That is correct. If a women gets a copy of the disease-carrying gene from each parent (located on the X), she will have the disease. One disease-carrying copy and one normal copy result in carrier state. Since men have only one X, there is no “backup”, so one copy of the disease-carrying gene will cause hemophilia.
One of my staff at work had haemophilia. he never complained about pain - ever. he did, quite often, have to be taken to hospital for a refill.
I think cirhossis got him in then (when he was 40).
Heh - yeah, I think the logic is that OTC, only the 200 mg dose (up to 6 tablets a day) is safe, but they can sell 800 mg tablets by prescription because that dosage is presumed to need a doctor’s supervision.
It could theoretically be cheaper than buying the OTC and taking multiple pills, if you have really good insurance, but I’ve never bothered. In fact when I’ve been given a scrip. I don’t even usually take the 4 tablets 3x/day, I usually take 2-3, up to 4 a day. Same max dosage (12x200), lets me take a reduced amount if I need less, and also reduces the time between doses which I think gives me better pain control.
If treated, then probably not, at least not excruciating pain. Back in the day before blood transfusions, the major problem was bruising. Surface cuts could be bandaged and the pressure would eventually stop the bleeding long enough until a clot would form.
The same couldn’t be done for internal bleeding, and the blood would keep flowing into the area of injury, causing intense pain. The worst was an injury to a joint, because of the potential for permanent disability. After an injury to his groin in 1912, the Tsarevich was unable to walk for a year, and had to be carried by a guard in public.
And that is your history lesson for the day!
(Contrary to popular belief, the manifestation of the disease in Queen Victoria’s family was NOT caused by inbreeding)
The Doc is right. Really Vicodin is a crappy painkiller after maybe 2-4 weeks, and even then the acetaminophen is doing much of the heavy lifting.
Ibuprophen 800mgs seems to be easier on the gut than 4X 200mg all taken at once. Better yet is to space them out.
Why is this? it’s 800 mg either way (ok, with a bit less of the coating material if you take 1x800).
Then again, why should we trust any doctor so obsessed with death? ;).
That’s what my MD told me. The bigger pill is designed with a thicker coating or something, do note it’s also several times more expensive that 4x200 otc.
But he did say that 4x200, spaced over a full meal, would be even better.
Great discussion. It’s about 7 a.m. here in Joisey as I write this. I bolted awake about 40 minutes ago as soon as the Motrin and Alieve wore off - as has happened every time I’ve managed to go to sleep over the past three days.
I had (have?) an infected root canal. My dentist initially said “take Motrin.” When the pain was bad enough that I went back, he finally wrote a prescription for 12 Tylenol #3. Tried to take them conservatively but they appeared to do about nothing for the pain.
Called back and was told “take 800 mg of Motrin.” So that’s what I’ve been doing. At this point, my ears are ringing, I’ve been nauseous to the point of throwing up and I still can’t function from the f*ng pain. Went to work and got 2.1 hours work done after being there 9+ hours.
So, upon this wakening I Googled the issue of why the hell dentists won’t prescribe adequate pain medication and landed here.
So, apparently it’s out of a concern that people are “doctor shopping” and because the medical professional will have to do more paperwork for (and possibly be hassled by) the DEA.
Thanks Broomstick, Jane, and the other voices of reason out there.
Great. I’m a professional, mid-40’s, with a serious verifiable dental issue. I can’t begin to describe what the pain and frustration have been like – I thought it was me. I wasn’t aware of what’s driving these asses.
So I get to bolt awake every six hours and take handfuls of Motrin because my dentist… don’t want to be hassled or doesn’t trust me? WTF?!?
Oh man, I’m pissed. I can’t describe how pissed. I’m a lawyer and can say that the only possible way to get doctors to change anything is by lawsuits – like donkeys with a big board, they don’t listen at all unless they’re smacked.
If I were on a jury and heard about the amount of pain I’ve seen here and the agony I’ve been left in so my DDS won’t have to be hassled or because he thinks I’m “abusing” something… I’d award a million dollars.
