Posts belonging to Category 'Vioxx Vs Celebrex'

Anti-Inflammatory drugs

Question:

Does anyone know of any good anti-inflammatory supplement(s) stronger than Fish Oil EPA/DHA.  I use fish oil which is great, but I’m trying to find something that is as strong or stronger. Thanks in advance.

Response:

Some people have been helped with glucosamine and chondroitin–takes awhile to work…OTC…other than that, you’ll need a script for something…Vioxx etc. cal

Response:

If you mean OTC,   SAM-e

Yeah, OTC or prescription.  I’ve upped the dose of Fish oil to 4800epa/day and it seems to be working a little better i think.

Response:

Does anyone know of any good anti-inflammatory supplement(s) stronger than Fish Oil EPA/DHA.  I use fish oil which is great, but I’m trying to find something that is as strong or stronger. Thanks in advance.

You might consider turmeric, which contains a very potent COX-2 inhibitor, curcumin. Two teaspoons turmeric in a glass of water is at least equivalent to Vioxx, IMHO. Costs pennies. Lasts longer, too. Larry

Response:

My NSAID of choice is Aleve, now and for some time)over the counter and on the shelves. It works rapidly and is strong, IMHO. I think Naprosyn "mother" NSAID of this medication and is also ef- fective but has a slower onset. remember, talk with your Health Care Provider and/or a pharmacist to make sure either of these will *not* upset your system. Hope this helps. Peace, Katydid :::::KatieDarling:::::

Response:

Thanks all.  I went out and bought some Turmeric and Aleve.  Both seem to be doing the job.  Turns out there is an organic store with bulk foods half a block from my place here in Seattle…the turmeric is dirt cheap there.

Response:

Anyone know if longterm Aleve should be avoided, ect?  I mean will it put a hole in my stomach or anything, or hurt my liver, ect.  Reason I’m asking is I"ve been taking it twice a day for a couple of weeks now. Too bad the bulk store is out of Turmeric. I could switch off then.

Response:

Anyone know if longterm Aleve should be avoided, ect?  I mean will it put a hole in my stomach or anything, or hurt my liver, ect.  Reason I’m asking is I"ve been taking it twice a day for a couple of weeks now. Too bad the bulk store is out of Turmeric. I could switch off then.

It’s better long-term to take one of the new generation NSAIDs (COX-2 inhibitors) rather than Aleve, which is the same as Naprosyn.  The new ones are designed to avoid the possibility of stomach ulcers.  The problem is, they may not work as well as antiinflammatory medications compared to the older NSAIDs. Aleve *could* lead to a stomach ulcer, like aspirin or any of the older generation NSAIDs.  Always take it with food.  Don’t take it just before lying down.

Response:

John is correct about ibuphrophrin possibly causing an ulcer, however it has been disclosed recently that the cox-2 are not as effective as we were led to believe. Pharmaceutical companies lie, period, not just about psychiatric drugs. – Hide quoted text — Show quoted text – Anyone know if longterm Aleve should be avoided, ect?  I mean will it put a hole in my stomach or anything, or hurt my liver, ect.  Reason I’m asking is I"ve been taking it twice a day for a couple of weeks now. Too bad the bulk store is out of Turmeric. I could switch off then. It’s better long-term to take one of the new generation NSAIDs (COX-2 inhibitors) rather than Aleve, which is the same as Naprosyn.  The new ones are designed to avoid the possibility of stomach ulcers.  The problem is, they may not work as well as antiinflammatory medications compared to the older NSAIDs. Aleve *could* lead to a stomach ulcer, like aspirin or any of the older generation NSAIDs.  Always take it with food.  Don’t take it just before lying down.

Response:

Anyone know if longterm Aleve should be avoided, ect?  I mean will it put a hole in my stomach or anything, or hurt my liver, ect.  Reason I’m asking is I"ve been taking it twice a day for a couple of weeks now. Too bad the bulk store is out of Turmeric. I could switch off then.

 Long term use can have adverse effects The possible side effects of naproxen?

Heart problems and Vioxx/Celebrex

Question:

- Hide quoted text — Show quoted text – In June of 2001, out of the clear blue, I had a heart attack, followed by triple bypass surgery. Some research has shown that Vioxx and Celebrex can be a factor in unexpected heart problems. Has anyone else found or experienced any problems of this sort? Even though I was in reasonably good health, this has really thrown my system for a loop. What is a good alternative drug for Vioxx/Celebrex….short of joint replacement. TIA Dennis

Hi Dennis,   One the problems with nsaids is that they may cause a person to build fluids in their system.  Indocine caused both my ankles to swell.   In all truth, a person cannot give you the best information to help you after you have gone through heart surgery.  Your doctors can.    I guess you have Osteoarthritis and not an inflammatory arthritis like RA or PA and if you cannot take Cele or Vioxx(which are the best) your doctor is going to have to tell you what to take while your blood pressure/reds and whites,ect are being monitored. Harv

Response:

If you are taking an Ace inhibitor or Beta Blocker you can never take Celebrex. It renders it ineffective. Kathy

– Hide quoted text — Show quoted text – In June of 2001, out of the clear blue, I had a heart attack, followed by triple bypass surgery. Some research has shown that Vioxx and Celebrex can be a factor in unexpected heart problems. Has anyone else found or experienced any problems of this sort? Even though I was in reasonably good health, this has really thrown my system for a loop. What is a good alternative drug for Vioxx/Celebrex….short of joint replacement. TIA Dennis Hi Dennis,   One the problems with nsaids is that they may cause a person to build fluids in their system.  Indocine caused both my ankles to swell.   In all truth, a person cannot give you the best information to help you after you have gone through heart surgery.  Your doctors can.    I guess you have Osteoarthritis and not an inflammatory arthritis like RA or PA and if you cannot take Cele or Vioxx(which are the best) your doctor is going to have to tell you what to take while your blood pressure/reds and whites,ect are being monitored. Harv

Response:

In June of 2001, out of the clear blue, I had a heart attack, followed by triple bypass surgery. Some research has shown that Vioxx and Celebrex can be a factor in unexpected heart problems. Has anyone else found or experienced any problems of this sort? Even though I was in reasonably good health, this has really thrown my system for a loop. What is a good alternative drug for Vioxx/Celebrex….short of joint replacement. TIA Dennis

Response:

Same old problem, but new people here to ask

Question:

