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

  1. hifinutt

    hifinutt hifinutt

    of course amitriptyline is an antidepressant but Drs sometimes use for nerve pain
  2. christray

    christray pfm Member

    Yes I was made aware, a bizarre situation on reflection and I can't understand people continuing to use them having felt the affect on a minimal dose. I just train now and only have problems when don't.
  3. hifinutt

    hifinutt hifinutt

    Many drugs have other uses , they call it unlicensed use. Amitriptyline is one of them and there is a type of nerve pain called neuropathic pain which Drs use these for sometimes. The big problem with tramadol is it is addictive and constipates very badly indeed in some people. It is fairly common for a nice GP to visit an elderly person who has fallen and given tramadol. 2 weeks later the district nurses are scraping poo off the walls as they require daily enemas and loads of laxatives for compaction of poo.
  4. slavedata

    slavedata pfm Member

    Wow what an eye opener this thread is. Who would have thought PFM'ers were such a bunch of pill poppers.
  5. doctorf

    doctorf left footed right winger

    Amitriptyline is actually licensed for neuropathic pain and can be very useful in some people. Others can’t tolerate it at all.
    hifinutt likes this.
  6. -alan-

    -alan- pfm Member

    Not the biggest pharmaceutical user here, but discovered Tramadol by accident. Brother in Law gave me a couple to ease the pain of a sprained thumb - ones that he had been prescribed following back surgery. Wasn't a well man for about the next 24 hours. Awful bl00dy things.
    wow&flutter likes this.
  7. MJS

    MJS Technical Tinkerer

    Interestingly I've been on a similar journey with gastritis over the last two years. We tried a succession of increasingly potent PPIs until Esomeprazole gave me random anxiety attacks. Then we went back to good-old high dose Ranitidine. That's worked wonders. The new drugs aren't always the best for one's condition.
  8. BJP

    BJP Pink is the new Blue

    I was prescribed that 3 years ago before and after I had an endoscopy , I told the doctor I didn't want to take anything , he said see how you go and I may reduce the dose , I changed my diet and have been ok but for an occasional Gaviscon .
  9. Bob McC

    Bob McC Living the life of Riley

    Ranitidine is being removed from the shelves throughout the US and the EU because of cancer scares over one of its ingredients.

  10. JensenHealey

    JensenHealey pfm Member

    I saw that. I am an occasional user of Ranitidine - the generic version sold by Sainsburys is very (VERY) cheap compared to the branded stuff and works really well. Reflux only a problem if I eat late and go to bed, so managing my not eating late seems to work. So a packet lasts about a year - I do hope I will still be able to get it, cos it works well and quickly.
  11. dweezil

    dweezil pfm Member

    I'm sure diet is crucial, I avoided all the hospital food and stuck to my usual salad diet, no problems.

    I did find the commode receptacles a bit small, maybe that's enough detail.
  12. hifinutt

    hifinutt hifinutt

    diet is crucial but so often elderly folks do have multiple medication and adding in an opoid is a real shock to the system and they end up severely constipated . 10% of all illness is iatrogenic i am told

    Big Tabs likes this.
  13. Mullardman

    Mullardman Moderately extreme...

    Stop being so bloody pompous.

    I know that Paracetamol and Ibuprofen can be taken together, by adults up to the safe dose of both. What do you know?

    From NHS: https://www.nhs.uk/common-health-questions/medicines/can-i-take-paracetamol-and-ibuprofen-together/

  14. Mullardman

    Mullardman Moderately extreme...

    Yep, I was prescribed it for nerve pain. Although I'm pretty tolerant of lots of stuff, a single 10mg Amitriptyline tab knocked me sideways for about three days. It has a very, very long half life, and metabolises into equally potent substances.
    Allegedly, you can get used to it. I wasn't sick enough to try.
    dweezil likes this.
  15. Marky-Mark

    Marky-Mark pfm Member

    My grandfather called doctors 'pill pushers' and 'horse doctors' and he was mostly right. Even specialists will admit when pressed they don't know how medications taken with myriad variables in play will affect one person to the next. It's a crap shoot, and in an age where the expectation is instant success, all sorts of crap is prescribed that shouldn't be.

    One thing I can say with absolute certainty from experience, and that is if you take any medication, and especially if you take a few or more, any new symptom should first be met with a thorough reading of any and all side-effects and contraindications of the meds you're taking. It's often the solution. Also, If you're over 55, degraded liver and kidney function, even a little bit, can affect how meds are processed. Or if you lose a lot of weight. Doctors will tell you to lose weight, and they'll see the reduced functioning with age, but they'll not consider your dosages may require adjustment. And in the states, these guys make 500k a year for this stupidity.

    There are a lot of dodgy doctors giving shit advice, just as there is a lot of dodgy everything. The god complex is real and it works from both ends.
    hifinutt likes this.
  16. hifinutt

    hifinutt hifinutt

    Good point , fortunately the god complex is reducing a little bit now in the UK , you may even find the Dr asking you what choice you want to make which perplexes some .
  17. Marky-Mark

    Marky-Mark pfm Member

    They call it 'off-label' over here. The one GP I got on well with passed away after I'd been his patient for 15 years. It's been a nightmare since. I don't have a GP now because the 2 that came after him were just shit. During a bad spell of chronic pain he prescribed a tricycyclic antidepressant for pain, the 'nor' variety of trip toe lean. I couldn't tolerate the lowest dose available -- made me very jittery. He suggested buying empty gel caps and cutting that dose in half. Worked a treat, mainly for sleep. And that was big because the pain nagged enough at night to keep me awake and that made everything worse.

    I'll bet it does! As I mentioned, I don't have a GP, so I wind up seeing specialists. I've seen two in the past two years (cardiology). They bring home a million dollars a year between them, easily. Which is why it's so difficult to go back to them after I wind up diagnosing myself half the time. This last go around surgery was suggested (ablation) when it turned out to be nothing more than being over-medicated. And I'd brought that possibility up at least twice during consult. They simply don't listen to patients because they absolutely know best.
    hifinutt likes this.
  18. Bob McC

    Bob McC Living the life of Riley

  19. sean99

    sean99 pfm Member

    What is the PFM recommended medicine for grumpiness ? ;)
    Big Tabs and gintonic like this.
  20. Marky-Mark

    Marky-Mark pfm Member

    I'm guessing sausages and rum while reading a cable thread followed by a Brexit smackdown.
    -alan- likes this.

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