FitSugar

What's the Deal With Alcohol and Ibuprofen?

FitSugar — Wed, 04 Mar 2009 10:00:57 -0800

If you wake up with a headache after a night of overindulging, sometimes figuring out what painkiller to take can make the headache even worse. I've heard that it's bad to take acetaminophen (aka Tylenol), because it can lead to liver damage, but take note: you're also not supposed to drink while taking ibuprofen.

Ibuprofen is part of the anti-inflammatory drug family known as NSAIDs, which can cause tears in the stomach lining if taken on an empty tummy. Add alcohol to the mix, and the potential danger is heightened. If you take ibuprofen when drinking more than the recommended amount for women (about two to three drinks), you increase your risk of stomach irritation and bleeding. This is especially true for people who are prone to ulcers.

But wait! Taking Tylenol when you're hungover isn't such a good idea either. To find out why, read more.

Acetaminophen can lead to liver damage if you take it in large doses (that's 4,000 milligrams, or eight extra-strength Tylenol) for more than a couple of days. Heavy drinkers who take acetaminophen and don't eat enough can overtax their livers. However, the risks associated with taking Tylenol after recreational drinking are somewhat blurry. According to The Straight Dope:

I'll spare you the biochemistry, but basically acetaminophen and alcohol in combination overwhelm the liver's ability to remove toxins from your bloodstream. . . . It's not clear from the medical literature what happens if you take acetaminophen after a one-time bender (as opposed to chronic alcohol abuse). But don't substitute some other painkiller - aspirin and ibuprofen can have side effects too. Better to be suffering than dead.

So what's a hungover, headache-plagued gal to do - besides not drinking so much in the first place? Since the jury is still out on the exact effects of combining Advil or Tylenol with booze, probably best just to tough it out. Maybe even try a natural remedy like yoga. Got one that works for you? Share it in the comments.

Source

Liver Damage and OTC Pain Medication

FitSugar — Wed, 11 Apr 2007 13:30:00 -0700

Did you start your new Spring exercise regimen with a little too much gusto? Running for 60 minutes seemed like a great idea at the time right? Now every muscle in your legs is screaming with pain so you're going to take some pain medication, but you want to avoid the one that can cause liver damage. Do you remember which one it is?

Common Painkillers Linked to High Blood Pressure

FitSugar — Tue, 27 Feb 2007 12:00:03 -0800

It's been recently reported that if you are frequently popping over-the-counter pain meds, you should know that they can raise your blood pressure, which in turn can lead to heart disease.

Although men were the subject of this recent study, it confirms earlier research conducted on the effects of OTC pain medication on women's blood pressure.

The medications studied are staples in your medicine cabinet like aspirin, ibuprofen and acetaminophen. Researchers found, when reviewing data from both studies, that men and women who took these drugs for 6-7 days in a week were 1/3 more likely to develop high blood pressure.

The study showed that men who took acetaminophen were 34% more likely to be diagnosed with high blood pressure. Men who took aspirin were 26% more likely to have high blood pressure than non-users. Those who used ibuprofen increased their risk by 38%.

These drugs can affect the ability of blood vessels to expand and may also cause sodium retention, which are 2 factors that can both raise blood pressure.

Fit's Tips: If you've been advised by your doctor to take 1 aspirin a day, you should stick with it. If you're popping 8 ibuprofen pills a day to combat lower back pain, you should reconsider your strategy. See if you can fix the problem rather than just masking the pain.

Ibuprofen Beats Acetaminophen for Menstrual Pain

FitSugar — Fri, 09 Feb 2007 16:15:00 -0800

Although both ibuprofen and acetaminophen reduce menstrual pain, ibuprofen appears to be more potent for pain relief.

Although ibuprofen is accepted as an effective treatment for painful periods, or dysmenorrhea, there is still controversy about the usefulness of acetaminophen.

To investigate further, a small trial was conducted involving 12 women with dysmenorrhea. They were given three different treatments in random order for three different periods: 1000 milligrams of acetaminophen, 400 milligrams of ibuprofen, or an inactive placebo, four times daily for three days.