The other users of this board out there… we need to see lawsuits against medical professionals for negligently refusing to deal with our pain.
Or purchase through a non traditional source. Their business is thriving, I hear.
Especially in New Jersey. Seems prudent to give someone a low level pain killer for a temporary pain problem and working up rather than going straight to a powerful and addictive narcotic right off the bat. Perscription pain medication abuse is by far the biggest drug problem in NJ. Its the driving factor behind most property crime and a lot of other crime too. I have never seen so many 20 year olds with back problems.
Yeah, agree with this. Depending on the dosage and strength, it’s technically illegal for a pharmacist to prescribe refills of vicodin. Most pharmacies don’t monitor it by checking schedule against the drug, but that doesn’t make it not illegal.
Part of my job involves developing monitoring for stuff like this. Especially once the state exchanges become active, the government is going to double down on drug monitoring (at least that’s what I expect) because they’ll be reimbursing insurance companies for Rx’s. In the future I don’t think they’ll pay for submission of technically illegal claims. There’s been a lot more activity with the Office of the Inspector General researching these claims and chiding the Department of Health & Human Services for not monitoring more closely.
With chronic migraines all my life, pain has been something I’ve always had.
My knees are falling apart now, and they used to hurt CONSTANTLY.
I’ve got other body parts hurting, too.
I wish they’d bring back Darvocet. That stuff WORKED, a helluva lot better than Vicodin, and you didn’t get the stink eye from the doctor when you’d ask for it.
To the OP: the BIGGEST relief I got from constant knee pain was CYMBALTA. I went from a 7 or 8 on the pain scale to ZERO. Seriously.
The pain is back in the 2-3 neighborhood now, but it’s intermittent.
Ask about it.
~VOW
I have had broken toes( via an iron bar), broken fingers, and other events.
I was not prescribed anything, nor did I want that.
Try to grow a pair,and yes I know that you’re a woman.
You are what doctors call, self obsessed, self pitying, hypochondriacs.
Theres nothing significantly wrong with you, now , or I suspect ever.
I suggest that you grow up.
Why should someone experience pain when safe, efficacious alternatives exist?
What does this mean exactly? It’s illegal for a pharmacist to prescribe refills period in all states unless it is non-controlled and an emergency. Dosage and strength make no difference, all hydrocodone drugs are CIIIs. Some states allow a one time refill of a maintenance medication but only if a prescription is obtained subsequently. This doesn’t include the states which allow pharmacist prescribing, but that’s entirely different from bring able to approve refills of existing prescriptions.
And in my experience most pharmacies do check the refill schedule against the last fill to prevent early refills.
Such as? Every painkiller I know (other than OTC) either has bad side effects or is addictive. Or both.
Postoperative pain, which is severe but likely to only be severe a day or three, how is addiction a concern?
I keep a stash of codeine on hand. If I’m in severe pain that I expect to be self limiting (smash my thumb with a hammer, hornet attack, back spasms), a single dose means I’m pretty much pain free. If the following day I am still in severe pain, I seek professional care.
Side effects? Maybe constipation after many doses. Possibly some nausea. Addiction? Hasn’t happened.
Making a request/inquiry is never a “bad thing”.
There is a different set of practice guidelines when prescribing for acute pain vs chronic pain. Vicodin for chronic pain will eventually become a less and less effective way to manage your chronic pain. Over time, you will require an increased dose/frequency of vicodin to achieve the same pain relief. The danger is tylenol overuse. Liver damage is a major problem for people taking increasing amounts of any acetaminophen-containing drug to maintain pain relief. I once treated a patient taking 25 Excedrin migraine tablets a day. He had already had a liver transplant because of acetaminophen.
Ask. It’s not the narcotic that worries practitioners the most.
In general, when dealing with long-term chronic pain issues, it’s better to try medications that are long-acting rather than short acting. Any medication that looses effectiveness after 3-4 hours will not be very satisfactory when your pain is 24/7.
interesting thread.
I get the feeling that, as a society, we could really improve.
if I ever need serious pain meds, I hope I can get them.