Safe guy needing some relief

Added: Talmage Korman - Date: 22.12.2021 20:06 - Views: 41668 - Clicks: 9012

Q: My year old mother often complains of various aches and pains. What is the safest over-the-counter painkiller for her to take? After all, frequent pain can be the of an important underlying health problem that needs attention. So let me tell you what OTC painkiller geriatricians usually consider the safest, and which very common group of painkillers you should look out for. For most older adults, the safest oral OTC painkiller for daily or frequent use is acetaminophen brand name Tylenol , provided you are careful to not exceed a total dose of 3,mg per day.

It is processed by the liver and in high doses can cause serious — sometimes even life-threatening — liver injury. So if an older person has a history of alcohol abuse or chronic liver disease, then an even lower daily limit will be needed, and I would strongly advise you to talk to a doctor about what daily limit might be suitable. Nyquil, Theraflu and prescription medications e.

So people can easily end up taking more daily acetaminophen than they realize. But when taken at recommended doses, acetaminophen has surprisingly few side-effects and rarely harms older adults. Unlike non-steroidal anti-inflammatory drugs NSAIDs, see below , it does not put older adults at risk of internal bleeding, and it seems to have minimal impacts on kidney function and cardiovascular risk. At the drugstore, the most common alternatives to acetaminophen are ibuprofen brand names Advil and Motrin and naproxen brand names Aleve, Naprosyn, and Anaprox.

Many people are familiar with these medications. These include:. Experts have estimated that NSAIDs cause 41,00 hospitalizations and 3, deaths among older adults every year. Recent research has also suggested that NSAIDs cause a small but real increase in the risk of cardiovascular events e. NSAIDs can also be prescribed as creams or gels.

These topical forms are much safer, and can be effective for pain. Perhaps even worse, NSAIDs are often prescribed to older adults by physicians, because the anti-inflammatory effect can provide relief from arthritis pain, gout, and other common health ailments. However, stronger NSAIDs are associated with higher risks of problems, unless they are used as a cream or gel, in which case the risks are much less.

Now let me share a true story. Many years ago, a man in his 70s transferred to my patient panel. He had been taking a daily NSAID for several months, prescribed by the doctor, to treat his chronic shoulder arthritis. I cautioned him about continuing this medication, explaining that it could cause serious internal bleeding. He seemed dubious, and said his doctor had never mentioned bleeding. He wanted to continue it. I decided to let it slide for the time being. A few weeks later, he was hospitalized for internal bleeding from his stomach.

Naturally, I felt terrible about it. Even in geriatrics, we sometimes conclude that the likely benefits seem to outweigh the likely risks. But this conclusion really should be reached in partnership with the patient and family; only they can tell us how much that pain relief means to them, and how concerned they are about the risk of bleeding and other side-effects. Yes, acetaminophen has risks as well. This is what allows it to be effective in reducing strokes and heart attacks.

For more on the risks and benefits of aspirin, see this MayoClinic. Aspirin is no longer used as an analgesic by the medical community. But many older adults still reach for aspirin to treat their aches and pains, because they are used to thinking of it as a painkiller. Aspirin is also included in certain over-the-counter medications, such as Excedrin. Taking a very occasional aspirin for a headache or other pain is not terribly risky for most aging adults. But using aspirin more often increases the risk of internal bleeding.

So, I discourage my older patients from using aspirin for pain. If you have any concerns about liver function or alcohol use, plan to use the medication daily on an ongoing basis, or otherwise want to err on the safer side, try to not exceed 2, mg per day, and seek medical input as soon as possible. The doctor can then help you develop a plan to manage the pain. For example, chronic pain self-management programs can be very helpful to some people. Remember, acetaminophen is often included in medications for cough and cold, and in prescription painkillers.

So you need to look at the ingredients list for all medication of this type. Experts believe that half of acetaminophen overdoses are unintentional, and result from people either making mistakes with their doses or not realizing they are taking other medications containing acetaminophen.

