do not work. What can I do?

Get a referral: Did you get surgical repairs of your sacrum and pelvis? If not, find out if you are a surgical candidate. Find out why your doctor is not giving you any more pain meds. He may have a good readon. Consider physical therapy. If nothing helps, ask your doctor for a referral to see a pain management specialist. ...Read more

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Really bad back pain below shoulder blade. What OTC pain meds can I take?

Really bad back pain below shoulder blade. What OTC pain meds can I take?

The Ones You Know: Already. There are not any new OTC meds than the ones that are already available now. Ibuprofen/Motrin, Aleve/Naproxen, Tylenol/Acetaminophen are currently available without Rx. Although be aware that too much tylenol (acetaminophen) can result in liver damage/failure. If these are not helping or you are using these daily, I would suggest seeing your doctor for further evaluation. ...Read more

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Managing Knee Pain (Checklist)

Try to determine the cause
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Write down severity, duration, location (front/back of knee, etc.)
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If swollen, ice the knee with a bag of ice, bag of frozen peas, etc.
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See a doctor
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Problems sleeping & when I do sleep im excessively tired no matter how much sleep i get. Otc meds do no work. Prescibed pain meds do not help. ?

Problems sleeping & when I do sleep im excessively tired no matter how much sleep i get. Otc meds do no work. Prescibed pain meds do not help. ?

Prevention: Not being able to sleep may indicated sleep problems that can be life shortening or life threatening. The only way to know if there are serious problems is with an overnight sleep test. I encourage you to seek help. ...Read more