The women rated the active medications as being more effective than the placebo. However, it appears that ibuprofen has a greater effect, and patients also preferred it.

Well there you have it. When a heating pad doesn't cut it for cramps, I'm reaching for some good old ibuprofen.

Ibuprofen (By mouth)

admin — Thu, 04 Sep 2008 19:47:24 -0700

Overview

Introduction
Brand Name(s)
When This Medicine Should Not Be Used
How to Use This Medicine
How to Store and Dispose of This Medicine
Drugs and Foods to Avoid
Warnings While Using This Medicine
Possible Side Effects While Using This Medicine

HEALTH GUIDE REFERENCE FROM A.D.A.M

Introduction

Ibuprofen (eye-byoo-PROE-fen)

Treats fever and pain, including pain caused by headache, toothache, arthritis, cold or flu, migraine, or menstrual cramps. This is a non-steroidal anti-inflammatory medicine (NSAID).

Brand Name(s)

Motrin, Advil, Motrin Children's, Motrin IB, Advil Children's, Motrin Infants', Motrin Junior, QC Ibuprofen, Rite Aid Ibuprofen, I-Prin, Ibuprohm, Bufen, The Medicine Shoppe Medi-profen, Ibu-2, Medi-First Ibuprofen

There may be other brand names for this medicine.

When This Medicine Should Not Be Used

You should not use this medicine if you have had an allergic reaction (including asthma) to ibuprofen, aspirin, or other NSAID medicines, such as aspirin, diclofenac, naproxen, Aleve®, Celebrex®, Ecotrin®, or Voltaren®. You should not use this medicine if you have a stomach ulcer, a bleeding disorder. Do not take this medicine if you have advanced kidney disease. Do not use this medicine right before or right after having coronary artery bypass graft (CABG), a type of heart surgery.

How to Use This Medicine

Tablet, Liquid, Chewable Tablet, Capsule, Liquid Filled Capsule

Your doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to.
If you are using prescription-strength ibuprofen: This medicine should come with a Medication Guide. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions. Ask your pharmacist for the Medication Guide if you do not have one. Your doctor might ask you to sign some forms to show that you understand this information.
If you are using this medicine without a prescription, follow the instructions on the medicine label.
It is best to take this medicine with food or milk, so it does not upset your stomach.
Shake the oral liquidwell just before using. Measure the oral liquid medicine with a marked measuring spoon, oral syringe, or medicine cup.
You must chew the chewable tablet completely before you swallow it. Drink some water afterwards to make sure you swallow all of the medicine.
For a Child: If you are not sure how much medicine to give, ask your pharmacist or health caregiver. It is best to figure a child's dose based on how much the child weighs, not the child's age. For most kinds of ibuprofen, do not give this medicine more than 4 times in 1 day (24 hours) unless the doctor tells you to.
For an Adult: Follow your doctor's instructions for how much medicine to take. If you are taking this medicine without a prescription, follow the directions on the package, but do not take more than 6 pills in 1 day (24 hours) unless your doctor tells you to.
Use this medicine for the shortest time possible and in the smallest dose possible. This will help lower the risk of side effects.

If a dose is missed:

If you miss a dose or forget to use your medicine, use it as soon as you can. If it is almost time for your next dose, wait until then to use the medicine and skip the missed dose. Do not use extra medicine to make up for a missed dose.

How to Store and Dispose of This Medicine

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Do not freeze the oral liquid.
Ask your pharmacist, doctor, or health caregiver about the best way to dispose of any outdated medicine or medicine no longer needed.
Keep all medicine away from children and never share your medicine with anyone.