Hey….I’ve asked this b4, but there’re many new faces – so to speak – hanging around lately. I have a true grocery list of ailments, all being relatively well treated. I’m at a semi-constant level of 5 or 6, now.  So….question: I have OA in my neck, according to the Neurosurgeon and the zillion tests run on my.  I also have it in my lower back and "perhaps" in my knees…also damaged over time. I’ve tried Mobic, Vioxx, and Celebrex at one time or another, and found that overall, Mobic works best for me.  After about 4 months on it, I apparently developed a mild allergy against it and my feet swelled.  I discontinued the Mobic; the swelling ended.  She put me back on Celebrex, with which I’d had similar problems last summer after discovering that Vioxx was NOT an option as my feet, ankles, legs, face…all puffed up. So, here’s the rub.  When I became allergic?? to Mobic last month, she gave me Celebrex and had me taking 1/day.  Swelling went away, no problems. After about 3 wks, she told me to go ahead and up the dose to 2 /day.  I did, and BAM….my ankles swelled…..and swelled, and swelled.  I normally wear size 8 1/2 shoes.  Right now size 10’s don’t fit.  my ankle is about 15 inches round.  MY legs STAY red and the edema is unreal…push in on my leg and your thumb depresses down at least 1/2 inch.  They HURT HURT.  I keep them up above my heart many many hrs/day.  I took the Demedex I had from last summer.  Nothing.  I took the ??? , didn’t work.  Something again from last summer.  She saw me a week ago and put me on Mex…something something….didn’t work.  Today, after I called in tears (my hands are swollen so that my wedding ring finger (sz 5 1/2 ) is currently a sz 7 1/2….I can wear no shoes… She called  in Lasix.  So far no good. Any one know if we are, in fact, NOT treating an allergy to meds but in fact some other thing/disease I may have and not know???  She’s done blood tests, took a couple of gallons last visit….no words on that… Could this be something else?  My feet to my knees are swollen, my hands are, my face it a bit….I hurt. All the things wrong w/me are hurting now, like none of my meds are touching them… I’ve been SERIOUSLY considering that full bottle of Oxycontin as a cure for the swelling…..I cannot take much more of this. Husband’s trying to be nice….but he’s had enough.  So’ve I. HELP!!!!! Rae in Louisiana

Response:

Dear Rae: I’m no physician, but I would strongly get a second opinion.  If you can stand temporarily stopping all of the anti-inflammatories (Vioxx, Celebrex, etc), that would be the easiest way to tell if it’s an allergic reaction. Unfortunately, a lot of the meds that we get to control the pain also cause other problems.  Then, we end up having to get meds to take care of the side effect of the other meds.  It’s a vicious cycle. At any rate, you may want to consider a second opinion.  The other thing to check is your blood pressure.  I do know that swelling and severe retention of water can be the result of skyrocketing blood pressure. Please don’t give up….. sometimes getting an opinion from another doctor puts a fresh ’spin’ on what’s going on in your body. Hope you get relief soon, Jeff

– Hide quoted text — Show quoted text – Hey….I’ve asked this b4, but there’re many new faces – so to speak – hanging around lately. I have a true grocery list of ailments, all being relatively well treated. I’m at a semi-constant level of 5 or 6, now.  So….question: I have OA in my neck, according to the Neurosurgeon and the zillion tests run on my.  I also have it in my lower back and "perhaps" in my knees…also damaged over time. I’ve tried Mobic, Vioxx, and Celebrex at one time or another, and found that overall, Mobic works best for me.  After about 4 months on it, I apparently developed a mild allergy against it and my feet swelled.  I discontinued the Mobic; the swelling ended.  She put me back on Celebrex, with which I’d had similar problems last summer after discovering that Vioxx was NOT an option as my feet, ankles, legs, face…all puffed up. So, here’s the rub.  When I became allergic?? to Mobic last month, she gave me Celebrex and had me taking 1/day.  Swelling went away, no problems. After about 3 wks, she told me to go ahead and up the dose to 2 /day.  I did, and BAM….my ankles swelled…..and swelled, and swelled.  I normally wear size 8 1/2 shoes.  Right now size 10’s don’t fit.  my ankle is about 15 inches round.  MY legs STAY red and the edema is unreal…push in on my leg and your thumb depresses down at least 1/2 inch.  They HURT HURT.  I keep them up above my heart many many hrs/day.  I took the Demedex I had from last summer.  Nothing.  I took the ??? , didn’t work.  Something again from last summer.  She saw me a week ago and put me on Mex…something something….didn’t work.  Today, after I called in tears (my hands are swollen so that my wedding ring finger (sz 5 1/2 ) is currently a sz 7 1/2….I can wear no shoes… She called  in Lasix.  So far no good. Any one know if we are, in fact, NOT treating an allergy to meds but in fact some other thing/disease I may have and not know???  She’s done blood tests, took a couple of gallons last visit….no words on that… Could this be something else?  My feet to my knees are swollen, my hands are, my face it a bit….I hurt. All the things wrong w/me are hurting now, like none of my meds are touching them… I’ve been SERIOUSLY considering that full bottle of Oxycontin as a cure for the swelling…..I cannot take much more of this. Husband’s trying to be nice….but he’s had enough.  So’ve I. HELP!!!!! Rae in Louisiana

Response:

Hey….try Mobic.  I was on them Sept  00  to  01 with no problem.  And thanks for the words of help.   :) Love, Rae

