Archive for the ‘Pain’ Category

What’s a Good Arthritis Medicine for Me, Doctor?

Nathan Wei asked:




Pain is the body’s warning signal that something is wrong. If the pain is due to overuse or arthritis there are many things to consider. In all likelihood, one of the first things a person will reach for is an over-the-counter anti-inflammatory medicine.

Non-steroidal anti-inflammatory medicines work by blocking the synthesis of cyclooxygenase, the enzyme responsible for the production of pro-inflammatory prostaglandins. The two different pathways that are blocked are COX-1 and COX-2.

Despite the negative publicity surrounding COX-2 drugs, it is clear that all anti-inflammatory drugs have potential cardiovascular risks. These drugs also may inhibit bone and tendon healing. They may also block the absorption of nutrients… So the weekend warrior needs to take notice.

Nonetheless, anti-inflammatory drugs remain a bulwark for the treatment of painful episodes.

Here are some simple suggestions:

If you’re going to undertake an activity that you’re sure will cause a problem, it’s OK to pop a small amount… say 200 mgs of ibuprofen before you do whatever you’re going to do. Unless it’s a marathon. Dehydration and anti-inflammatory drugs do not mix!

After your activity, it’s also OK to pop a bit of ibuprofen or naproxen (200 mgs). Just make sure you’re well hydrated. Also do not take these medicines if you have any underlying liver, kidney, or heart disease!

If you already take anti-inflammatory drugs on a regular basis, remain well-hydrated, and avoid alcohol when exercising or undertaking strenuous activity. With the recent data regarding cardiovascular risk, it’s a good idea to get your heart checked out.

Make sure you take your anti-inflammatory medicines with food. Sometimes people who develop indigestion with anti-inflammatory medicines but who do not have an ulcer will benefit from taking a proton pump inhibitor medicine such as Nexium or Protonix.

If you absolutely can’t take anti-inflammatory medicines because of a true allergy or if you have an ulcer- or another valid reason- you can try acetaminophen (Tylenol). The primary concerns here are that you not take this drug with alcohol (liver toxicity is increased) and you should not take this drug if you have significant liver or kidney disease.

An interesting new drug is Limbrel, a food-based COX-2 inhibitor. It has good effectiveness and appears to be well-tolerated by most patients.

Another option is tramadol (Ultram) which is a pure analgesic. Ask your physician about this.

Always consult with your physician prior to taking these medicines on a regular basis. Anti-inflammatory drugs may affect the metabolism of other prescription drugs.

Taking Tramadol

Is Treating Fibromyalgia with Medication For You?

Jane Thompson asked:




Joining a fibromyalgia support group can be excellent psychological and emotional therapy. However, talking and sharing your experiences with others is not likely to take away any of the painful physical symptoms or fatigue you feel. Therefore, many fibromyalgia sufferers need to turn to alternative and medical remedies to find relief from their symptoms.

There are different over-the-counter (OTC) and prescribed medications that a fibromyalgia sufferer may find beneficial to their condition. That being said, not every person with fibromyalgia will have the same response to medical treatment, and may require different treatment to address their specific symptoms.
Although there are a number of medications that can be prescribed for specific symptoms, or those currently being used in clinical trials, the following are the most common medical treatments prescribed:
Analgesics – Analgesics are drugs designed to relieve bodily aches and pains and are also known as painkillers. OTC analgesics include acetaminophen and the nonsteroidal anti-inflammatory drugs (NSAIDs) aspirin, ibuprofen, and naproxen. Although NSAIDs are primarily used to reduce inflammation and inflammation is not a symptom of fibromyalgia, they offer effective pain relief. The problem with using NSAIDs for pain relief is that prolonged use of this medication can irritate the stomach lining, lead to digestive upset and cause stomach ulcers.

Aside from OTC analgesics, doctors may prescribe opioid analgesics such as tramadol. Tramadol is a narcotic used to treat moderate to severe pain, and is typically used to treat surgical, arthritic and fibromyalgia pain. However, other stronger narcotics may be prescribed for sufferers with severe muscle pain.

The problem doctors have with prescribing narcotics is that although effective, there is a high risk that those who take them will become addicted and dependent on these drugs. Furthermore, narcotics can have many side effects including altering moods, behaviors and fatigue.

