[bg4533]

Quote:

Originally Posted by steel102 Where does Percocet fit in here?

I believe it is a mix of acetaminophen (Tylenol) and oxycodone (opiod).

 

[AuroraProject]

Nothing worls quite like Advil for me.

 

[chadbang]

Nothing over the counter really works for me. I immune to the effects of aspirin. Tylenon does zero. Advil I think I feel a tiny bit of relief. Now oxycondin, ahhh, that's nice.

 

[cpw]

When I broke my leg, aspirin gave me better relief than Advil or Tylenol although it only lasted about 2 hrs and was pretty rough on my stomach.
Now I alternate between the three depending on the pain. Aspirin for hangovers, tylenol on an empty stomach and Advil for muscle pain.
CPW

 

[saturnine]

Alcohol

 

[Shizelbs]

I find these drug discussions to be very upsetting. Each medication, OTCs included, are bad choices for various people with various disease states and other drugs they use (drug interactions). If you need a good pain reliever, ask your physician or pharmacist. Don't discuss it on the internet.

 

[Elec]

I find that Tylenol and ibuprofin don't really do much of anything for me. I don't recall the last time I actually tried taking aspirin, so I can't comment on how well it worked. I usually only take painkillers if I get a headache because minor aches and pains are infrequent and tolerable. My current favorite is ketoprofin, which I think is only available in OrudisKT. Two of those seem to work somewhat, which is better than the other stuff. A college roommate who ran cross country and had nasty back pain put me in the know about it.

We don't have codeine over the counter here in the states, which is really too bad. Most OTC painkillers (and in fact medicines in general) have little effect on me. I had a very minor surgery once and got some vicodin afterwards and recall thinking "You know...this is about how I wish Tylenol worked."

 

[PsychoZX]

Quote:

Originally Posted by redshifter advil liquigels.

Definately. The only over the counter stuff I really use.

 

[bhd812]

advil liquigels times 4!

take 4 of them at once every 4 hours...you wont feel nothing, and if you do then thats some badddddddd pain

 

[Big D]

Quote:

Originally Posted by crewchief Big D I have a question, Right now I am on Fetanyl 50ugh patchs for a injury sustained in the Army to my neck. The problem is that is seems my body has adjusted to the medication and it is not working like it used to. I discussed this with my doctor and she says to take ibuprofen with it to act like a booster. Is she right or should I be taking aspirin instead? Just wondering what a Anaesthetist has to say seeing how I know you have a broader knowladge of the effects of drugs then a regular doctor.

That is the big problem with opioid drugs - dependence. Over time the body becomes tolerant of them and their effects lessen. Sadly there are really only three options; either increase the dose of the patch, add in adjuvant painkillers, or change to another strong opioid drug. In palliative care (when people are dying of a painful disease such as cancer) the best option is usually to increase the dose of the patches which also come in 75microgram/hr and 100microgram/hr strengths. The largest dose I saw a patient have was 6x100mcg patches! For neck pain I would be reluctant to do this as it'll just keep on increasing.

Almost certainly the better options are to change the patch to maximum dose codeine, dihydrocodeine, or tramadol; All of which are available orally; and to add in the adjuvant effects of a non-steroidal drug (NSAIDs) and paracetamol (acetaminophen). Aspirin has more effects on platelet function and hence bleeding than other NSAIDs and is less effective as a painkiller than most other NSAIDs so I would advise using ibuprofen (over the counter) or diclofenac (only available by prescription in the UK). Some people do get good pain relief with certain NSAIDs and less pain relief from others so this statement is a broad generalisation. You are probably best trying to find what works for you.

Ultimately effective pain relief is a team effort between you and your doctor. In the UK some anaesthetists run chronic pain clinics and I am sure if you had been here your doctor would have refered you. There is probably something similar in the US so maybe something to discuss with your doctor. Without actually have a proper one on one consultation and your medical records it is hard to properly advise you, but I'd suggest you ask your doctor about the pros and cons of the options available and if necessary ask for referal onto a pain specialist.

 

[10068]

Ibuprofen because everything else messes with my meds.

 

[Shizelbs]

Quote:

Originally Posted by Shizelbs If you need a good pain reliever, ask your physician or pharmacist. Don't discuss it on the internet.

Just one more time.

 

[10068]

Quote:

Originally Posted by Shizelbs Just one more time.

Why do people feel the need to say this sort of thing all the time? For me personally, if I wanted to talk about something in person, i'd talk about it in person. If I ask online, there's a reason for it. If I ask on HeadFi, it's because I want the opinions of the people I respect here. Giving responses like "this isn't the place for that question" is like simply saying "use search function" instead of actually answering people's questions about headphones

 

[Shizelbs]

Because, as I said earlier, the choice in one's pain medication, or another other, is a very person-specific process. In my experience, people who posts comments and particularly advice about what medications to take, know absolutely nothing to at most very little about what they are saying. My concern is that people will get bad advice and end up getting hurt. Thats all.

 

[KYTGuy]

Amongst rational adults of reasonable intelligence, an occaisional warning/reminder is more than sufficient....

With chronic abusers, there is/will be NO AMOUNT of effective warnings or control...

Looks like this thread has it about right WRT warnings, IMHO...


I played that great game, Football (of the American style) in my youth...now, I am familiar with too many pain meds...At age 53, I use them daily.

Naproxin is my friend...(my Infantry buds call it "marchin candy")

I add or subtract Scotch/Wine/Beer as indicated....

Once in a while I need something stronger, then it is off to the doctor for whatever she says is right...(Women Doctors just listen better)