– Hide quoted text — Show quoted text – Hiya Rae. I have that exact same problem with every anti-inflammatory I’ve ever taken except Vioxx… which caused other problems. I go off the anti-inflammatories and the swelling goes away within days. I have found that the Celebrex/Vioxx route causing less swelling than traditional anti-inflammatories like indomethacin, feldine (sp), and others… but still enough to be what I consider a major problem. I’ve been on different brands of lasix for a few years now because of this but it only helps to control it a little, not make it go away. Even adding the zaraxolyn that Alec suggests only works to a degree and if taken every day. If you do go that route, be sure to add in some potassium to your diet or you’ll get some really bad muscle cramps that are like level 9-10 pain that can make you scream out loud. Okay, so I’m a sissy… but it does hurt a lot. :) And when you wake up in the middle of the night with one of those upper thigh leg cramps and can’t move out of the water bed because it hurts so much, it sucks. My doctor is unwilling to script zaraxolyn on a regular basis. Not sure why, but we’re going to be talking about it next visit since I just ran out of all I had this month. I used them very sparingly and went through a bottle of 30 over the last ten months. Basically, they were for when it got so bad that I felt I had no choice. I hate wearing shoes around the house on these hot summer days, but I find it forces the swelling out of my feet by doing so. I worry because the swelling gets so bad that I can’t move my toes and I wonder about the circulation to them being cut off. Basically it just forces the swelling up to the ankles and out of the feet. You can also get compression stockings. Your doctor can script them in case you have insurance or something that pays for stuff like that… or Medicare will pay 80%. I’m not sure if they’re expensive or not because they can’t get them in my size so I’ve never gotten to try them. And lastly, if I can get my edema down, I find I can slightly control it by diet… no salt primarily. So, no salt in the house, no packaged foods where they add salt, use wheat instead of white bread, and stuff like that. Vioxx gave me no edema, but did give me insomnia and anxiety. Celebrex gives me a degree of edema, but not near as bad as traditional anti-inflammatories. I can’t use the traditional anti-inflammatories at all. I’ve never tried the mobic stuff you mentioned. I don’t know the answer for you, Rae… but just wanted to let you know you’re not alone with this problem. If you find the magic answer to using anti-inflammatories and not getting edema, let me know. Hey….I’ve asked this b4, but there’re many new faces – so to speak – hanging around lately. I have a true grocery list of ailments, all being relatively well treated. I’m at a semi-constant level of 5 or 6, now.  So….question: I have OA in my neck, according to the Neurosurgeon and the zillion tests run on my.  I also have it in my lower back and "perhaps" in my knees…also damaged over time. I’ve tried Mobic, Vioxx, and Celebrex at one time or another, and found that overall, Mobic works best for me.  After about 4 months on it, I apparently developed a mild allergy against it and my feet swelled.  I discontinued the Mobic; the swelling ended.  She put me back on Celebrex, with which I’d had similar problems last summer after discovering that Vioxx was NOT an option as my feet, ankles, legs, face…all puffed up. So, here’s the rub.  When I became allergic?? to Mobic last month, she gave me Celebrex and had me taking 1/day.  Swelling went away, no problems. After about 3 wks, she told me to go ahead and up the dose to 2 /day.  I did, and BAM….my ankles swelled…..and swelled, and swelled.  I normally wear size 8 1/2 shoes.  Right now size 10’s don’t fit.  my ankle is about 15 inches round.  MY legs STAY red and the edema is unreal…push in on my leg and your thumb depresses down at least 1/2 inch.  They HURT HURT.  I keep them up above my heart many many hrs/day.  I took the Demedex I had from last summer.  Nothing.  I took the ??? , didn’t work.  Something again from last summer.  She saw me a week ago and put me on Mex…something something….didn’t work.  Today, after I called in tears (my hands are swollen so that my wedding ring finger (sz 5 1/2 ) is currently a sz 7 1/2….I can wear no shoes… She called  in Lasix.  So far no good. Any one know if we are, in fact, NOT treating an allergy to meds but in fact some other thing/disease I may have and not know???  She’s done blood tests, took a couple of gallons last visit….no words on that… Could this be something else?  My feet to my knees are swollen, my hands are, my face it a bit….I hurt. All the things wrong w/me are hurting now, like none of my meds are touching them… I’ve been SERIOUSLY considering that full bottle of Oxycontin as a cure for the swelling…..I cannot take much more of this. Husband’s trying to be nice….but he’s had enough.  So’ve I. HELP!!!!! Rae in Louisiana — Ziggy

Response:

You need a second opinion and you need treatment.  Go to the emergency room and declare an emergency and demant help.  That’s my opinion of what needs to be done. – Hide quoted text — Show quoted text – Hey….I’ve asked this b4, but there’re many new faces – so to speak – hanging around lately. I have a true grocery list of ailments, all being relatively well treated. I’m at a semi-constant level of 5 or 6, now.  So….question: I have OA in my neck, according to the Neurosurgeon and the zillion tests run on my.  I also have it in my lower back and "perhaps" in my knees…also damaged over time. I’ve tried Mobic, Vioxx, and Celebrex at one time or another, and found that overall, Mobic works best for me.  After about 4 months on it, I apparently developed a mild allergy against it and my feet swelled.  I discontinued the Mobic; the swelling ended.  She put me back on Celebrex, with which I’d had similar problems last summer after discovering that Vioxx was NOT an option as my feet, ankles, legs, face…all puffed up. So, here’s the rub.  When I became allergic?? to Mobic last month, she gave me Celebrex and had me taking 1/day.  Swelling went away, no problems. After about 3 wks, she told me to go ahead and up the dose to 2 /day.  I did, and BAM….my ankles swelled…..and swelled, and swelled.  I normally wear size 8 1/2 shoes.  Right now size 10’s don’t fit.  my ankle is about 15 inches round.  MY legs STAY red and the edema is unreal…push in on my leg and your thumb depresses down at least 1/2 inch.  They HURT HURT.  I keep them up above my heart many many hrs/day.  I took the Demedex I had from last summer.  Nothing.  I took the ??? , didn’t work.  Something again from last summer.  She saw me a week ago and put me on Mex…something something….didn’t work.  Today, after I called in tears (my hands are swollen so that my wedding ring finger (sz 5 1/2 ) is currently a sz 7 1/2….I can wear no shoes… She called  in Lasix.  So far no good. Any one know if we are, in fact, NOT treating an allergy to meds but in fact some other thing/disease I may have and not know???  She’s done blood tests, took a couple of gallons last visit….no words on that… Could this be something else?  My feet to my knees are swollen, my hands are, my face it a bit….I hurt. All the things wrong w/me are hurting now, like none of my meds are touching them… I’ve been SERIOUSLY considering that full bottle of Oxycontin as a cure for the swelling…..I cannot take much more of this. Husband’s trying to be nice….but he’s had enough.  So’ve I. HELP!!!!! Rae in Louisiana

Response:

thanks…today was tough.  I live in Louisiana so its nothing but humid.  I saved your fake addy and I can usually figure out the real one .  Thanks. Rae

– Hide quoted text — Show quoted text – I have no answer for you re: the allergic or whatever is causing the reaction. I

Response:

No…She said "obviously 1’s ok but 2’s too much."  I don’t do calebrex at all.  (I do take an occasional Mobic.) I’m printing ya’lls letters and giving them to Dr. D. when I go on the 30th. Rae

