I think you can actually mix nsaids at the same time with no problems assuming you keep the dosage low?
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I think you can actually mix nsaids at the same time with no problems assuming you keep the dosage low?
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Thanks for the correction cmcrawfo; acetaminophen doesn't relieve inflammation like ASA or ibuprofen. Max recommended dose is something like 3000mg as well.
I heard of stacking from a paramedic, and some backcountry 1st aid, but would love to hear a doc on the implications.
I have some diclofenac sodium... for got about that. That cannot be taken with ibprofon but I'm not sure about the aceaminiphin in Vicodin
you probably won't need it by then I'm guessing. It is true that it takes less pain med to prevent pain than to stop it once it gets bad.Quote:
Originally Posted by mtngirl79
Thanks og
Healing vibes mtngirl. You'll be back on it in no time. Careful on the comeback
mtngirl, give me a call if you need a ride to an appointment.
hah....ride with a bus driver? I'd walk.Quote:
Originally Posted by fiddler
:fm: :fm: :fm: :fm: :fm:
Thanks, fiddler... as for riding with bus drivers, my friend yesterday was terrifying and has lived in Bellingham longer than me and couldn't find main roads without direction.Quote:
Originally Posted by ill-advised strategy
Once it stops hurting I'm going to take the para transit bus! Bahahaha
I'd advise against taking a sedative like Valium with and opiate--more respiratory depression, and for a lot of people benzodiazepines actually intensify pain. Obviously it's worked for you and drugs of those classes are regularly combined in hospitals, especially as preoperative sedatives, but that's a controlled situation.Quote:
Originally Posted by ill-advised strategy
Combining Tylenol or another form of acetominophen with an NSAID is a good combination for pain that doesn't require an opiate. My go to--both for my broken ribs and for a fairly serious chronic spine problem is 2 extended release acetominophen when I wake up, 2 200mg naproxen after breakfast (needs to be taken with food), 2 more naproxen at bedtime. (That's a prescription-level dose. Significant risk of ulcers and kidney damage.) Timing doesn't matter, take them together or apart, as long as there's something in your stomach with the NSAID. Same applies to NSAIDs and opiates--timing relative to each other doesn't matter.Quote:
Originally Posted by BCMountainHound
As far as Tylenol and Vicodin--they both contain acetominophen, so never take both. If one is trying to minimize the opiate use you can substitute the Tylenol for the vicodin for some doses.
Mtngrl, you should ask for some Robaxin(methocarbamol)when you go to the doc instead of opiates. Taken with NSAIDS and or acetaminophen it will do more to make you comfortable than narcotics. You're more likely to get a decent supply of Robaxin than any opiate. A lot of the discomfort with injuries like you have is the muscles in spasm trying to 'splint' the injury.
But Isn't current med opinion that NSAIDs slow bone growth?
That's what a doctor told me.Quote:
Originally Posted by mcski
I don't think that is the consensus. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3259713/ That's 5 years old but not much has changed, none of the orthopedists I work with and have polled about this have problems using NSAIDS for pain relief with fractures. One doesn't like to use them when treating ligament and tendon injuries because he's worried that reducing the inflammation associated with healing will prolong the healing. He's an outlier.Quote:
Originally Posted by mcski
Bones take weeks to months to heal. The NSAIDS are usually taken for a few days. (NSAIDS are by no means harmless drugs--being so afraid of opiates that we overprescribe NSAIDS does no one any favors. IME combinations of pain relievers are best because they allow each individual drug to be used at a lower dose, hence fewer side effects and complications.Quote:
Originally Posted by AaronWright
This is a fucked up thread except for the good wishes, OG's expertise and AW's reco re robaxin.
IME opioid use is a very personal thing. I hate the side effects and coming off of them, so I avoid taking them whenever possible. Nonetheless, I don't know how I could have dealt with my first few days of post-brain surgery pain without fentanyl.
MG, does your job prevent you from smoking or eating cannabis for pain relief?
Yeah. In theory, I won't be tested for the six weeks+ I will be out, but they could always offer light duty, and then I'd go to work and be at risk for getting tested. It's not worth it.
Yikes.
Wishing you a speedy recovery.
Heal up!
we have to find better yobs. Pot-smoking yobs. The kind of yobs where there are donuts every day and people tell jokes.Quote:
Originally Posted by mtngirl79
Driving for a living is whack.
There are often donuts at my work. And cake.
Seriously, my job has its annoyances, but the pay and benefits are really good.
I get bored. I want a thinking job... but my quality of life is a million times better than it ever was now that I work for WTA.
People bitch. There is always something to bitch about and its easy to get sucked in, but the reality is, it's pretty fucking sweet for what it is.
We are hiring drivers again, btw.
Bike/ski tech! Problem solved...unless you consider the part about making a living wage. But...shop form!Quote:
Originally Posted by ill-advised strategy
Based on personal experience, not any medical knowledge, I've been disappointed by cannabis for pain relief, but then I don't pay attention go strains, composition, so maybe I'm doing it wrong.