Drugs and Foods to Avoid

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

Make sure your doctor knows if you are also using aspirin, methotrexate (Rheumatrex®), lithium (Eskalith®), a blood thinner such as warfarin (Coumadin®), a steroid such as cortisone, dexamethasone, hydrocortisone, methylprednisolone, prednisolone, prednisone, Orapred®, or a diuretic ("water pill") such as furosemide, hydrochlorothiazide (HCTZ), torsemide, Demadex®, Lasix®.
Do not use any other NSAID medicine unless your doctor says it is okay. Some other names are aspirin, diclofenac, naproxen, Aleve®, Celebrex®, Ecotrin®, or Votaren®.
Do not drink alcohol while you are using this medicine.

Warnings While Using This Medicine

Make sure your doctor knows if you are pregnant or breast feeding. You should not use this medicine during the later part of pregnancy.
Make sure your doctor knows if you have high blood pressure, congestive heart failure (CHF), or other heart or circulation problems. Tell your doctor if you have kidney disease, liver disease, a bleeding problem, or lupus or a similar connective tissue disease
This medicine might cause bleeding in your stomach or intestines. This is more likely if you have had a stomach ulcer in the past, if you smoke or drink alcohol regularly, if you are over 60 years old, if you are in poor health, or if you are using certain other medicines (a steroid or a blood thinner). Tell your doctor if you have ongoing or repeat stomach problems such as heartburn, indigestion, upset stomach, or pain.
This medicine may raise your risk of having a heart attack or stroke. This is more likely in people who already have heart disease. People who use this medicine for a long time might also have a higher risk.
This medicine should not be given to a child younger than 6 months old unless your doctor tells you otherwise. If your child has a severe or ongoing sore throat, high fever, headache, nausea, and vomiting, call your child's doctor right away.
If your symptoms do not improve or if they get worse, call your doctor.Call your doctor if the pain gets worse or lasts longer than 10 days, or if the fever lasts longer than 3 days.
Tell your doctor if you have been vomiting or had diarrhea. You might be dehydrated.
This medicine might contain phenylalanine (aspartame). This is only a concern if you have a disorder called phenylketonuria (PKU), which is a problem with amino acids. Talk to your doctor before using this medicine if you have PKU.
This medicine might contain sugar. If you have diabetes, you might need to count this in your diet.
When treating a migraine headache: Talk to your doctor if you have a headache that feels different from your usual headache, if the pain is much worse than usual, if you have a fever and stiff neck, if you have a headache every day, if this is your first migraine headache, or if the pain is so bad you cannot get up. Call your doctor if your headache was caused by a recent head injury, physical effort, coughing, or bending down.
Make sure any doctor or dentist who treats you knows that you are using this medicine.

Possible Side Effects While Using This Medicine

Call your doctor right away if you notice any of these side effects:

Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing.
Blistering, peeling, red skin rash.
Bloody or black, tarry stools.
Change in how much or how often you urinate, blood in your urine.
Chest pain, shortness of breath, or coughing up blood.
Fever, neck pain, stiff neck.
Numbness or weakness in your arm or leg, or on one side of your body.
Pain in your lower leg (calf).
Problems with vision, speech, or walking.
Redness or swelling of the body area where you have pain.
Severe stomach pain.
Shortness of breath, cold sweat, and bluish-colored skin.
Sudden or severe headache.
Swelling in your hands, ankles, or feet.
Trouble seeing, change in how you see colors.
Vomiting blood or something that looks like coffee grounds.

If you notice these less serious side effects, talk with your doctor:

Dizziness
Mild nausea, stomach pain, or heartburn.
Ringing in your ears.

Review Date: 8/4/2008

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

A.D.A.M. Copyright

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997-2009 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

adam.com

Source Doc: 45_0161

Oxycodone/ibuprofen (By mouth)

admin — Thu, 04 Sep 2008 20:12:02 -0700

Overview

Introduction
Brand Name(s)
When This Medicine Should Not Be Used
How to Use This Medicine
How to Store and Dispose of This Medicine
Drugs and Foods to Avoid
Warnings While Using This Medicine
Possible Side Effects While Using This Medicine

HEALTH GUIDE REFERENCE FROM A.D.A.M

Introduction

Ibuprofen (eye-byoo-PROE-fen), Oxycodone Hydrochloride (oks-ee-KOE-done hye-droe-KLOR-ide)

Treats moderate to severe pain. This medicine is a combination of a narcotic pain reliever and a non-steroidal anti-inflammatory drug (NSAID).