– Hide quoted text — Show quoted text – From Lem Lyons: Hay Rae,I would ask your Dr. to find out just what is causing your swelling.It could be anything from to much salt, to your heart not pumping good enough.I think AO can cause it also.They also have some "P" pills much stronger than Lasix.I have one for the times when Lasix is not enough. Good Luck Lem Hey….I’ve asked this b4, but there’re many new faces – so to speak – hanging around lately. I have a true grocery list of ailments, all being relatively well treated. I’m at a semi-constant level of 5 or 6, now.  So….question: I have OA in my neck, according to the Neurosurgeon and the zillion tests run on my.  I also have it in my lower back and "perhaps" in my knees…also damaged over time. I’ve tried Mobic, Vioxx, and Celebrex at one time or another, and found that overall, Mobic works best for me.  After about 4 months on it, I apparently developed a mild allergy against it and my feet swelled.  I discontinued the Mobic; the swelling ended.  She put me back on Celebrex, with which I’d had similar problems last summer after discovering that Vioxx was NOT an option as my feet, ankles, legs, face…all puffed up. So, here’s the rub.  When I became allergic?? to Mobic last month, she gave me Celebrex and had me taking 1/day.  Swelling went away, no problems. After about 3 wks, she told me to go ahead and up the dose to 2 /day. I did, and BAM….my ankles swelled…..and swelled, and swelled.  I normally wear size 8 1/2 shoes.  Right now size 10’s don’t fit.  my ankle is about 15 inches round.  MY legs STAY red and the edema is unreal…push in on my leg and your thumb depresses down at least 1/2 inch.  They HURT HURT.  I keep them up above my heart many many hrs/day.  I took the Demedex I had from last summer.  Nothing.  I took the ??? , didn’t work.  Something again from last summer.  She saw me a week ago and put me on Mex…something something….didn’t work.  Today, after I called in tears (my hands are swollen so that my wedding ring finger (sz 5 1/2 ) is currently a sz 7 1/2….I can wear no shoes… She called  in Lasix.  So far no good. Any one know if we are, in fact, NOT treating an allergy to meds but in fact some other thing/disease I may have and not know???  She’s done blood tests, took a couple of gallons last visit….no words on that… Could this be something else?  My feet to my knees are swollen, my hands are, my face it a bit….I hurt. All the things wrong w/me are hurting now, like none of my meds are touching them… I’ve been SERIOUSLY considering that full bottle of Oxycontin as a cure for the swelling…..I cannot take much more of this. Husband’s trying to be nice….but he’s had enough.  So’ve I. HELP!!!!! Rae in Louisiana Rae, it sounds like exactly what happened to me when I took Celebrex. I have OA in the same places as you: neck and knees (I also have RA). Anyway, I have asthma and allergies (went into anphylactic shock from a shot of Toradol) and can’t take the usual NSAIDs. I was given Celebrex last summer. Had to take the first dose in the ER just in case I had an allergic reaction. All was OK for a few weeks, and then I had the painful swelling in my feet and legs with pitting edema just like you have. My rheumie had me stop the Celebrex right away and put me on Lasix. The swelling went down after about three or four days. So they haven’t taken you off the Celebrex yet?? Or did I misunderstand that. I sure would never take it again. Good luck, -kk   <<<<http://members.home.net/karensears<<<<

Response:

Wow…a new face…thanks for your input.  I HAVE stopped all the anti-inflammatories:  which makes me hurt more lately.  My bp stays around 117/60 or thereabouts.  I don’t eat salt, I sleep w/my feet propped on a zillion pillows.  And boo, I’ve seen a Neurosurgeon, 3 Neurologists,  a Chiropractor, an ENT, a Gynecologist…we’ve gone over everything.  Thanks, tho…your ideas helped.   Rae

– Hide quoted text — Show quoted text – Dear Rae: I’m no physician, but I would strongly get a second opinion.  If you can stand temporarily stopping all of the anti-inflammatories (Vioxx, Celebrex, etc), that would be the easiest way to tell if it’s an allergic reaction. Unfortunately, a lot of the meds that we get to control the pain also cause other problems.  Then, we end up having to get meds to take care of the side effect of the other meds.  It’s a vicious cycle. At any rate, you may want to consider a second opinion.  The other thing to check is your blood pressure.  I do know that swelling and severe retention of water can be the result of skyrocketing blood pressure. Please don’t give up….. sometimes getting an opinion from another doctor puts a fresh ’spin’ on what’s going on in your body. Hope you get relief soon, Jeff Hey….I’ve asked this b4, but there’re many new faces – so to speak – hanging around lately. I have a true grocery list of ailments, all being relatively well treated. I’m at a semi-constant level of 5 or 6, now.  So….question: I have OA in my neck, according to the Neurosurgeon and the zillion tests run on my.  I also have it in my lower back and "perhaps" in my knees…also damaged over time. I’ve tried Mobic, Vioxx, and Celebrex at one time or another, and found that overall, Mobic works best for me.  After about 4 months on it, I apparently developed a mild allergy against it and my feet swelled.  I discontinued the Mobic; the swelling ended.  She put me back on Celebrex, with which I’d had similar problems last summer after discovering that Vioxx was NOT an option as my feet, ankles, legs, face…all puffed up. So, here’s the rub.  When I became allergic?? to Mobic last month, she gave me Celebrex and had me taking 1/day.  Swelling went away, no problems. After about 3 wks, she told me to go ahead and up the dose to 2 /day.  I did, and BAM….my ankles swelled…..and swelled, and swelled.  I normally wear size 8 1/2 shoes.  Right now size 10’s don’t fit.  my ankle is about 15 inches round.  MY legs STAY red and the edema is unreal…push in on my leg and your thumb depresses down at least 1/2 inch.  They HURT HURT.  I keep them up above my heart many many hrs/day.  I took the Demedex I had from last summer.  Nothing.  I took the ??? , didn’t work.  Something again from last summer.  She saw me a week ago and put me on Mex…something something….didn’t work.  Today, after I called in tears (my hands are swollen so that my wedding ring finger (sz 5 1/2 ) is currently a sz 7 1/2….I can wear no shoes… She called  in Lasix.  So far no good. Any one know if we are, in fact, NOT treating an allergy to meds but in fact some other thing/disease I may have and not know???  She’s done blood tests, took a couple of gallons last visit….no words on that… Could this be something else?  My feet to my knees are swollen, my hands are, my face it a bit….I hurt. All the things wrong w/me are hurting now, like none of my meds are touching them… I’ve been SERIOUSLY considering that full bottle of Oxycontin as a cure for the swelling…..I cannot take much more of this. Husband’s trying to be nice….but he’s had enough.  So’ve I. HELP!!!!! Rae in Louisiana

Response:

Hay Rae,I would ask your Dr. to find out just what is causing your swelling.It could be anything from to much salt, to your heart not pumping good enough.I think AO can cause it also.They also have some "P" pills much stronger than Lasix.I have one for the times when Lasix is not enough. Good Luck Lem – Hide quoted text — Show quoted text – Hey….I’ve asked this b4, but there’re many new faces – so to speak – hanging around lately. I have a true grocery list of ailments, all being relatively well treated. I’m at a semi-constant level of 5 or 6, now.  So….question: I have OA in my neck, according to the Neurosurgeon and the zillion tests run on my.  I also have it in my lower back and "perhaps" in my knees…also damaged over time. I’ve tried Mobic, Vioxx, and Celebrex at one time or another, and found that overall, Mobic works best for me.  After about 4 months on it, I apparently developed a mild allergy against it and my feet swelled.  I discontinued the Mobic; the swelling ended.  She put me back on Celebrex, with which I’d had similar problems last summer after discovering that Vioxx was NOT an option as my feet, ankles, legs, face…all puffed up. So, here’s the rub.  When I became allergic?? to Mobic last month, she gave me Celebrex and had me taking 1/day.  Swelling went away, no problems. After about 3 wks, she told me to go ahead and up the dose to 2 /day.  I did, and BAM….my ankles swelled…..and swelled, and swelled.  I normally wear size 8 1/2 shoes.  Right now size 10’s don’t fit.  my ankle is about 15 inches round.  MY legs STAY red and the edema is unreal…push in on my leg and your thumb depresses down at least 1/2 inch.  They HURT HURT.  I keep them up above my heart many many hrs/day.  I took the Demedex I had from last summer.  Nothing.  I took the ??? , didn’t work.  Something again from last summer.  She saw me a week ago and put me on Mex…something something….didn’t work.  Today, after I called in tears (my hands are swollen so that my wedding ring finger (sz 5 1/2 ) is currently a sz 7 1/2….I can wear no shoes… She called  in Lasix.  So far no good. Any one know if we are, in fact, NOT treating an allergy to meds but in fact some other thing/disease I may have and not know???  She’s done blood tests, took a couple of gallons last visit….no words on that… Could this be something else?  My feet to my knees are swollen, my hands are, my face it a bit….I hurt. All the things wrong w/me are hurting now, like none of my meds are touching them… I’ve been SERIOUSLY considering that full bottle of Oxycontin as a cure for the swelling…..I cannot take much more of this. Husband’s trying to be nice….but he’s had enough.  So’ve I. HELP!!!!! Rae in Louisiana