Antidepressants

Antidepressants are one of the most common medications prescribed for fibromyalgia sufferers. This is because antidepressants elevate the levels of specific brain chemicals such as norepinephrine and serotonin. Low levels of these and other brain chemicals can result in depression, pain and fatigue. By increasing chemical levels these symptoms can be improved.

Doctors provide different types of antidepressants to fibromyalgia sufferers based on how they feel. For instance, tricyclic antidepressants are provided to fibromyalgia patients who suffer from insomnia, as these meds help restore sleep. In addition, tricyclic antidepressants can help painful muscles relax and stimulate endorphins (body’s natural painkillers). Different tricyclic antidepressants that may be prescribed include: amitriptyline, doxepin, cyclobenzaprine and nortriptyline.

Additional antidepressant that may be used to treat depression and other fibromyalgia syptoms are selective serotonin reuptake inhibitors (SSRIs). These include – fluoxetine, sertraline and paroxetine.

Antidepressants can be habit forming and may cause side effects such as dry mouth, weight gain, anxiety, gastrointestinal upset, loss of libido, insomnia, and fatigue. Note: each antidepressant will have different side effects.

Benzodiazepines

Benzodiazepines are psychotropic drugs that have been known to help fibromyalgia sufferers relax tense and painful muscles, and with restless legs syndrome, and insomnia. Benzodiazepines have hypnotic and sedative effects, and like antidepressants, dependence and addiction can occur in some patients. Other side effects may include depression, memory impairment, slow motor skills, etc.

Benzodiazepines are usually prescribed to fibromyalgia sufferers who have not responded well to other treatments. Some Benzodiazepines meds prescribed include: diazepam, temazepman, clonazepam, and triazolam.

Despite what medication you may be interested in or your doctor may recommend, you need to make sure you ask your doctor important questions before taking any medication so you can receive the most effective treatment that is right for you.

6 important questions to ask your doctor

1. What are the medications you recommend for my specific symptoms?

2. What side effects can I expect and will this medication have negative interactions with other medications, foods or activities?

3. Should I continue taking medications even if I feel better?

4. What are the long-term effects this medication will have on my health?

5. Can I take any alternative therapies with this medication, or are there any alternative therapies I can try which might provide me with relief for my symptoms?

6. Are there any clinical trials I may be eligible for?

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Breast Cancer, Tamoxifen and Hair Loss – "One Woman’s Solution!"

Kimberly Cierech asked:




On what should have been a beautiful late spring day two years ago, soon turned into tragedy for two women (Helen and Denise) in their early 40’s when they both were diagnosed with invasive-
hormone-receptor-positive breast cancer.They were very much alike, these two women. Both were happily married. Both had three children and both held down full time jobs. They were two bright and ambitious women who without realizing it, entered into a bond on that numbing, spring afternoon.

Both underwent several lymph node removals and a lumpectomy. Both endured the effects of 6 weeks of radiation therapy. Neither had to endure the grueling effects of chemotherapy. Both were determined to beat this monster that had invaded their bodies. Both bonded as close friends and when the feelings of hopelessness began to creep into their thoughts they had each other as confidants to lift up their spirits. They stood together, without ever having to alarm their families of their inner fears that their cancer would return.

With the conclusion of their treatments they both resumed their everyday routines and tried to reclaim a sense of normalcy back into their lives. They both were prescribed Tamoxifen for the next five years. Tamoxifen is very effective in preventing reoccurrence in invasive hormone-receptor-positive breast cancer. Unknown to Denise, she was not yet finished with the challenges that this demon called cancer forced her to face.

Although, Tamoxifen does have some side effects it is relatively safe and thousands upon thousands of women take it daily without experiencing any side effects at all. Helen scarcely noticed any changes while taking the drug. She returned to work part-time at first, but quickly resumed her role as wife, mother and full time employee. One would scarcely believe that she had ever undergone cancer treatments and she glowed once again with signs of good health.

