Emperor1956
Posts: 2370
Joined: 11/7/2005 Status: offline
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FR: A few things. First and most important DO NOT DRINK ALCOHOL WHEN YOU ARE TAKING acetaminophen. The link between alcohol use, acetaminophen and liver damage is well established, but for years was thought to be an issue only with "moderate" drinking (3 glasses of wine in an evening, several times a week). What is emerging is there seems to be an unfortunate cululative effect. So just one drink and a Tylenol might trigger "alcohol-acetaminophen syndrome" in a person who has previously tolerated alcohol and acetaminophen. I asked one of our docs this question (I was reading the boards when she called in to verify something, so I said "Hey Dr. N.---- what do you think?" She said Ibuprofen, definitely. The key is the greater reduction of tissue swelling and strain. By the way, ALL NSAIDs are "painkillers" -- whoever posted some distinction between "painkiller" and "anti-inflammatory" is talking out of their ass. Ibu is the better anti-inflammatory. (For the record, acetaminophen is the better antipyretic, or fever reducer). Now, should MLadyHathor take naproxen sodium, or "Aleve"? Well, clinically the answer would be "no" because her pain was reduced successfully by the ibu. NS is considered a "step up" in invasiveness. However, it has excellent effect on swollen joints and might be the way to go if the Ibu stops working. Oh, and by the way...whoever posted some nonsense about prescription NS not having sodium but Aleve does? More poppycock. Naproxen sodium always has sodium in it, regardless of source. And yes, it can spike blood pressure in some instances. Two last things: why not take asprin? Its cheap, its effective and if you have no gastric issues with the other two drugs, it should be fine for short term therapy. Good old ASA remains one of the major theraputic drugs available. But guess what? ITS CHEAP. The drug companies don't make much on it because (1) its nonproprietary and (2) it costs about 6 cents to make a couple dozen pounds of the stuff. I find it amusing that everyone here jumped to the "Ibu" vs. acetaminophen vs. NS. NO ONE said "take two asprins". The drug company advertising sure is working isn't it? (NO -- NEVER GIVE ASPRIN TO A CHILD UNDER 12. NEVER. EVER. OK? sheeeesh). And yes, caffeine is a precipitator for all NSAIDs. Indeed, the "secret ingredient" in those old compound OTC meds we grew up with -- Anacin, etc.? Caffeine. And finally,cyrce, I actually know what Traumeel is and I know health care providers who swear by it. Not to open up a whole new debate about homeopathy, but my issue with Traumeel (which is marketed as a "natural" NSAID) is that objectively there is NOTHING IN IT. No active ingredient at all. But then again...if you believe in homeopathy that won't bother you. Lady H feel better. You'll be back to flogging and whipping and slapping in no time. E.
< Message edited by Emperor1956 -- 4/13/2008 11:39:02 PM >
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"When you wake up, Pooh," said Piglet, "what's the first thing you say?" "What's for breakfast? What do you say, Piglet?" "I say, I wonder what's going to happen exciting today?" Pooh nodded thoughtfully. "It's the same thing," he said.
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