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Discussion in 'off topic' started by BJP, Sep 28, 2019.

  1. mykel

    mykel Fat guy flying.

    In the States you can get Ibuprofen and Acetaminophen (paracetamol) combined with caffeine in an OTC migraine medication - Excedrin Migraine. I have been a migraine sufferer for over 40 years. If I catch one early enough, I can sometimes forgo the opioids if I take an Advil, a Tylenol and wash it down with a caffeine containing cola.

    Excedrin Migraine is not available in Canukistan.

    Question: Why do we call it Acetaminophen in NA, but Paracetamol in the UK? I always thought that the sciencey name was the correct one, but brand named Advil, Tylenol etc, so why the two sciencey names, and what if anything is the correct one?
  2. misterdog

    misterdog Not the canine kind

    Peoples opinions are often agenda driven.

    There are vast swathes of information on the web, showing that all countries experience medicine shortages, and have done so since medicines were invented.
    There is a plethora of reasons for it.

  3. Rockmeister

    Rockmeister pfm Member

    well, it's your life.
  4. Sue Pertwee-Tyr

    Sue Pertwee-Tyr Staying alert

    Point being, I think, that attempted suicide by Paracetemol overdose may in many cases be a spur of the moment crisis thing, not premeditated. So in those situations, somebody is likely to only have one packet or so in the house. Of course, if you're planning suicide by Paracetemol O/D you could stock up after a bit of effort, but making it a bit of effort might just reduce the actual instances a little bit. Which is nice.
  5. cutting42

    cutting42 Arrived at B4 Hacker Erg \o/

    No idea, they are both generic names but the chemical entity correct name is para-acetylaminophenol
    mykel likes this.
  6. mykel

    mykel Fat guy flying.

    Well at least you can see where they get both names from.
    cutting42 likes this.
  7. cutting42

    cutting42 Arrived at B4 Hacker Erg \o/

    And the brand name Tylenol as well.
  8. russel

    russel ./_dazed_and_confused

    Yes, the US attitude to the availability of legalised drugs has resulted in 400,000 deaths over the last ten years through opioid drugs like OxyContin, that’s about twice the number of deaths due to the atomic bombing of Japan or a hundred and thirty times the number of people killed in 911, in a crazy world this one stands out.
  9. stevec67

    stevec67 pfm Member

    I have, it's Rung 2 on the pain ladder in the hospital.
    Rung 1 - take 2 paracetamol.
    If the patient is still whining after 30 mins, to to Rung 2 - 2 ibuprofen.
    If this works, happy days.
    If not and the patient is still whining, Rung 3 - morphine.

    a dentist friend of mine loves morphine for its analgesic effect and absence of physiological effects. He sums it up as "it still hurts, but you don't give a s**t any more."
  10. Bob McC

    Bob McC Living the life of Riley

    What happened to co codamol, codeine or tramadol before morphine?

    Ibuprofen is largely an anti inflammatory. I find it next to useless for alleviating my arthritis. Naproxen however does work.
  11. Durmbo

    Durmbo not French

    I have a problem shoulder. When it flares up I've normally used naproxen, but lately I've found that the paracetamol-ibuprofen combo works just as well, if not better.

    Not a fan of opiates except as emergency cough suppressants. Gees Linctus works very well in this capacity.
  12. stevec67

    stevec67 pfm Member

    still used, especially in non hospital situations. In my case I was in hospital so they could supervise me taking it.
  13. Spike

    Spike pfm Member

    Tramadol is a beast! Avoid at all costs if you’re prone to addictions!
  14. Spike

    Spike pfm Member

    After my brain haemorrhage in 2010 I’m left with monumental headaches at times. The Neurofen/paracetamol combination sorts them in no time.
  15. chartz

    chartz pfm Member

    True. I have severe backache episodes (two hernias) and had Tramadol for two months last year. I did finish my prescrition but will never go back there I think. Trouble is, paracetamol and Ibuprofen have zero effect on my pain. Codeine a little better, perhaps.
  16. doctorf

    doctorf left footed right winger

    I had a patient die after taking 15 paracetamol tablets in one go.
    Too much misinformation on this thread to call out each bit of rubbish.
    Generally speaking, two paracetamol tablets, taken up to four times in 24 hours, will do no harm to any adult.
    There are no other analgesics for which the same can be said.
  17. Bob McC

    Bob McC Living the life of Riley

    tell me about it!
    4 years on.
    2 years hell getting off.
  18. dweezil

    dweezil pfm Member

    That's pretty horrific and why I avoid it and use Ibuprofen.

    A good dose at the first sign of gout with plenty of water works well.

    I was on paracetamol, ibuprofen and tramadol for a while a few years ago. topped it up with a bottle of red as required.

    I read The Luminaries that year and can honestly say I can't remember a bit of it.
  19. Marky-Mark

    Marky-Mark pfm Member

    There was a stink about this in the US that got the sweep it under the carpet treatment. Apparently, Tramadol was an effort to provide narcotic pain relief without euphoria. But then people taking it for awhile noticed withdrawal symptoms matching or exceeding opiates. I took it off and on for a couple of months years ago, and though I didn't suffer withdrawals, I never took it without getting a headache. Horrible pain reliever.
  20. Colin L

    Colin L pfm Member

    Naproxen is also excellent for burning a hole in your stomach. I have a hiatus hernia so Naproxen is a definite no-no

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