I find that really hard to believe. Maybe for some kinds of pain OTC meds or marijuana will cut it, but when I have really bad back pain nothing works as well as opiates, not muscle relaxers, not tylenol, not even close. Opiates work like magic.
As epidemic rages, ER study finds opioids no better than Advil and Tylenol
131–140 of 161 posts
Re: As epidemic rages, ER study finds opioids no better than Advil and Tylenol
#132Of course while YMMV, I've found the same thing - I've been prescribed opioids for pain, and I found that Advil worked just as well, without the side effects. I do understand that opioids have their place - for example I was told that Advil was not safe to take before surgery so I was stuck with the prescription meds. On example that made an impression on me: a couple of years ago, I had arthroscopic surgery on a kne…
NSAIDS are not benign. Digestive problems are so common with long-term use that some doctors think that they should co-prescribed with omeprazole and other agents to head them off. (Long-term omepraloze will give you B-12 deficiency if you don't supplement; it is an unusual side effect, but I can't sleep if I take omeprazole. Cardiovascular risk from Vioxx was enough to pull the drug from the market; risk is also see…
That's a bit like saying we don't have food that doesn't cause obesity. What is your definition of safe? what is your definition of effecitve? If a person turns up to the emergency department in severe pain from trauma, I can safely relieve their pain without endangering their life, that is both safe and effective. If an elderly person with arthritis of the knees is on 3x daily 1330mg Paracetamol SR for months and months, that is both safe and effective.
Paracetamol/Acetaminophen has an incredible safety profile - in people who use it responsibly and don't have liver disease.
It is, after all and as you are obviously well aware, responsible for the highest number of ED presentations for overdose, and it does kill a number of people each year. But that's a mental health issue, and you can overdose on Water (or food, as I indicate in opening paragraph), and die. For people who take it responsibly and without intent for suicide, it is incredibly safe and effective.
Same with ibuprofen - although with the proviso of Do not take for more than several days. But, the same could also be said of opiates - safe for short periods. it's chronic use that will cause problems in lots of cases (ie. add in benzos as well)
Re: As epidemic rages, ER study finds opioids no better than Advil and Tylenol
#133Earlier quoted context omitted.
Cannabis has pretty awful side-effects for me. It gives me absolutely incredible nausea, to the point where I've tried it ~10 times in varying doses, thinking my dosage was an issue, and out of those I was violently ill 4 of the times. The other 6 times were simply unenjoyable. It doesn't just go away like alcohol either. If I drink too much and throw up, I feel better within a few minutes. For cannabis I remain high…
I never touched the stuff, but I would end up having to take my friend to the ER. For some reason at different times it would cause an allergic reaction and he would act like he was in septic shock and have dementia. Doctors and I were convinced he was not telling the truth or his stuff was laced. Ended up that he was telling the truth and was clean other than pot. Sad thing was he would keep using pot which ended up…
Who the hell would 'lace' weed? With what, water? Nearly every other dug costs more to lace it than just sell it de novo. THC as a drug is SUPER cheap with the various 'legal' states. Even at high-end stores, concentrates are $25/gram [0]. This reads like some ham-baked DEA post.
Re: As epidemic rages, ER study finds opioids no better than Advil and Tylenol
#134Of course while YMMV, I've found the same thing - I've been prescribed opioids for pain, and I found that Advil worked just as well, without the side effects. I do understand that opioids have their place - for example I was told that Advil was not safe to take before surgery so I was stuck with the prescription meds. On example that made an impression on me: a couple of years ago, I had arthroscopic surgery on a kne…
Same here. After a LONGGG phone call cradling the receiver while trying to type, etc., I had my neck spasm severely -- so much so that the following day someone else had to drive me to urgent care (1). They prescribed a strong muscle relaxant in combination with either Percocet or Vicadin -- I forget which. I switched over to the default over the counter dose of ibuprofen, and it worked better than the combination of…
pasbesoin says> " They prescribed a strong muscle relaxant in combination with either Percocet or Vicadin -- I forget which.
I switched over to the default over the counter dose of ibuprofen, and it worked better than the combination of those two "heavy duty" prescription drugs."
Had you continued the muscle relaxant (the problem was an involuntary muscle spasm), you possibly could have avoided further treatment (the neck brace).
