How much is too much?

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SE Sis
Regular Member


Date Joined May 2011
Total Posts : 61
   Posted 5/17/2011 10:46 AM (GMT -6)   
I'm new to the forum but I'm curious on the amount of pain medicaiton I'm taking...is it a lot?  or do I have nothing to worry about.  I worry about hurting my organs with all the Ibprofen....I'm also growing tolerant of my #10 percs.  I'm about a month from calling the doctor and asking for something stronger....is there something stronger?....my main problem is my legs ache and throb since my surgery...the pain pills takes care of that for about 6 hours and then I suffer for 2 additional hours so that I can keep my meds down to 3 a day...any advice?  Thank you. 
 
Screaming Eagle Sis
 
_______
12 ibprofen and 3, #10 perc a day.
3 fusions in lower back, rods, screws added, bone chipped out.  Surgery done on May 10, 2010
 

_Christina
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Date Joined Feb 2007
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   Posted 5/17/2011 10:56 AM (GMT -6)   
What mg of ibprofen do you take? Are they 200mg pills, or 600 mg or 800mg pills? I dont know anything about the perc, but it makes a big difference on the ibprofen what mg they are.
Treatments: gluten-free diet, Cpap
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straydog
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Date Joined Feb 2003
Total Posts : 16303
   Posted 5/17/2011 11:02 AM (GMT -6)   
The max dose a day on Ibuprophen is 3200mg. It can be really tough on the stomach because its like an NSAID. Is your dr aware of how much you are taking? There are lots and lots of different pain medications out there and you probably should talk to your dr about trying you on something different since you have been on this for quite awhile. Your body will become tolerate to pain meds just like any other medication taken long term. Sometimes by switching they can put you on something that is less of a dose but be effective too. I would ask for a change and above all let him know how much Ibuprophen you are taking.
Moderator Chronic Pain Forum

Snowbunny21
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Date Joined Jan 2010
Total Posts : 3557
   Posted 5/17/2011 11:49 AM (GMT -6)   
Stray is correct on the max dose...PLEASE talk to your DR. asap on how much you are taking daily...Even if you are taking the 400 mg...that is way over the max dose per day...

NSAIDS are extremely hard on the stomach and an overdose can cause permanent damage to the stomach or intestines...

Then you are adding the Acetaminophen in the Percocet's to this as well...

Both the Ibuprophen and the Percocets are short term/immediate release medications...they are not meant to last for more than 4-6 hours...they are more for 'acute' episodes of pain and not for long term usage...

I would recommend stopping the 12 a day immediately and go to the regular dosage which is on the label of the bottle...

I would contact your Dr. and try to get an appt. sooner than the next month and then speak with him about your pain levels...Dr.s need to hear 'how' you are affected during the day and what you can/cannot accomplish....

I would also make sure that you are getting at least 30 minutes of exercise a day (just gentle walking) to keep the circulation in your legs going strong...this could be one of the issues with the throbbing pain if you have become less mobile...or are sitting for long periods during the day....Even just getting up and walking around the house/office for a few minutes every two hours....or doing leg lifts while sitting and rotating your ankles...

One word of note...Dr.s can become cautious about prescribing narcotics to someone who is not following the instructions on the ibuprophen....they worry that you may do the same with the Percocet medicine...that you will make your own decision and take more when you feel you need it...I'm NOT saying you are doing this...I am just letting you know how they look at things overall....I am friends with my PM outside of the office and we talk for hours about how hard his day is with wanting to treat people who he truly cares for and are in daily pain...like yourself...they also have the DEA breathing down their neck and they have to have patients who follow strict instructions on everything...

So...no one on these boards can say whether you are on 'a lot' of medication...everyone has their own course with their pain levels and their Dr.

Hopefully you can get an earlier appt. and discuss your needs and he can help come up with a better plan to help you through the day..

Welcome to the boards!!
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006
 
 

Chartreux
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Date Joined Aug 2006
Total Posts : 9664
   Posted 5/17/2011 12:10 PM (GMT -6)   
Please talk this over with your doctor, always keep him/her in the loop and
also let them know your still in pain from surgery...try to get in soon, keep us posted
and hope your feeling somewhat better soon...
well wishes and healing hugz
**********************************************
* So many dx's I could write a book* "It would be nice if we could use the edit button in real life"...
********>^..^<********>^..^<*******

SE Sis
Regular Member


Date Joined May 2011
Total Posts : 61
   Posted 5/17/2011 12:27 PM (GMT -6)   
I will get into my reg doctor soon.  I'm taking 200 mil pills so it's 2400 a day.  My doctor told me that was the max I could take. Every day.  For the rest of my life....so I'm doing that....but I'll go back and visit with them again about it and also something more long term on the other.  Thanks. 
 