IME, sativa doesn't do much for pain but indica and CBD are better for chronic pain than percs or vicodin, and gabapentin is better than all the above for chronic nerve pain.
In my experience opiates don't do much for pain they just make me not care so much about it. The exception for me was epidural fentanyl. Oxycodone dulled the pain a bit for me but I found more relief with ibuprofen and robaxin.
I think I am going to set am alarm so I wake up and take a pain pill in the middle of the night. I got the pain under control yesterday evening and was good and actually slept the whole night but woke up with the pain back and it took a little while to knock it back down, butvsince I have been maintaining with just one pill rather than 2.
I want to know how they decide what to prescribe. This broke ankle hurts 100 times more than my gall bladder and they gave me 30 straight oxys for that.
I used to just hit the whiskey for pain, then sleep through it.... wouldn't recommend it though. When I broke my leg I was told to take my OXY every 3 hrs, DR. said "do not skip or it will take you 6 hrs to catch up" I had to take Hydromorphone if the pain was past what the oxy would handle.Quote:
Originally Posted by mtngirl79
Hang in there
Might have to give the gabapentin a try for my spinal stenosis. I've taken it in the past. I kept trying to fall over on level ground.Quote:
Originally Posted by DIYSteve
They don't decide. Mostly they just do what they always do and adjust for weight and age and as needed.Quote:
Originally Posted by mtngirl79
Interesting thinking about pain meds--even before the current concern about opiates a doc could prescribe inadequate pain meds for a hospital patient 100 times and no one would say boo; give someone too much and have to give them oxygen, watch them for a few hours (we rarely have to reverse in the hospital) and you get called on the carpet. Despite the well proven physiological and psychological benefits of adequate pain control.
Always stay ahead of the pain w whatever med works for you. It's much harder to catch up and control it once the pain arrives. Stay ahead.
I like Vicodin when my back is jacked up. Never felt it was useful before I had back issues but it works well for me.
I have never had any decent pain relief from weed. I guess it works for some but not me at all
My dad used to take gabapentin. Had to watch it a little bit because it would build up. If he took too much he'd get pretty wacky. Don't think I'd use a primary pain relief in any circumstances.
I know we have an opioid problem but underprescribing pain relief is a fucked up hellscape for people in pain. Not sure what the answer is. I sure as hell ain't getting pain relief from PT during a bad back episode.
My dad had to get narcan once when he was on way to high frequent or big morphine drip. Amazing how quickly that stuff can turn a zombie into the living
I take gabapentin only at bedtime. I have heard several MDs characterize it as a miracle drug for chronic neuralgia. When needed I take 300mg at bedtime, which is a much smaller dose than many people take for chronic nerve pain, and TMK I have not experienced any adverse side effects.Quote:
Originally Posted by old goat
I've had whatever they give for a broken tib/fib and another accident for the inside knuckle cracked off the ankle and the drugs were dissapointing, took some of the edge off the pain but I didnt get high at all
In addition to the cracked knuckle 6 weeks later they could see on the xray that my lateral malleolus (fib?) was also cracked but they didnt do anything and it healed fine
I try to stay away from pain killers even off the weedz nowdays
Hmm, that's giving me second thoughts about socialized medical care. I want to get wasted when I have a fx'ed boneQuote:
Originally Posted by XXX-er
Malleolus is the (protruding) ankle bone. which is connected to the leg bone, and the leg bone's connected to the knee bone, and da knee bone's connected to da hip bone....Quote:
In addition to the cracked knuckle 6 weeks later they could see on the xray that my lateral malleolus (fib?) was also cracked but they didnt do anything and it healed fine
If you're in pain you aren't going to get much of a high from opiates--high is a state of mind: drug+circumstance and the pain negates the high. I've had patients enjoy their preop sedation but never had one tell me how much they enjoyed the meds after surgery.
Thats's Ex bus driver to you!Quote:
Originally Posted by ill-advised strategy
I have GPS, a wheel chair van with the same securement system as your buses and an extra manual wheelchair. Famous last words, I can get you there in one piece without getting lost!Quote:
Originally Posted by mtngirl79
Lol, today I got to drive the power cart at Winco, and got a real cast! No surgery.
Attachment 211274Attachment 211275
No surgery! right on !
Good to hear. Heal thyself J
thats interesting ^^ and would explain my indifference, it seemed to take some edge off and I would doze off alot but I wouldn't call it a highQuote:
Originally Posted by old goat
last time they were gona cut on me I said wait i gotta piss and they are all like wtf get him a bed pan but anyhow once they hit me up I go under SO fast that i wouldn't know what what preop sedition feels like
my buddy the anesthetist said he would thro a little adrenilen in with the juice to knock em out fast he said alot of his patients thot he was pretty hot men included
Boooo! Let's not get political here.Quote:
Originally Posted by flowing alpy