liver safe/safer pain meds?

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sjkly
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Date Joined Dec 2007
Total Posts : 2113
   Posted 5/15/2012 7:02 PM (GMT -6)   
I have RA and take methotrexate, plaquenil, relafin and a bunch of other stuff.  I have recently injured my rotator cuff and was taking occasional tylenol or tramadol for it.
 
Doc called today and left a message on my machine-no tylenol or alcohol-obviously prn tramadol is out too at least until I am retested.  Can't take more NSAIDS cause of the relafin and their effects on the liver.
 
Anyone aware of any other options?

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 5/15/2012 7:15 PM (GMT -6)   
Sorry about the new issue with your rotator cuff...Sometimes it is never ending:(

I'm curious of why you can't take the Tramadol? That doesn't have any Acetaminophen in it...

I switched from Percocets a few years ago to just plain Oxycodone...So I am prescribed OxyIR 5mg for my breakthrough pain.

So...it seems as if you should be able to take the Tramadol if it's your liver they are worried about...
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
 
 

sjkly
Veteran Member


Date Joined Dec 2007
Total Posts : 2113
   Posted 5/15/2012 7:25 PM (GMT -6)   
I googled tramadol and the patient information also says it causes elevated liver enzymes-so I am assuming its out-at least until I can talk to my doc.

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 5/16/2012 9:11 AM (GMT -6)   
Interesting....I have never been warned by my Pharmacist or Dr. about this with Tramadol...

But yes...talking with the Dr. is best...

As I mentioned...there is OxyIR as well as Roxicodone....so there are choices to have that don't include any Acetaminophen if the Tramadol is out..

Keep us posted..
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
 
 

sjkly
Veteran Member


Date Joined Dec 2007
Total Posts : 2113
   Posted 5/16/2012 4:21 PM (GMT -6)   
I did talk to my doctor today she said it is fine to continue taking the Tramadol-it is much less liver toxic than tylenol. Which means I am much more comfortable now.
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