Sis

Snowbunny21
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Date Joined Jan 2010
Total Posts : 3557
   Posted 5/17/2011 12:57 PM (GMT -6)   
I would still be cautious about taking that much everyday for long periods of time...on top of the acetaminophen...once stomach/intestinal issues arise...some can be irreversible...

Just fyi...I take Oxyir which is just straight oxycodone without the acetaminophen...then I can add an Advil or Tylenol (not on the same day for me) if needed...

Personally...I prefer a muscle relaxer like Flexeril or Skelaxin over the NSAIDS or Tylenol type products...they work much faster and stronger with one pill and side effects are minimal...(sleepiness which is too be expected)..

Is the Dr. you see a Pain Mgmt. Dr? They are most knowledgeable on medicines as many have backgrounds in Anesthesiology...

If your Dr. is saying that this is going to be chronic pain...as opposed to acute..surgery recovery pain....then a lot of times they will start to move you to a long term/extended release medicine so you don't have to be 'chasing' the pain every few hours..

Hope you get into the Dr. soon to help..


Good luck:)
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006
 
 

mrsm123
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Date Joined Dec 2007
Total Posts : 1235
   Posted 5/17/2011 1:39 PM (GMT -6)   
The other concern is that you just had fusion done, so taking any NSAID is not recomnended since it can interfere in fusion. You only get one chance to get it right, that is for your body to fuse and then if it doesn't, you may find yourself facing a revision down the road.
You really do need to discuss this with your surgeon. Did he tell you that it was safe to take that amount of   NSAIDs  before or after your surgery?
I have had fusion surgery twice and am on my way to my third and I was told beyond any shadow of doubt NOT to touch NSAID's until my surgeon told me that I  could and never before a year out from my surgery date.
 

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 5/17/2011 1:50 PM (GMT -6)   
mrsm...I think she has the date of the fusion as May 10 of last year..don't think she has had another one since then but not sure as it's not listed if the case...(and I have done this a lot thinking I was in 2010 still...LOL:)
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006
 
 

SE Sis
Regular Member


Date Joined May 2011
Total Posts : 61
   Posted 5/17/2011 1:56 PM (GMT -6)   
Yes! It was a year ago...I went off of them for the surgery....and I'm not having any trouble with the fusions....so I think we're ok there. My pain is my legs mainly......I will visit again with my doctor on the amonnt of Ibprofen I'm taking. I can really tell a difference when I cut back at all...I get so stiff that I can't hardly walk.....

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 5/17/2011 2:31 PM (GMT -6)   
That is why I think talking to your Dr. about a possible muscle relaxer might be a good option as there are a few to choose from...I can really tell the difference when I take my Flexeril...it is a God send to my neck/shoulders/back...and as mentioned...these have little side effects which is great...
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006
 
 

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 16303
   Posted 5/17/2011 7:52 PM (GMT -6)   
Debbie, these OTC meds are also very hard on the kidneys, particulary the Ibuprophen, I forgot to add that in my earlier post. The big concern here is you are not using this stuff PRN, its a part of your daily pain med regime and this stuff was not really intended I don't think for long term use in high doses with out running the risk of complications later on down the road.

Someone mentioned asking for a muscle relaxer, I have been on Zanaflex and found it effective. I am currently on Baclofen 10mg every 4 hours and it really works well. Baclofen is used quite a bit for people with MS and problems with spasticity. All Flexeril ever did for me was make me throw up, so that one is out. Of course as always what may work for me may not work for you. Its sure worth giving it some thought.
Moderator Chronic Pain Forum

sjkly
Veteran Member


Date Joined Dec 2007
Total Posts : 2113
   Posted 5/17/2011 9:04 PM (GMT -6)   
Although 3200 is the max recommended dose of Ibuprophen I was on 5400/day for two years when I was first diagnosed with RA. That was not fun and required extreemly careful monitoring of my kidneys and liver.
At that dose it is really not a very good pain reliever-it caused me more pain than it relieved but, it is a good anti inflamatory.