Denise on the other hand didn’t fair quite as well. She noticed immediately that her hair was starting to fall out. Sometimes averaging 200 strands a day. After two weeks of being on Tamoxifen and experiencing this rapid hair loss she was seriously considering discontinuing its use. The radiation therapy that was used to spare her life had left her tired and listless. Tamoxifen that was used to prevent the cancer from returning, was thinning her hair and most of all destroying her self esteem.

She researched the prescription medication Rogaine, but found the chemical name (minoxidil) had side effects as well. Rogaine was also very expensive and time consuming. She had contemplated ovary removal. Her reasoning being, she was positive that her family was complete. She quickly dismissed that thought not wanting to undergo anymore surgeries.

She then looked into Aromasin an FDA approved aromatase inhibitor. Aromasin was given to women with early stage disease, but who had already undergone 2 to 3 years of Tamoxifen. The next inhibitor that she looked into was Femara. Although, FDA approved for early stage breast cancer she needed to have completed 5 years of Tamoxifen. The third inhibitor was called Ariminex. This is given to patients with early stage disease and directly after surgery. After discussing this with her Doctor, she immediately switched from Tamoxifen to Ariminex.

Hair loss was the primary reason Denise switched from Tamoxifen to Ariminex. She had no other side effects with this drug, but as vanity would have it she just didn’t want to become bald. After taking Ariminex for just under four months she realized that she had traded one cosmetic side effect for another that was physical. Denise was still experiencing slight hair loss, but was now suffering from excruciating joint pain.

Her Doctor explained that by taking Tamoxifen, her continuing hair loss just might have been caused by the drug giving her a nudge into menopause. Women who enter menopause, because of the lower estrogen sometime experience hair loss. He also explained that everyone’s tolerance was different for these drugs and he could prescribe Femara for her instead of Ariminex. By this time Denise was taking extended release Tramadol for joint pain and felt exhausted and defeated. She was still not capable of returning to work, even though it had been almost a year since she had been first diagnosed with breast cancer.

Financially Denise and her family were barely making ends meet. Without her much needed paycheck, the household bills were accumulating. Her once vibrant marriage was suffering and the talk of their separation was only silenced by the tears in their children’s eyes. In one year everything she and her family had worked for appeared ready to come crashing down!

Denise was still contemplating whether she should begin taking Femara or stop taking all drugs altogether.

That morning she received a phone call that would change her life. It was Helen. Her confidant through the worst of times had called to find out how she was doing. It wasn’t long before Denise’s emotions came spilling out. Through tears and laughter Helen and Denise were once again reunited, and Denise was no longer fighting this battle, seemingly alone.

Helen who did and continues to work in the organic and natural food business, was saddened that Denise had not confided in her earlier on her struggles. She was delighted with the thought that she may be able to help her ailing friend.

Upon hearing Denise’s story it was clear to Helen that the only side effect that Helen’s brief taking of Tamoxifen had was hair loss. Because of those two simple four letter words (hair loss) the past year for Denise and her family had turned into a roller coaster of spiraling downward turns.

After a very long in depth discussions with Helen, Denise decided to take her advice and begin taking Shen Min. Shen Min is an herbal product that has literally changed Denise’s life. She discontinued Ariminex, and immediately felt a difference with her joints.She was then able to discontinue the use of Tramadol for joint pain, because she no longer suffered pain. She chose not to begin taking Femara, but instead decided to resume taking Tamoxifen, since other then hair loss there were no other side effects.

As Helen explained it to Denise, the Shen Min Advanced Formula for Women was actually extending her hairs growth phase, therefore reducing the amount of hairs that were in the resting and fallout phase. This herbal supplement had no side effect and the results were noticed within a month. It seemed like such a simple solution, yet Denise had suffered miserably for almost a year, by taking medications that lead to side effects without realizing that there are natural products that can be taken with conventional medication.

Helen’s introducing Denise to Shen Min literally changed her life. She is doing very well on Tamoxifen with no side effects. Her hair loss is at an acceptable normal rate and she is now back to work full time. She is no longer on any pain medications and her marriage is becoming stronger and back on the right track.

Although, this cancer/hair loss story does get somewhat complicated, it is insightful. If Denise had known about Shen Min when she first started on Tamoxifen she would have spared herself months of suffering with severe joint pain because of the Ariminex. Although aromatase inhibitor Ariminex is side effect free for the majority of its prescribed patients, Denise’s body for what ever reasons was unable to tolerate this medication.