Response:

Hay Rae,I would ask your Dr. to find out just what is causing your swelling.It could be anything from to much salt, to your heart not pumping good enough.I think AO can cause it also.They also have some "P" pills much stronger than Lasix.I have one for the times when Lasix is not enough. Good Luck

Add zaroxolyn to Lasix and you get niagara falls. It hits the edema better than Lasix alone. Demedex and Edecrin also reduce the edema and switch to "super" mode with zaroxolyn. – Hide quoted text — Show quoted text – Lem Hey….I’ve asked this b4, but there’re many new faces – so to speak – hanging around lately. I have a true grocery list of ailments, all being relatively well treated. I’m at a semi-constant level of 5 or 6, now.  So….question: I have OA in my neck, according to the Neurosurgeon and the zillion tests run on my.  I also have it in my lower back and "perhaps" in my knees…also damaged over time. I’ve tried Mobic, Vioxx, and Celebrex at one time or another, and found that overall, Mobic works best for me.  After about 4 months on it, I apparently developed a mild allergy against it and my feet swelled.  I discontinued the Mobic; the swelling ended.  She put me back on Celebrex, with which I’d had similar problems last summer after discovering that Vioxx was NOT an option as my feet, ankles, legs, face…all puffed up. So, here’s the rub.  When I became allergic?? to Mobic last month, she gave me Celebrex and had me taking 1/day.  Swelling went away, no problems. After about 3 wks, she told me to go ahead and up the dose to 2 /day.  I did, and BAM….my ankles swelled…..and swelled, and swelled.  I normally wear size 8 1/2 shoes.  Right now size 10’s don’t fit.  my ankle is about 15 inches round.  MY legs STAY red and the edema is unreal…push in on my leg and your thumb depresses down at least 1/2 inch.  They HURT HURT. I keep them up above my heart many many hrs/day.  I took the Demedex I had from last summer.  Nothing.  I took the ??? , didn’t work.  Something again from last summer.  She saw me a week ago and put me on Mex…something something….didn’t work.  Today, after I called in tears (my hands are swollen so that my wedding ring finger (sz 5 1/2 ) is currently a sz 7 1/2….I can wear no shoes… She called  in Lasix.  So far no good. Any one know if we are, in fact, NOT treating an allergy to meds but in fact some other thing/disease I may have and not know???  She’s done blood tests, took a couple of gallons last visit….no words on that… Could this be something else?  My feet to my knees are swollen, my hands are, my face it a bit….I hurt. All the things wrong w/me are hurting now, like none of my meds are touching them… I’ve been SERIOUSLY considering that full bottle of Oxycontin as a cure for the swelling…..I cannot take much more of this. Husband’s trying to be nice….but he’s had enough.  So’ve I. HELP!!!!! Rae in Louisiana

Response:

I have no answer for you re: the allergic or whatever is causing the reaction. I do, however, have some advice – the same advice given to me by Catherine and others on this group – hang in there. There are people that care – many of them on this group. I was at the same place you are now emotionally, and the folks here, and my wife and daughter helped me through a difficult time. I’m so glad I didn’t follow through on my attempts to end pain and suffering once and for all. I was also lucky enough to find a sympathetic, understanding and caring psychotherapist, who does  nothing for my pain, but does wonders for my emotional outlook. I’m still in pain (6-8 everyday with 10 spikes), confined to a wheelchair and out of work, but I’m learning to reduce the negativity in my life. Please -you owe it to yourself and your husband to seek out someone to speak with and help you work through this issues. Find the positives – they may be few and hard to find, but they are there somewhere. Whatever it is that makes you feel good – even for a few seconds – music, a painting, a favorit food, anything! Focus on that. If you need to email me directly, please feel free. I’d ask you to call, but my coherent times are somewhat scattered, so I may not be able to answer. Also, I’ve recommended this to someone else on the group – "Coping With Chronic Pain" by Richard W. Hanson and Kenneth E. Gerber. It ’s worth reading. Much love and support, Rob PS: I have OA due to the multiple back surgeries and have found some relief with heavy doses of shark cartilage. Stay away from the commercial grade Glucosamine Chondriton, and go for the natural Shark Cartilage. It takes a fairly heavy dose (1500 mg /day) for at least a month to start seeing some results, but it did help me a little. I had a lot of issues with taking the cartilage, as I’m a vegetarian, but as my acupuncurist (a buddhist) tells me, just offer up a little prayer of thanks to the shark for sacrificing itself to help you. Also, if you’re living in high humidity area (like me, in upstate NY), spend as much time as possible in dry, air conditioned climates like malls. It will help a little.

– Hide quoted text — Show quoted text – Hey….I’ve asked this b4, but there’re many new faces – so to speak – hanging around lately. I have a true grocery list of ailments, all being relatively well treated. I’m at a semi-constant level of 5 or 6, now.  So….question: I have OA in my neck, according to the Neurosurgeon and the zillion tests run on my.  I also have it in my lower back and "perhaps" in my knees…also damaged over time. I’ve tried Mobic, Vioxx, and Celebrex at one time or another, and found that overall, Mobic works best for me.  After about 4 months on it, I apparently developed a mild allergy against it and my feet swelled.  I discontinued the Mobic; the swelling ended.  She put me back on Celebrex, with which I’d had similar problems last summer after discovering that Vioxx was NOT an option as my feet, ankles, legs, face…all puffed up. So, here’s the rub.  When I became allergic?? to Mobic last month, she gave me Celebrex and had me taking 1/day.  Swelling went away, no problems. After about 3 wks, she told me to go ahead and up the dose to 2 /day.  I did, and BAM….my ankles swelled…..and swelled, and swelled.  I normally wear size 8 1/2 shoes.  Right now size 10’s don’t fit.  my ankle is about 15 inches round.  MY legs STAY red and the edema is unreal…push in on my leg and your thumb depresses down at least 1/2 inch.  They HURT HURT.  I keep them up above my heart many many hrs/day.  I took the Demedex I had from last summer.  Nothing.  I took the ??? , didn’t work.  Something again from last summer.  She saw me a week ago and put me on Mex…something something….didn’t work.  Today, after I called in tears (my hands are swollen so that my wedding ring finger (sz 5 1/2 ) is currently a sz 7 1/2….I can wear no shoes… She called  in Lasix.  So far no good. Any one know if we are, in fact, NOT treating an allergy to meds but in fact some other thing/disease I may have and not know???  She’s done blood tests, took a couple of gallons last visit….no words on that… Could this be something else?  My feet to my knees are swollen, my hands are, my face it a bit….I hurt. All the things wrong w/me are hurting now, like none of my meds are touching them… I’ve been SERIOUSLY considering that full bottle of Oxycontin as a cure for the swelling…..I cannot take much more of this. Husband’s trying to be nice….but he’s had enough.  So’ve I. HELP!!!!! Rae in Louisiana