Brand Name(s)

Combunox

There may be other brand names for this medicine.

When This Medicine Should Not Be Used

You should not use this medicine if you have had an allergic reaction to ibuprofen, oxycodone, or to other pain medicines such as aspirin, Aleve®, Celebrex®, Darvon®, Motrin®, Percocet®, or Vicodin®. You should not use this medicine if you have severe asthma or breathing problems, or if you have an intestinal disorder called paralytic ileus. Do not use this medicine right before or right after having coronary artery bypass graft (CABG), a type of heart surgery.

How to Use This Medicine

Tablet

This medicine should come with a Medication Guide. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions. Ask your pharmacist for the Medication Guide if you do not have one. Your doctor might ask you to sign some forms to show that you understand this information.
Your doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to.
Do not use this medicine for longer than 7 days unless your doctor tells you to.
Drink plenty of fluids to help avoid constipation.

If a dose is missed:

If you miss a dose or forget to use your medicine, use it as soon as you can. If it is almost time for your next dose, wait until then to use the medicine and skip the missed dose. Do not use extra medicine to make up for a missed dose.

How to Store and Dispose of This Medicine

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.
Ask your pharmacist, doctor, or health caregiver about the best way to dispose of any leftover medicine after you have finished your treatment. You will also need to throw away old medicine after the expiration date has passed.
Keep all medicine away from children and never share your medicine with anyone.

Drugs and Foods to Avoid

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

There are many other drugs that can interact with oxycodone or ibuprofen. Make sure your doctor knows about all other medicines you are using.
Tell your doctor if you are also using dicyclomine (Bentyl®), glycopyrrolate (Robinul®), oxybutynin (Ditropan®), ipratropium (Atrovent®), orphenadrine (Flexor®, Norflex®), scopolamine (Transderm-Scop®), tolterodine (Detrol®), or trospium (Sanctura®). Make sure your doctor knows if you use a blood thinner such as warfarin (Coumadin®), or a steroid such as cortisone, dexamethasone, hydrocortisone, methylprednisolone, prednisolone, prednisone, or Orapred®. Tell your doctor if you have used an MAO inhibitor such as Eldepryl®, Marplan®, Nardil®, or Parnate® within the past 14 days.
Make sure your doctor knows if you also use lithium, methotrexate (Folex®, Trexall®), or a diuretic ("water pill") such as furosemide, hydrochlorothiazide (HCTZ), torsemide, Demadex®, or Lasix®. Tell your doctor if you use blood pressure medicine such as captopril, enalapril, lisinopril, Accupril®, Lotrel®, Prinivil®, or Zestril®.
Do not use any other NSAID medicine unless your doctor says it is okay. Some other names are aspirin, diclofenac, ibuprofen, naproxen, Advil®, Aleve®, Celebrex®, Ecotrin®, Motrin®, or Voltaren®.
Tell your doctor if you are using any medicines that make you sleepy. These include sleeping pills, cold and allergy medicine, narcotic pain relievers, and sedatives.
Do not drink alcohol while you are using this medicine.