But be sure to discuss the risks and alternatives with the doctor first, and be sure to discuss possible non-drug approaches to lessen pain. You may also want to ask about topical painkillers, such as gels, creams, and patches. These are generally safer than oral medications, because less of the body is exposed to side effects.

By being informed and proactive, your family can help your mom get better care for her pain, while minimizing the risk of harm from medications. Thanks for your articles….. But an article on pain relief meds that barely mentions narcotics? I recently had a biopsy that was really painful the next day. I happened to have some leftover oxycontin and took one only one. That got me through the night, and the next day the pain was tolerable.

This one focuses on over-the-counter analgesics. Hi, I have serious heath and pain issues! I take hydocodone, tzanidine, naproxen sodium and acetaminophen for pain relief. Ambien and trazadone to -sleep. I have listed all medication and I would like to find a replacement for naproxen sodium that is compatible! Thanks, Mike K. As you are taking a blood thinner, that would increase your risk of bleeding from an NSAID and so it probably does make sense for you to try to find an alternative to using naproxen.

You will have to work with your own health providers to try to identify alternatives. I would especially recommend looking into non-pharmacological approaches to managing chronic pain. Exercise, cognitive therapies, mindfulness practices, and other lifestyle approaches can make a big difference and can enable people to reduce their use of pain medication, although they do require time and effort to implement. For some people, changing their diet and nutrition also helps.

There has also been increasing interest in cannabis as an option for managing pain. Research suggests it can be effective in some circumstances, however the short and long-term risks are not yet well understood especially when it comes to older adults. The therapeutic effects of Cannabis and cannabinoids: An update from the National Academies of Sciences, Engineering and Medicine report. Generally, it is better and safer to minimize the use of medication and pharmacological substances. Good luck! I am 63 and have been using cannabis for about 3. I have been taking Celebrex since , mg and exams show me to be a physical specimen.

I sense either bias or a hole in your research. As a matter of fact, I have followed findings very closely since Booz etc. For those who conclude they must use NSAIDs ideally in partnership with their health providers , I would recommend asking to be on the lowest dose necessary. This may require telling the clinician you want to try a lower dose, and then reporting on how the symptoms were on the lower dose. I now read that Calif is thinking of banning Tylenol and Excedrine which contains tylenol because of heart and liver problems.

How can you still recommend people take these OTC drugs in amounts that would combat severe chronic pain? As Dr. Now, excedrin contains caffeine which can exacerbate some heart issues, like irregular heart rhythm and aspirin which can irritate the stomach and increase bleeding risk , as well as acetaminophen.

It may be that these non-acetaminophen compounds are what is helping your gout pain, although we often use colchicine an alkaloid or prednisone a corticosteroid to reduce the inflammation of gout flare ups. On the other hand no pun intended , swelling of a limb can indicate a problem with drainage of fluid, from a vein or a lymph vessel. But determining the cause is the first step.

I am having pain in my ribs and slightly cough and white mucus and sometime not full breath I think it inflammation in my chest acetaminophen tab is advisable. I am 63 years old. I am an adult daughter of a mom who recently turned 95 years old. She fell and hurt her shoulder and an MRI showed rotator cuff tears as well as arthritis. She is in horrific pain. Her GP and heart doctor prescribed 5 pack Medrol which she took according to directions. It had no effect on her pain.

My mother is an amazing woman. She had eleven children, is very selfless, quite religious and loved by all. to her fall, she had some balance and dizziness issues and she used a walker. She is also very cognitively aware. We are beside ourselves. The doctors want to give her a steroid shot in her shoulder. Now they are suggesting Trammadol for pain. Another drug with serious side effects similar to the Medrol and she refuses to take it. She usually takes two at a time, two or three times a day. It has not helped her shoulder pain. Allergy: Azelastine 0. Mother also needs to urinate frequently and especially frequently during the night.

The doctor prescribed Trospium. Do you have any experience with this. And finally, we would seriously consider cannibis as an option if we knew what kind to give her. Any thoughts on this. Thanks for the detailed information about your mom.

Safe guy needing some relief

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