Response:

– Hide quoted text — Show quoted text – Ziggy,I know you hate to take more medicine,but I take Zoloft 50mgs. for anxiety ,and it works great,without side effects.If the Vioxx works,you might want to give it a try.My Dr. gives me samples.It’s off label use and lower dose than normal. Just FYI. Good Luck Lem Hiya Lem. Thanks for the suggestion. I have tried Zoloft in the past (for depression) and it caused loss of libido. I had a similar reaction to a couple of the newer anti-depressants and decided that I’d rather be depressed than not like sex… so quit taking them all. Besides, I didn’t feel like they were helping with the depression at all. Mine isn’t chemical… life really does suck. :) Right now I’m halfway controlling the edema with the Celebrex and watching what I eat very closely (although, I’ve been eating too many starches lately and the effect shows in the edema) and taking a zaraxolyn every once in awhile. You are right though… I hate taking more medicines.

Ziggy,have you tried the lower dose,my dr. said it would not work for anxiety at the same dose for depression. i think 200mgs. is the standard dose for depression. I have stopped it several times and the anxiety always comes back. Good Luck Lem

Response:

From Lem Lyons: – Hide quoted text — Show quoted text – Hay Rae,I would ask your Dr. to find out just what is causing your swelling.It could be anything from to much salt, to your heart not pumping good enough.I think AO can cause it also.They also have some "P" pills much stronger than Lasix.I have one for the times when Lasix is not enough. Good Luck Lem Hey….I’ve asked this b4, but there’re many new faces – so to speak – hanging around lately. I have a true grocery list of ailments, all being relatively well treated. I’m at a semi-constant level of 5 or 6, now.  So….question: I have OA in my neck, according to the Neurosurgeon and the zillion tests run on my.  I also have it in my lower back and "perhaps" in my knees…also damaged over time. I’ve tried Mobic, Vioxx, and Celebrex at one time or another, and found that overall, Mobic works best for me.  After about 4 months on it, I apparently developed a mild allergy against it and my feet swelled.  I discontinued the Mobic; the swelling ended.  She put me back on Celebrex, with which I’d had similar problems last summer after discovering that Vioxx was NOT an option as my feet, ankles, legs, face…all puffed up. So, here’s the rub.  When I became allergic?? to Mobic last month, she gave me Celebrex and had me taking 1/day.  Swelling went away, no problems. After about 3 wks, she told me to go ahead and up the dose to 2 /day.  I did, and BAM….my ankles swelled…..and swelled, and swelled.  I normally wear size 8 1/2 shoes.  Right now size 10’s don’t fit.  my ankle is about 15 inches round.  MY legs STAY red and the edema is unreal…push in on my leg and your thumb depresses down at least 1/2 inch.  They HURT HURT.  I keep them up above my heart many many hrs/day.  I took the Demedex I had from last summer.  Nothing.  I took the ??? , didn’t work.  Something again from last summer.  She saw me a week ago and put me on Mex…something something….didn’t work.  Today, after I called in tears (my hands are swollen so that my wedding ring finger (sz 5 1/2 ) is currently a sz 7 1/2….I can wear no shoes… She called  in Lasix.  So far no good. Any one know if we are, in fact, NOT treating an allergy to meds but in fact some other thing/disease I may have and not know???  She’s done blood tests, took a couple of gallons last visit….no words on that… Could this be something else?  My feet to my knees are swollen, my hands are, my face it a bit….I hurt. All the things wrong w/me are hurting now, like none of my meds are touching them… I’ve been SERIOUSLY considering that full bottle of Oxycontin as a cure for the swelling…..I cannot take much more of this. Husband’s trying to be nice….but he’s had enough.  So’ve I. HELP!!!!! Rae in Louisiana

Rae, it sounds like exactly what happened to me when I took Celebrex. I have OA in the same places as you: neck and knees (I also have RA). Anyway, I have asthma and allergies (went into anphylactic shock from a shot of Toradol) and can’t take the usual NSAIDs. I was given Celebrex last summer. Had to take the first dose in the ER just in case I had an allergic reaction. All was OK for a few weeks, and then I had the painful swelling in my feet and legs with pitting edema just like you have. My rheumie had me stop the Celebrex right away and put me on Lasix. The swelling went down after about three or four days. So they haven’t taken you off the Celebrex yet?? Or did I misunderstand that. I sure would never take it again. Good luck, -kk   <<<<http://members.home.net/karensears<<<< – Hide quoted text — Show quoted text –

Response:

Rae ,    The last time I had edema that would not react to any diuretic , I  had to have it removed in the hospital. They took out 40lbs in 24 hours and it was a very serious situation. Please check to make sure it is not getting in your lungs. A lot of people thought it was a funny situation , calling me ‘tree trunk ‘ and  other nicknames, including some snickers at my ortho’s office . What every one of them missed was congestive heart failure from all that fluid. Most likely that is not the reason , but make sure the term crosses their ears . I completely recovered from it , but it was a very scary and dangerous episode. Peace , Richard

