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Medical Forum / General / General / December 2004

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Question re. anti-inflammatories vs. painkillers

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fred ma - 02 Dec 2004 01:05 GMT
There are 4 drugs available here that do both: aspirin, advil, motrin, and
ibuprofen.  According to the pharmacist, they are sold as pain killers.
For them to behave as an anti-inflammatory, one has to take upto twice the
maximum recommended on the bottle (let's call it "x").  For that reason it
should be under under a doctor's guidance.  He also says that as far as he
knows, taking the maximum ("x", which is 50% of twice the maximum 2x) has
never been shown to have significant anti-inflammatory effect.  So it is
not a linear effect; taking 50% of 2x will not give you 50% of the benefits
of 2x.

Is this true?  I don't doubt that it is, seeing as he is a pharmacist, but
it's a bummer.  Hoping it's not quite right.

As well, he is not aware of any anti-inflammatories that do not also have
the effect pain-killing and aggravating stomach acids.  Again, he is most
likely right, but it would be nice if he was wrong.  Pain is a good thing.
For example, for a twisted ankle, pain tells you how not to move.  And
aggravated stomach acids is a bad thing, especially if you intend to
subsist on coffee for the next little while (alot of reasons for that).
Would anyone know of a anti-inflammatory (accepted by the scientific
medical community) that doesn't have pain killing and stomach acidifying
effects?  Icing is good, but one is not always do that conveniently, if
at all.

Fred
Fred Ma - 02 Dec 2004 03:22 GMT
> There are 4 drugs available here that do both: aspirin, advil, motrin, and
> ibuprofen.  According to the pharmacist, they are sold as pain killers.
[quoted text clipped - 19 lines]
> effects?  Icing is good, but one is not always do that conveniently, if
> at all.

Further to the example of a twisted ankle, common wisdom is that icing is
good for the 1st 48 hours, but alternating between hot and cold is preferred
for 2 weeks thereafter.  Does this sound about right?  The guiding idea seems
to be swelling.  When there is still swelling, no heat.  However, for milde
sprains, any swelling might be imperceptible, so it's nice to get time frames
as a guideline.

Fred
 
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