The bottom line is that there is help for anyone who has unwanted hair loss. Shen Min has natural products consisting of capsules, topical formula’s and even herbal shampoo’s that can help hair loss in both men and women. If you or someone you know is suffering from hair loss, even if it is through genetics Shen Min just might be your answer to thinning hair.

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Buy the Safest Pain Medication Online Legally

Shahzeb Irshad asked:




You can purchase pain medications without prescription and at unbelievably lower prices so that you can be lured to buy medicines with no brand, no credibility and those companies certainly wouldn’t be liable if something happened to you.

That is why it is very important for you to buy tramadol ultram pain medication online witht a prescription and from a registered tramadol pharmacy. Currently the most common pain medication on the market is tramadol ultram.

It is used to treat mild to severe chronic pains but has been found to be useful in many other problem areas of the body. Once in the body, tramadol ultram medication acts in a similar fashion as that of narcotics but its potential is very low for reliance which makes it the safest narcotic like drug on the market which you can legally buy. Important to note is also the fact that you should buy tramadol ultram, as it does not carry any serious side effects as those of its alternative medications like stomach ulcers and internal bleeding which makes it altogether a safer bet for pain medication.

Regardless to say that having to go to a “Registered Pharmacy” every time looks like a daunting task. But that’s why the services of online registered pharmacies are at your disposal. Whenever you put down a request for pain medication, a group of physicians registered with the pharmacy (such as ours) evaluates your application and only when they see fit, the medicine is dispatched for delivery.

The efficiency of online pharmacies is such that the entire process from the application submission to package delivery takes no more than 24 hours which make ordering online a more hassle free and practical way to meet your medicinal needs.

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Fibromyalgia – Signs and Symptoms

Michael Russell asked:




Sometimes you wake up stiff in the morning. You may hurt all over and frequently feel tired. You have gone to the doctors and they can’t find anything wrong with you. If you have these symptoms then you may suffer from fibromyalgia. Fibromyalgia is an increasingly recognized chronic pain characterized by muscles aches, pain and stiffness. Some have soft tissue tenderness and general fatigue and sleep problems. Other may have headaches, problems with thinking and memory, tingling and numbness in the hands and feet and if you are a woman you have painful menstrual periods.

So far the causes for fibromyalgia are unknown. There could be a number of factors involved such as stressful or traumatic events, illness, repetitive injuries and certain diseases. Sometimes it just happens on its own. Some researches say it is genetic. Some doctors say it could be chemical changes in the brain while others say it could start from a viral infection.

Fibromyalgia affects about 1 in 50 Americans. It occurs more often in women than in men. It usually develops in middle adulthood and it can occur in children. If you have a family history of fibromyalgia you may get it too. Another risk factor could be if you have a rheumatic disease like rheumatoid arthritis or lupus. People who have ankylosing spondylitis have been know to develop fibromyalgia as well.

Right now there is no test that can confirm fibromyalgia. Doctors need to rely on the patient’s history of complaints and reported symptoms. You may have to go through a series of medical tests like blood tests and x-rays. These will probably come back normal. It has been estimated that it could take as long as five years to be diagnosed with fibromyaligia. The American College of Rheumatology came up with a general classification for fibromyalgia and the criteria that has been established is that you must have widespread aching for three months and have at least 11 locations on the body that are very tender under mild pressure. These guidelines are used to help with the assessment and study of the condition. Fibromyalgia is not progressive and doesn’t lead to other conditions. The symptoms, however, can lead to depression and lack of sleep. It can interfere with your everyday life.

Fibromyalgia can be treated by changing you life style. Eat well, exercise and get enough sleep are good places to start. Over the counter pain medications may help with the chronic joint pain. The doctor may prescribe Tramadol, which is a non-narcotic pain reliever. He may also prescribe low doses of anti-depressants. This is for serotonin building that may provide relief for sleep and pain. Higher levels may be prescribed if the patient is experiencing depression as well.

People with fibromyalgia have a good prognosis. Now more than ever, the disease is getting recognition and people who suffer are more educated about the disease and after making some lifestyle changes are having a better quality of life. Most people do improve over time.

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