– Hide quoted text — Show quoted text – Hey….I’ve asked this b4, but there’re many new faces – so to speak – hanging around lately. I have a true grocery list of ailments, all being relatively well treated. I’m at a semi-constant level of 5 or 6, now.  So….question: I have OA in my neck, according to the Neurosurgeon and the zillion tests run on my.  I also have it in my lower back and "perhaps" in my knees…also damaged over time. I’ve tried Mobic, Vioxx, and Celebrex at one time or another, and found that overall, Mobic works best for me.  After about 4 months on it, I apparently developed a mild allergy against it and my feet swelled.  I discontinued the Mobic; the swelling ended.  She put me back on Celebrex, with which I’d had similar problems last summer after discovering that Vioxx was NOT an option as my feet, ankles, legs, face…all puffed up. So, here’s the rub.  When I became allergic?? to Mobic last month, she gave me Celebrex and had me taking 1/day.  Swelling went away, no problems. After about 3 wks, she told me to go ahead and up the dose to 2 /day.  I did, and BAM….my ankles swelled…..and swelled, and swelled.  I normally wear size 8 1/2 shoes.  Right now size 10’s don’t fit.  my ankle is about 15 inches round.  MY legs STAY red and the edema is unreal…push in on my leg and your thumb depresses down at least 1/2 inch.  They HURT HURT.  I keep them up above my heart many many hrs/day.  I took the Demedex I had from last summer.  Nothing.  I took the ??? , didn’t work.  Something again from last summer.  She saw me a week ago and put me on Mex…something something….didn’t work.  Today, after I called in tears (my hands are swollen so that my wedding ring finger (sz 5 1/2 ) is currently a sz 7 1/2….I can wear no shoes… She called  in Lasix.  So far no good. Any one know if we are, in fact, NOT treating an allergy to meds but in fact some other thing/disease I may have and not know???  She’s done blood tests, took a couple of gallons last visit….no words on that… Could this be something else?  My feet to my knees are swollen, my hands are, my face it a bit….I hurt. All the things wrong w/me are hurting now, like none of my meds are touching them… I’ve been SERIOUSLY considering that full bottle of Oxycontin as a cure for the swelling…..I cannot take much more of this. Husband’s trying to be nice….but he’s had enough.  So’ve I. HELP!!!!! Rae in Louisiana

Response:

– Hide quoted text — Show quoted text – Hay Rae,I would ask your Dr. to find out just what is causing your swelling.It could be anything from to much salt, to your heart not pumping good enough.I think AO can cause it also.They also have some "P" pills much stronger than Lasix.I have one for the times when Lasix is not enough. Good Luck Add zaroxolyn to Lasix and you get niagara falls. It hits the edema better than Lasix alone. Demedex and Edecrin also reduce the edema and switch to "super" mode with zaroxolyn. Lem

 That’s the one Alex, I couldn’t remember the name,and since I don’t take it very often,it’s not on my regular medicine list,and besides it’s in my medicine lock box and I didn’t want to get up and look.     Good Luck Lem – Hide quoted text — Show quoted text –

Response:

– Hide quoted text — Show quoted text – Hiya Rae. I have that exact same problem with every anti-inflammatory I’ve ever taken except Vioxx… which caused other problems. I go off the anti-inflammatories and the swelling goes away within days. I have found that the Celebrex/Vioxx route causing less swelling than traditional anti-inflammatories like indomethacin, feldine (sp), and others… but still enough to be what I consider a major problem. I’ve been on different brands of lasix for a few years now because of this but it only helps to control it a little, not make it go away. Even adding the zaraxolyn that Alec suggests only works to a degree and if taken every day. If you do go that route, be sure to add in some potassium to your diet or you’ll get some really bad muscle cramps that are like level 9-10 pain that can make you scream out loud. Okay, so I’m a sissy… but it does hurt a lot. :) And when you wake up in the middle of the night with one of those upper thigh leg cramps and can’t move out of the water bed because it hurts so much, it sucks. My doctor is unwilling to script zaraxolyn on a regular basis. Not sure why, but we’re going to be talking about it next visit since I just ran out of all I had this month. I used them very sparingly and went through a bottle of 30 over the last ten months. Basically, they were for when it got so bad that I felt I had no choice. I hate wearing shoes around the house on these hot summer days, but I find it forces the swelling out of my feet by doing so. I worry because the swelling gets so bad that I can’t move my toes and I wonder about the circulation to them being cut off. Basically it just forces the swelling up to the ankles and out of the feet. You can also get compression stockings. Your doctor can script them in case you have insurance or something that pays for stuff like that… or Medicare will pay 80%. I’m not sure if they’re expensive or not because they can’t get them in my size so I’ve never gotten to try them. And lastly, if I can get my edema down, I find I can slightly control it by diet… no salt primarily. So, no salt in the house, no packaged foods where they add salt, use wheat instead of white bread, and stuff like that. Vioxx gave me no edema, but did give me insomnia and anxiety.

Ziggy,I know you hate to take more medicine,but I take Zoloft 50mgs. for anxiety ,and it works great,without side effects.If the Vioxx works,you might want to give it a try.My Dr. gives me samples.It’s off label use and lower dose than normal. Just FYI. Good Luck Lem

Response:

Long: Saftey of Vioxx, Celebrex (COX-@ inhibitor) harm Kidneys

Question:

The timing of her asthma & starting on Vioxx just seems to be too close I have gone in to this site & put myself down for a regular newsletter it looks a very informative site. Thanks for that info. Gail SCroyle909 <scroyle…@aol.com

wrote in message

news:20010714200757.26094.00003777@ng-fb1.aol.com… – Hide quoted text — Show quoted text -

Below is an exerpt from drug listings at the http://www.mayoclinic.com/ website.  You might note that one of the "more common" side effects of

Vioxx is

congestion in the chest.  I imagine that if someone had pre-existing

asthma or

heart disease, it’s reasonable that this side effect would cause some

problems

with those conditions.  Could this possibly be the problem? Sandra <<Side Effects Of Vioxx More common Congestion in chest; cough; fever; sneezing; sore throat Less common or rare Bloody or black, tarry stools; chills; burning feeling in chest or

stomach;

hives; loss of appetite; muscle aches and pain; prolonged or severe

vomiting;

shortness of breath; skin rash; tenderness in the stomach area; unusual

weight

gain; vomiting of blood or material that looks like coffee grounds Other side effects may occur that usually do not need medical attention.

These

side effects may go away during treatment as your body adjusts to the

medicine.

However, check with your doctor if any of the following side effects

continue

or are bothersome: More common Back pain; diarrhea; dizziness; headache; heartburn; loss of energy or weakness; nausea; stuffy or runny nose; swelling of legs and feet Less common or rare Blurred vision; constipation Other side effects not listed above may also occur in some patients. If

you

notice any other effects, check with your doctor.

Response:

Thankyou Sherry, You have been helpful I will follow up with her local Dr & start asking a few more questions, I was not aware of these problems related with Vioxx & Celebrex. Gail Sherry <sstof…@inreach.com

wrote in message

news:XbJ37.2341$D.70813@news.inreach.com… – Hide quoted text — Show quoted text -

Gail,  I don’t have any further info other than what I posted that was on the

MSN

Health News.  You could ask the pharmacist for the insert about the drugs and see if it gives you the answer to the question. My sister, also a diabetic, had the skin ulcers on her legs and they were pretty bad and had been there for as long as I can remember.  Her son,

while

in medical school, suggested that she take a baby asprin a day. (his

reason

is unknown to me) but I can tell you that the skin ulcers did dissapear

and

she continues to take the baby asprin and has not gotten any more.  But I would suggest that one check with ones doctor before adding anything to

ones

regular meds. Sorry that I could not be of any help. Sherry

Response:

<<My sister, also a diabetic, had the skin ulcers on her legs and they were pretty bad and had been there for as long as I can remember.  Her son, while in medical school, suggested that she take a baby asprin a day. (his reason is unknown to me) but I can tell you that the skin ulcers did dissapear and she continues to take the baby asprin and has not gotten any more.