SE Sis
Regular Member


Date Joined May 2011
Total Posts : 61
   Posted 5/18/2011 8:16 AM (GMT -6)   
Thank you all so much for your help. I will make an appt with my doctor to discuss my dosage and maybe ask about long term meds/schedule.  SE Sis

Post Edited (SE Sis) : 5/18/2011 8:36:59 AM (GMT-6)


Snowbunny21
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Date Joined Jan 2010
Total Posts : 3557
   Posted 5/18/2011 9:58 AM (GMT -6)   
Jons...not sure what 'hot link' is in your signature since I never click on links for safety purposes...but just make sure that it is cleared through the moderators here and follows board rules..

Welcome to the boards...hope to learn more about you and what your chronic pain issues are...sorry this brings you here..but it's a wonderful place with very caring people!
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006
 
 

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 16303
   Posted 5/18/2011 10:06 AM (GMT -6)   
Jons, welcome to Healing Well's chronic pain forum. I tried to edit out your signature as it was an advertisement and that is against the forum rules and considered spam. Since I could not delete that portion of your post I had to delete the entire post. You are more than welcome to be a part of the forum, however, no spamming is allowed.
Moderator Chronic Pain Forum

Trudy2
Regular Member


Date Joined Dec 2010
Total Posts : 213
   Posted 5/18/2011 1:24 PM (GMT -6)   
Se Sis - Debbie,

There is also anti-inflammatories that you can get by prescription like Mobic that you can take just one pill a day instead of all of the individual doses of ibuprofen.

I have Chronic Kidney Disease stage 3 so I am told not to take ibuprofen since it is bad for the kidneys.

On the #10 percs that you are taking - they can switch you to a straight oxycodone dose. I believe they have 5mg, 15mg, and 30mg pills. I am on the 30mg pills, but I am not on an extended release narcotic at this time.

Hope this helps!
Trudy
DX pyoderma gangrenosum, Acute Myelogenous Leukemia, Bone Marrow Transplant, Chronic Pain syndrome, Chronic Kidney Disease Stage 3, Major Depressive Disorder, Radiculopathy, Bilateral Hip Pain, Insomnia,Left Groin Hernia, Bulging Disk in Lumbar Spine, Tear in Lumbar Spine, Tendonitis and Bursitis in both hips.

SE Sis
Regular Member


Date Joined May 2011
Total Posts : 61
   Posted 5/18/2011 1:42 PM (GMT -6)   
I wanted to say to snowbunny that I have followed doctor's orders on my pain medicaiton. She told me that I could take 12, 200 mils everyday for the rest of my life....and then my surgeon has me on #10 percs. He knows that I'm on ibuprofen as well....

But I'm going to go back and see if I can get on more of a long term script instead of the short term.
SE Sis
___________
S1, L4-5, L3-4 Fusions, Rods & Screws inserted, bone chipped out for room for nerves. (May 10, 2010)
Right Hip Surgery to fix damage from Physical Therapy for my back. (2006)
Anxiety/Panic Attacks (started 2005)

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 5/18/2011 2:31 PM (GMT -6)   
Thanks for sharing more info Debbie:)...I think I posted some of that info before knowing you were on the 200 mgs...So we were all thinking the 400's at 4800 a day...We just wanted you to be safe!..

And my other info was more 'FYI' to everyone about the 'taking more than on the bottle' about ibuprophen and/or acetaminophen...Some people think that doing this with non narcotics is no biggie...but wanted to say that Dr.s pay attention to everything we do...

So wasn't trying to say you were doing this and apologize if my post wasn't clear...

Again..I am friends with my PM outside of our office visits and we chat for hours about his days and what he sees, and has to go through wanting to care for his patients...he shares the good, bad, and the ugly..

He NEVER says names or any information that goes against HIPAA regs....Always just talks in generalities as I love to learn about his line of work and medicine in general as I used to be a volunteer Firefighter/EMT for close to 10 years...

I really do feel for the wonderful and caring Dr.s these days and all the hoops they have to go through...they think most of it is good to weed out those who aren't there for the right reasons...so that they can spend more time on patients like us who truly need care..

It really sounds like time for you to move to a extended release medicine to manage your pain more steadily and less pills to have to worry about everyday.
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006
 
 
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