OTC Pain Relievers - What We Should All Know

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jujub
Elite Member


Date Joined Mar 2003
Total Posts : 10407
   Posted 6/14/2008 10:55 AM (GMT -6)   
I see a lot of discussions here about this. What with every medication having at least two names, different groups of drugs, etc., it can be confusing at first. Here is some very basic information to help our newer members.
 
Classes of pain relievers
 
Narcotic or opiates: these are very strong, require a prescription and can cause physical dependency and withdrawal symptoms if stopped suddenly. Some of the names you will see include Demerol, Dilaudid, Morphine, Tylenol #3, Percodan or Percocet, Oxycontin and others. Because of the potential for dependency and the fact that the effectiveness of these drugs declines when you take them more frequently, they are usually reserved for short-term or occasional use.
 
NSAID's or non-steroidal anti-inflammatories: These are used for reducing fevers, pain and inflammation. Even though some are available over the counter, they are very effective for most people. Unfortunately, their most common adverse effect is GI bleeding, not a good thing for those of us with IBD. Some GI's will okay occasional or even routine use if there seems to be no effective alternative. If you must use these, do so sparingly and always take them with food to help protect your stomach. These are sold under hundreds of brand names, often (store brand) Pain Reliever; look on the active ingredients for the generic name of the drug:
Aspirin, ASA or Acetylsalacylic acid
Naproxen or Naproxen Sodium
Ibuprofen
There are also many prescription NSAIDS, including drugs such as Celebrex. When a doctor prescribes anything for pain or inflammation, always be sure to ask whether it's an NSAID.
 
Remember, never take more than one NSAID at a time. If you take a Motrin and it doesn't work, you can add some Tylenol, but no Alleve or aspirin.
 
Acetamenophen: This is sold as Tylenol or various other names. Again, check the label for active ingredients. Some "headache," "sinus" or other special preparations may contain both acetamenophen and an NSAID. Acetamenophen nearly as effective as NSAIDS, however does not provide the anti-inflammatory component so may not work as well for arthritis and other inflammatory conditions. Fortunately for us, most of our UC meds have an anti-inflammatory effect.
 
One fact many people don't know: acetamenophen takes longer to act than NSAIDS, 40-60 minutes as opposed to 20-30. This may be why it's often seen as less effective. Give it a chance, it often will help.
 
 
There are a host of other medication types that may be prescribed for pain, however these are the most-often used.
 
If one of our members is sure of British/European/non-US names for these medications, please add them for us. Thanks!
Judy
 
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Avascular necrosis in both shoulders is my "forever" gift from steroid therapy.
Colazal,  Remicade, Nature's Way Primadophilus Reuteri. In remission since April, 2006.
 
Co-Moderator UC Forum
Please remember to consult your health care provider when making health-related decisions.


bellski
Regular Member


Date Joined Apr 2008
Total Posts : 499
   Posted 6/14/2008 1:26 PM (GMT -6)   
Thanks Judy
Lori (Bellski)-age 43 from Illinois
Diagnosed February 2008 with Ulcerative Proctitis,
Currently: symptoms have subsided for the most part
Medications:  Asacol 400mg X 6, Cymbalta 20 mg X 1, Canasa (sometimes) Vitamins:  Calcium 600 + D X 2, One a Day Women's X 1, Citrucel, Probiotics
High fiber diet
"I thank God that  I found this website!"
 


jujub
Elite Member


Date Joined Mar 2003
Total Posts : 10407
   Posted 6/15/2008 10:41 AM (GMT -6)   
Back to the top for newcomers.
Judy
 
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Avascular necrosis in both shoulders is my "forever" gift from steroid therapy.
Colazal,  Remicade, Nature's Way Primadophilus Reuteri. In remission since April, 2006.
 
Co-Moderator UC Forum
Please remember to consult your health care provider when making health-related decisions.


Just here...
Regular Member


Date Joined Feb 2006
Total Posts : 110
   Posted 6/22/2008 10:32 PM (GMT -6)   
bump
Jared
Pancolitis diagnosed in '99
Crohn's Disease diagnosed in '06
Currently on:
Medrol Dose Pack
Imuran 100 MG Daily
Asacol 1600 MG Daily
Flexeril 10 MG (four times a day for relaxation/stress relief)
Remicade
Slow release Iron
 
 


Red_34
Elite Member


Date Joined Apr 2004
Total Posts : 23551
   Posted 6/23/2008 6:28 AM (GMT -6)   
That is a great post Judy. Thanks for posting. You can add this to the resource section if you like - that way it will always be "at the top" :)
 @--->--SHERRY--<---@
Moderator for Allergies/Asthma and Co-moderator for UC
~Left sided Uc-'92-Colazal(9 daily),6mp(50-100mgs), Hydrocortisone E's, Prilosec,Biotin,Forvia,Pro-Bio**Unable to tolerate Asacol, Rowasa or Canasa**~Allergies-Singulair
~Secondary Reynauds Syndrome-'04-Norvasc~Spinal Stenosis~Sacroiliitis-epidural injections
To help Healingwell - click here: DONATE
 
 
 
 

 
 


to many questions
Regular Member


Date Joined Jun 2008
Total Posts : 23
   Posted 7/5/2008 11:41 AM (GMT -6)   
Judy, great information. A really quick question, if I may? For now, Tylenol 3 has been helpful the only thing that I have been able to handle for any kinda pain(surgeries etc). I don't react to pain( I have a really high level before I say anything). Is that a problem with UC?
Terri
 
Diagnoised Uclerative Colitis, Dec, 2006 and Pan-Colitis June, 2008
 
Allergic to 5-ASA's, Prednisone for the time being but, tapering off
no other med regimen yet.........
 
Still new to this condition with a positive outlook........


jujub
Elite Member


Date Joined Mar 2003
Total Posts : 10407
   Posted 7/5/2008 12:31 PM (GMT -6)   
Tylenol 3 is Tylenol with hydrocodone, and shouldn't be a problem used in moderation. Opiates do tend to cause constipation, though, so be sure to watch for this if you're taking it regularly.
Judy
 
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Avascular necrosis in both shoulders is my "forever" gift from steroid therapy.
Colazal,  Remicade, Nature's Way Primadophilus Reuteri. In remission since April, 2006.
 
Co-Moderator UC Forum
Please remember to consult your health care provider when making health-related decisions.

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