Warnings While Using This Medicine

Make sure your doctor knows if you are pregnant or breast feeding. Do not use this medicine during late pregnancy or while you are breast feeding, unless your doctor tells you to.
Tell your doctor if you have ever had seizures or a head injury. Your doctor should also know if you smoke or drink alcohol. Make sure your doctor knows if you have kidney disease, liver disease, lung disease, lupus, pancreatitis, Addison's disease, underactive thyroid, or a bleeding disorder. Tell your doctor if you have high blood pressure, congestive heart failure (CHF), or other heart or circulation problems.
This medicine may raise your risk of having a heart attack or stroke. This is more likely in people who already have heart disease. People who use this medicine for a long time might also have a higher risk.
Make sure your doctor knows if you have stomach or intestinal disorders, or if you have ever had an ulcer or gastric bleeding. Tell your doctor if you have a bladder obstruction or a prostate disorder. This medicine might cause bleeding in your stomach or intestines. This is more likely if you have had a stomach ulcer in the past, if you smoke or drink alcohol regularly, if you are over 60 years old, if you are in poor health, or if you are using certain other medicines (a steroid or a blood thinner).
This medicine may make you dizzy or drowsy. Avoid driving, using machines, or doing anything else that could be dangerous if you are not alert. Older adults may be more sensitive to the effects of this medicine.
Using too much of this medicine can cause death. Symptoms of an overdose include: Extreme weakness or fainting, shallow breathing, slow heartbeat, stomach pain, nausea or vomiting, and cold, clammy skin.
This medicine may be habit-forming. If you feel that the medicine is not working as well, do not use more than your prescribed dose. Call your doctor for instructions.
This medicine may cause constipation. This is more common if you use it for a long time. Ask your doctor if you should also use a laxative to prevent and treat constipation.

Possible Side Effects While Using This Medicine

Call your doctor right away if you notice any of these side effects:

Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing.
Bloody or black, tarry stools.
Change in how much or how often you urinate.
Chest pain, shortness of breath, or coughing up blood.
Dark-colored urine or pale stools.
Fast heartbeat, warmth or redness in your face or neck.
Fever, chills, sore throat.
Light-headedness or fainting.
Nausea, vomiting, loss of appetite, pain in your upper stomach.
Numbness or weakness in your arm or leg, or on one side of your body.
Pain in your lower leg (calf).
Problems with vision, speech, or walking.
Severe stomach pain.
Shallow breathing.
Shortness of breath, cold sweat, and bluish-colored skin.
Sudden or severe headache.
Swelling in your hands, ankles, or feet.
Unusual bleeding, bruising, or weakness.
Vomiting blood or something that looks like coffee grounds.
Yellowing of your skin or the whites of your eyes.

If you notice these less serious side effects, talk with your doctor:

Constipation, diarrhea, or gas.
Dry mouth or unusual taste in your mouth.
Headache, nervousness, anxiety.
Increased sweating.
Mild nausea, vomiting, upset stomach, or stomach pain.
Mild skin itching.
Problems with vision.
Sleepiness.

Review Date: 8/4/2008

A.D.A.M. Copyright

adam.com

Source Doc: 45_5483

Ibuprofen lysine (Injection)

admin — Thu, 04 Sep 2008 20:13:21 -0700

Overview

Introduction
Brand Name(s)
When This Medicine Should Not Be Used
How to Use This Medicine
Drugs and Foods to Avoid
Warnings While Using This Medicine
Possible Side Effects While Using This Medicine

HEALTH GUIDE REFERENCE FROM A.D.A.M

Introduction

Ibuprofen Lysine (eye-byoo-PROE-fen LYE-seen)

Treats a heart condition known as patent ductus arteriosus (PDA) in premature babies.

Brand Name(s)

Neoprofen

There may be other brand names for this medicine.

When This Medicine Should Not Be Used

Your child should not receive this medicine if your child has had an allergic reaction to ibuprofen lysine, or if your child has an untreated infection, kidney problems, bleeding problems, certain intestinal problems, or congenital heart disease such as pulmonary atresia, severe tetralogy of Fallot, or severe coarctation of the aorta.

How to Use This Medicine

Injectable

A nurse or other trained health professional will give your child this medicine.
This medicine is given to your child through a needle placed in one of the veins.

Drugs and Foods to Avoid

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

Make sure your child's doctor knows about all the medicines your child is receiving.

Warnings While Using This Medicine

Make sure your child's doctor knows if your child has any infection, liver disease, bleeding disorder, or bleeding in the brain, stomach, or intestines.