If I suffer a muscle spasm that can't be massaged out, then a muscle relaxant + ibuprofen serves well for 1-2 days and, after that, only ibuprofen.
IMO muscle relaxants + narcotics is not a useful combination, their purposes(muscle relaxation vs pain-reduction) being orthogonal, except in cases of severe injury where near-immobilization is required.
Re: As epidemic rages, ER study finds opioids no better than Advil and Tylenol
#135Earlier quoted context omitted.
I get fiorecet for migraines after the doctor tried me out on a few other preventative medications which either didn't work or had side effects like making me as sleepy as taking two Benadryl. There as needed and I can go months between refilling the script sometimes but it's still for headaches
I mean, I get migraines too, and they're completely debilitating, but I would personally just classifiy them as something very different than a headache. Undersells just how horrible they can be.
Yea, wasnt sure if the OP was including them or not. Some people do when they say "headaches". If I dont take any medication before getting a migraine and it goes all the way I am incapable of even moving
Re: As epidemic rages, ER study finds opioids no better than Advil and Tylenol
#136This is a highly misleading presentation of the study. The study compared the following doses: — 400 mg ibuprofen and 1,000 mg acetaminophen — 5 mg oxycodone and 325 mg acetaminophen — 5 mg hydrocodone and 300 mg acetaminophen; or — 30 mg codeine and 300 mg acetaminophen https://media.jamanetwork.com/news-item/no-significant-diffe... So, the study is comparing high doses of ibuprofen/acetaminophen to low doses on opi…
400 mg ibuprofen and 1000 mg acetaminophen aren't high doses, at least when taken separately, they're pretty standard adult doses (I think those are also the most common pill dosages.)
Maximum single does of standard release acetaminophen is 1000 mg. Make no mistake, that is a high dose and it's terrible for your liver. That's why in recent years, there are more and more 325 mg preparations (where an adult takes 2 x 325) rather than the traditional 2 x 500 mg.
Re: As epidemic rages, ER study finds opioids no better than Advil and Tylenol
#137Earlier quoted context omitted.
True for high-THC strains, but not high-CBD / low-THC ones. And of course opioids also famously affect perception: "do not operate heavy machinery" etc.
I have heard that CBD is extremely great as a natural anti inflammatory however the strains that get recommended are so absurdly expensive. On the order of 30ml for 150$ for charlottes web for example. Is it actually worth it? How long does that 30ml bottle last for 150$?
you're referring to the LP prices, i.e the "legal" stuff. you can buy far higher quality CBD strains at dispensaries, or even black market dealers, for cheaper.
Re: As epidemic rages, ER study finds opioids no better than Advil and Tylenol
#138Earlier quoted context omitted.
Cannabis works pretty well and has minimal side effects, at least compared to those you describe.
Anecdotal, but I can't imagine living a normal life while regularly using though--even if regular is just a couple days a week. It's legal where I live and the handful of times I have used during the week, I can't remember what I did the day before as well, or what my tasks for the day are. My performance at work noticeably degrades. I'm also more tired the day after, despite generally getting more sleep. It's great…
I'm curious what makes it great for the weekend for you. Not being able to remember what your goals for the day are or remember what you did the day before doesn't sound great, even if it is the weekend.
Re: As epidemic rages, ER study finds opioids no better than Advil and Tylenol
#139Earlier quoted context omitted.
I have heard that CBD is extremely great as a natural anti inflammatory however the strains that get recommended are so absurdly expensive. On the order of 30ml for 150$ for charlottes web for example. Is it actually worth it? How long does that 30ml bottle last for 150$?
The bottle lasts approx 2 weeks with 'correct dosage'. And that price is the higher end product. I am familiar with the mid-range product which I used for 1.5 months (due to pain) and discontinued it because I honestly couldn't really tell the difference.
My wife has a number of health issues (chronic knee pain, low-level anxiety, CFS). She tried the same CBD oil for about a month and found it had no effect one way or the other.
Re: As epidemic rages, ER study finds opioids no better than Advil and Tylenol
#140Earlier quoted context omitted.
Cannabis works pretty well and has minimal side effects, at least compared to those you describe.
It's almost certainly not as well studied over long term large populations though.
So many innovations in medicine, food, exercise, pesticides, whatever, only look better than the old stuff because they haven't been around long enough for all their flaws to be discovered.