Posted by ed_uk2010 on April 18, 2010, at 14:08:38
In reply to Re: ultram, really... » ed_uk2010, posted by floatingbridge on April 18, 2010, at 10:52:45
>In answer: I have no experience in the second category--celebrex and the like. Maybe that's a possibility.
It could be. Ibuprofen is an NSAID although its anti-inflammatory properties are not very strong. It is very useful for headaches and dental pain though.
For chronic pain and inflammation, long acting NSAIDs are often used. Naproxen (up to 500mg twice a day) is believed to be safe for the heart and cardiovascular system although it frequently irritates the stomach. As a result, it is usually combined with a proton pump inhibitor (a PPI, such as omeprazole) to protect the stomach. This combination is getting very popular in the UK. It is not very expensive.
Celecoxib (Celebrex) seems to be safer than other COX-2 inhibitors such as Vioxx and Arcoxia. Arcoxia is a very potent NSAID which is widely used in Europe but it does elevate BP and cannot be used in those susceptible to heart disease. Celecoxib is less potent and probably quite a lot less harmful to the cardiovascular system.
>I have taken 4,000 daily of tylenol and on seperate days of ibuprofen. Neither provided noticeable relief.
It doesn't sound like Tylenol will be adequate, at least not on its own.
> My pdoc expressed concern over muscle relaxant--that they could have cognitive effects.
There are quite a variety on the market with different properties. They are not all the same.
Best regards
poster:ed_uk2010
thread:943398
URL: http://www.dr-bob.org/babble/20100416/msgs/943860.html