Possible Side Effects While Using This Medicine

Call your doctor right away if you notice any of these side effects:

Allergic reaction: Itching or hives, swelling in your child's face or hands, swelling or tingling in your child's mouth or throat, chest tightness, trouble breathing.
Absence of bowel movement or stools.
Bulge or lump on your child's groin.
Fast, slow, or uneven heartbeat.
High fever and chills.
Red or dark brown urine, or change in the number of wet diapers each day.
Seizures.
Severe vomiting or bloated belly.
Swelling in your child's hands, ankles, or feet.
Trouble breathing, or bluish-colored skin.
Unusual bleeding, bruising, or weakness.
Yellowing of the skin or the whites of your child's eyes.

If you notice these less serious side effects, talk with your doctor:

Diarrhea or vomiting.
Poor feeding.
Redness, swelling, rash, or a lump under your child's skin where the needle is placed.
Runny or stuffy nose.
Skin rash.

Review Date: 8/4/2008

A.D.A.M. Copyright

adam.com

Source Doc: 45_5573

Ibuprofen/hydrocodone (By mouth)

admin — Thu, 04 Sep 2008 19:56:22 -0700

Overview

Introduction
Brand Name(s)
When This Medicine Should Not Be Used
How to Use This Medicine
How to Store and Dispose of This Medicine
Drugs and Foods to Avoid
Warnings While Using This Medicine
Possible Side Effects While Using This Medicine

HEALTH GUIDE REFERENCE FROM A.D.A.M

Introduction

Hydrocodone Bitartrate (hye-droe-KOE-done bye-tar-trate), Ibuprofen (eye-byoo-PROE-fen)

Treats pain. This medicine is a combination of a narcotic pain reliever and a non-steroidal anti-inflammatory drug (NSAID).

Brand Name(s)

Vicoprofen, Ibudone, Reprexain

There may be other brand names for this medicine.

When This Medicine Should Not Be Used

You should not use this medicine if you have had an allergic reaction to hydrocodone, ibuprofen, or to other pain medicines such as aspirin, Aleve®, Celebrex®, Darvon®, Motrin®, Percocet®, or Vicodin®. The reaction may have included wheezing or trouble breathing, hives, rash, or swelling in your face. You should not use this medicine if you have a stomach ulcer, a bleeding disorder. Do not use this medicine right before or right after having coronary artery bypass graft (CABG), a type of heart surgery.

How to Use This Medicine

Tablet

This medicine should come with a Medication Guide. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions. Ask your pharmacist for the Medication Guide if you do not have one. Your doctor might ask you to sign some forms to show that you understand this information.
Your doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to.
Do not use this medicine for longer than 10 days, unless your doctor tells you to.
Drink plenty of fluids to help avoid constipation.

If a dose is missed:

If you miss a dose or forget to use your medicine, use it as soon as you can. If it is almost time for your next dose, wait until then to use the medicine and skip the missed dose. Do not use extra medicine to make up for a missed dose.

How to Store and Dispose of This Medicine

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.
Ask your pharmacist, doctor, or health caregiver about the best way to dispose of any leftover medicine after you have finished your treatment. You will also need to throw away old medicine after the expiration date has passed.
Keep all medicine away from children and never share your medicine with anyone.

Drugs and Foods to Avoid

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

Tell your doctor if you are also using dicyclomine (Bentyl®), ipratropium (Atrovent®), orphenadrine (Flexor®, Norflex®), oxybutynin (Ditropan®), scopolamine (Transderm-Scop®), tolterodine (Detrol®), or trospium (Sanctura®). Make sure your doctor knows if you use a blood thinner such as warfarin (Coumadin®), or a steroid such as cortisone, dexamethasone, hydrocortisone, methylprednisolone, prednisolone, prednisone, or Orapred®.
Make sure your doctor knows if you also use lithium, methotrexate (Folex®, Trexall®), or a diuretic ("water pill") such as furosemide, hydrochlorothiazide (HCTZ), torsemide, Demadex®, or Lasix®. Tell your doctor if you use blood pressure medicine such as captopril, enalapril, lisinopril, Accupril®, Lotrel®, Prinivil®, or Zestril®. Make sure your doctor knows if you are using a medicine for depression such as amitriptyline, doxepin, nortriptyline, selegiline, tranylcypromine, Elavil®, Eldepryl®, Pamelor®, Parnate® ,or Sinequan®.
Do not use any other NSAID medicine unless your doctor says it is okay. Some other names are aspirin, diclofenac, naproxen, Advil®, Aleve®, Celebrex®, Ecotrin®, Motrin®, or Voltaren®.
Tell your doctor if you are using any medicines that make you sleepy. These include sleeping pills, cold and allergy medicine, narcotic pain relievers, and sedatives.
Do not drink alcohol while you are using this medicine.

Warnings While Using This Medicine

Make sure your doctor knows if you are pregnant or breast feeding. Do not use this medicine during late pregnancy or while you are breast feeding, unless your doctor tells you to.
Make sure your doctor knows if you have stomach or intestinal disorders, or if you have ever had an ulcer. Tell your doctor if you have a bladder obstruction or a prostate disorder. This medicine might cause bleeding in your stomach or intestines. These problems can happen without warning signs. This is more likely if you have had a stomach ulcer in the past, if you smoke or drink alcohol regularly, if you are over 60 years old, if you are in poor health, or if you are using certain other medicines (a steroid or a blood thinner).
Tell your doctor if you have ever had seizures or a head injury. Make sure your doctor knows if you have asthma, kidney disease, liver disease, lung disease, lupus, Addison's disease, or an underactive thyroid. Tell your doctor if you have high blood pressure, congestive heart failure (CHF), or other heart or circulation problems.
This medicine may raise your risk of having a heart attack or stroke. This is more likely in people who already have heart disease. People who use this medicine for a long time might also have a higher risk.
This medicine may make you dizzy or drowsy. Avoid driving, using machines, or doing anything else that could be dangerous if you are not alert.
This medicine may be habit-forming. If you feel that the medicine is not working as well, do not use more than your prescribed dose. Call your doctor for instructions.
Your doctor will need to check your progress at regular visits while you are using this medicine. Be sure to keep all appointments.
This medicine may cause constipation. This is more common if you use it for a long time. Ask your doctor if you should also use a laxative to prevent and treat constipation.

Possible Side Effects While Using This Medicine

Call your doctor right away if you notice any of these side effects:

Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing.
Bloody or black, tarry stools.
Change in how much or how often you urinate.
Chest pain, shortness of breath, or coughing up blood.
Dark-colored urine or pale stools.
Fast heartbeat, warmth or redness in your face or neck.
Fever, chills, sore throat.
Flu-like symptoms.
Numbness or weakness in your arm or leg, or on one side of your body.
Pain in your lower leg (calf).
Problems with vision, speech, or walking.
Rapid weight gain.
Severe stomach pain.
Shortness of breath, cold sweat, and bluish-colored skin.
Sudden or severe headache.
Swelling in your hands, ankles, or feet.
Vomiting blood or something that looks like coffee grounds.
Yellowing of your skin or the whites of your eyes.

If you notice these less serious side effects, talk with your doctor:

Constipation, diarrhea, or gas.
Headache, nervousness, anxiety.
Increased sweating.
Mild nausea, vomiting, upset stomach, or stomach pain.
Mild skin itching.
Ringing in your ears.
Unusual weakness, sleepiness, or trouble sleeping.
Vision changes.

Review Date: 8/4/2008

A.D.A.M. Copyright

adam.com

Source Doc: 45_0856

Ibuprofen overdose

admin — Thu, 04 Sep 2008 18:58:47 -0700

Overview

Definition
Alternative Names
Poisonous Ingredient
Where Found
Symptoms
Before Calling Emergency
Poison Control, or a local emergency number
What to expect at the emergency room
Expectations (prognosis)

HEALTH GUIDE REFERENCE FROM A.D.A.M

Definition

This is poisoning from taking an overdose of pain medicine containing ibuprofen.

Alternative Names

Advil overdose; Nuprin overdose; PediaProfen overdose; Rufen overdose; Motrin overdose

Poisonous Ingredient

Ibuprofen, a non-steroidal anti-inflammatory drug (NSAID) that is sold over-the-counter and by prescription.

Where Found

Advil
Medipren
Midol
Motrin
Nuprin
Pamprin IB
PediaProfen
Rufen

Note: This list may not be all-inclusive.

Symptoms

Eyes, ears, nose, throat, and mouth

Gastrointestinal

Diarrhea
Heartburn
Nausea
Stomach pain (possible bleeding in stomach and intestines)
Vomiting

Kidneys

Little to no urine production

Lungs

Nervous system

Headache
Agitation
Incoherence (not understandable)
Confusion
Coma
Drowsiness
Seizures
Dizziness
Unsteadiness

Skin

Rash
Sweating

Before Calling Emergency

Determine the following information:

Patient's age, weight, and condition
Name of the product (ingredients and strengths, if known)
Time it was swallowed
Amount swallowed
If the medication was prescribed for the patient

Poison Control, or a local emergency number

The National Poison Control Center (1-800-222-1222) can be called from anywhere in the United States. This national hotline number will let you talk to experts in poisoning. They will give you further instructions.

This is a free and confidential service. All local poison control centers in the U.S. use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.

Take the container with you to the hospital, if possible.

See: National Poison Control center

What to expect at the emergency room

The health care provider will measure and monitor the patient's vital signs, including temperature, pulse, breathing rate, and blood pressure.

The patient may receive:

Medicines to treat symptoms
Activated charcoal
Laxative

Expectations (prognosis)

Recovery is very likely with prompt medical treatment.

Review Date: 4/24/2007

Reviewed By: Janeen R. Azare, PhD, MSPH, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY, and Eric Perez, MD, Department of Emergency Medicine, St. Luke's-Roosevelt Hospital Center, New York, NY. Review provided by VeriMed Healthcare Network.

A.D.A.M. Copyright

adam.com

Source Doc: 1_002655

Dealing With DOMS

FitSugar — Fri, 02 Oct 2009 07:00:59 -0700

Let me begin with a confession. While training for my recent triathlon, I skimped on my strength training, and that's an understatement. To jump back in the thick of it, I started working with my trainer Hannah at the Equinox Fitness around the corner from my office. Proximity and weekly appointments have made my efforts excuse-proof. The problem is, I am sore. Very, very sore. While I appreciate a little post-workout pain, I am dealing with serious delayed onset muscle soreness, aka DOMS.

I thought I would take this painful lesson as a chance to review the best strategies for dealing with DOMS. For a refresher course on the subject, read more.

DOMS is defined as pain usually felt 12 to 48 hours after exercising, but can last as long as a week. It is a commonly held theory that the pain comes from microscopic tears in the muscles and the swelling associated with those tears. Sometimes you can actually see or feel the swelling.
In 2007, an Australian study found that stretching did not relieve the pain associated with DOMS. I feel, though, that stretching the muscles when sore helps to build more elasticity in the new muscle fibers.
The soreness should go away by itself, but do avoid any vigorous activity that makes the pain worse. Light aerobic exercise can help the healing process by bringing fresh blood to the sore muscles.
Some people find pain relief in massage, although this doesn't necessarily improve muscular function.Taking non-steroidal anti-inflammatory medication (NSAID) like ibuprofen can help relieve the pain, but like massage, this will not speed your recovery time.
A proper warmup can help reduce the symptoms associated with DOMS. Increasing blood flow to muscles with light cardio makes them more elastic, so they are more resistant to micro-tearing.
When you're experiencing DOMS, your muscles are actually weaker. Keep this in mind and avoid strenuous activities until the pain has subsided, because you are more likely to injure yourself.
Drinking tart cherry juice after a workout might help reduce the pain, but the jury is still out on this one.