As far as I know, the baby aspirin and the resolution of the leg ulcers don’t really have anything to do with each other.  He could have suggested a baby aspirin though because it’s a well known fact that diabetics are at high risk for heart disease. Also, if she has circulatory problems caused by atherosclerosis (something which is also common in people with diabetes), then the baby aspirin would be helpful in preventing blood clots from forming in her legs.   Sandra

Response:

Below is an exerpt from drug listings at the http://www.mayoclinic.com/ website.  You might note that one of the "more common" side effects of Vioxx is congestion in the chest.  I imagine that if someone had pre-existing asthma or heart disease, it’s reasonable that this side effect would cause some problems with those conditions.  Could this possibly be the problem?   Sandra <<Side Effects Of Vioxx More common Congestion in chest; cough; fever; sneezing; sore throat Less common or rare Bloody or black, tarry stools; chills; burning feeling in chest or stomach; hives; loss of appetite; muscle aches and pain; prolonged or severe vomiting; shortness of breath; skin rash; tenderness in the stomach area; unusual weight gain; vomiting of blood or material that looks like coffee grounds Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your doctor if any of the following side effects continue or are bothersome: More common Back pain; diarrhea; dizziness; headache; heartburn; loss of energy or weakness; nausea; stuffy or runny nose; swelling of legs and feet Less common or rare Blurred vision; constipation Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor. – Hide quoted text — Show quoted text –

Response:

Gail,  I don’t have any further info other than what I posted that was on the MSN Health News.  You could ask the pharmacist for the insert about the drugs and see if it gives you the answer to the question. My sister, also a diabetic, had the skin ulcers on her legs and they were pretty bad and had been there for as long as I can remember.  Her son, while in medical school, suggested that she take a baby asprin a day. (his reason is unknown to me) but I can tell you that the skin ulcers did dissapear and she continues to take the baby asprin and has not gotten any more.  But I would suggest that one check with ones doctor before adding anything to ones regular meds. Sorry that I could not be of any help. Sherry

Response:

Sherry, Can you please tell me in what way does Vioxx afect the heart as my Mother was after approx 6 months taking Vioxx & 6 months Celebrex went into to hospital to have a skin Graft on an Ulcer on her leg (she is Diabetic) she developed a breathing problem which they said was some kind of Asthma to do with the Heart? I am wondering if this is to do with these drugs. Gail Sherry <sstof…@inreach.com

wrote in message

news:3y037.2239$D.66131@news.inreach.com… – Hide quoted text — Show quoted text -

July 10, 2001 (Washington) — A woman who developed kidney failure after taking the popular arthritis drug Vioxx has raised more questions about

the

safety of this and similar drugs. Vioxx belongs to a class of drugs known as COX-2 inhibitors. When they

first

emerged in the late 1990’s, COX-2 inhibitors were touted as being safer

and

more effective than readily available nonsteroidal anti-inflammatory

drugs,

or NSAIDs, such as aspirin and ibuprofen. But in recent months, the cardiovascular safety of Vioxx and Celebrex, another COX-2 inhibitor, has been questioned; and a report published in a recent issue of The Lancet suggests this group of drugs also can harm the kidneys. In a June issue of the medical journal, Jose L. Roche, MD, and Jorge Fernandez-Alonso, MD, of the Hospital Universitario Virgen del Rocio in Spain, describe the case of a 67-year-old woman who developed a type of kidney failure. The condition seems to have been due to Vioxx because once the woman stopped taking the drug, she recovered. Though it is known that NSAIDs can cause kidney failure, this case is the first to show that COX-2 inhibitors may be associated with the condition, Roche and Fernandez-Alonso report in The Lancet. At the same time, both Merck, the manufacturer of Vioxx, has received reports of several cases of possible kidney failure associated with their drug, and Pharmacia, the manufacturer of Celebrex, has received 11 similar reports in people taking their drug. However, none of the reported conditions were conclusively diagnosed as kidney failure. The suggested association between kidney failure and COX-2 inhibitors is

not

surprising, Larry Sasich, PharmD, MPH, of the consumer advocacy

organization

Public Citizen, tells WebMD. Kidney problems "are a side effect of all NSAIDs," including COX-2 inhibitors, he says. He notes that the current labels for Celebrex and Vioxx carry the same warnings and risks as other NSAIDs, including the potential kidney damage. Vioxx and Celebrex "are no more effective than other NSAIDs, and there appears to be no safety advantage," Sasich says. Arthritis patients would

be

better off financially and medically taking a cheaper NSAID, such as ibuprofen, which are a fraction of the price of the COX-2 inhibitors,

Sasich

adds. Kidney failure is not the only concern, though. In February, the FDA and

its

arthritis drugs advisory committee reviewed whether COX-2 inhibitors increased the risk of heart attacks. That question was raised following a study Merck presented to support its contention that Vioxx is safer on the gastrointestinal tract than other NSAIDs. The study found that Vioxx cut the occurrence of ulcers and other gastrointestinal problems by half compared with the over-the-counter NSAID Aleve. But the study also showed that people taking Vioxx had four times

the

risk of a heart attack. So, should people taking Vioxx also take aspirin to reduce their risk of a heart attack? Not an easy question to answer since aspirin can increase

the

risk of gastrointestinal problems. However, Merck has reviewed all their Vioxx studies and found no evidence that the drug increases the risk of a heart attack compared with other NSAIDs, company spokeswoman Christine Fanelle tells WebMD. The company contends that Vioxx’s effect on the heart is negligible and that it only appeared to increase the risk of a heart attack because Aleve, like

aspirin,

actually reduces heart attack risk. But some patients at risk for a heart attack may already be taking aspirin to protect their hearts, and Merck has a trial underway now to determine

if

using Vioxx and aspirin together will increase the risk of

gastrointestinal

problems. The results should be out next year, Fanelle says. Other data gave the FDA reason to be concerned about the potential for Celebrex to cause heart problems. A study published in the Journal of the American Medical Association last year found that Celebrex was associated with an increased risk of heart attack and other heart problems. At a February FDA meeting, Steven Nissen, MD, a cardiologist at the Cleveland Clinic Foundation and an adviser to the FDA, said in reference

to

Celebrex, "The question is, are we giving these agents to patients at

higher

cardiovascular risk, and if we do so, will we see something that we wished we didn’t see, and I don’t know the answer to that." Whether the FDA will change the label of Vioxx or Celebrex to highlight

the

potential for heart problems remains uncertain. Neither the FDA nor Pharmacia returned phone calls from WebMD.

Are Vioxx and Ace Inhibitor compatible?

Question:

You also must be "hard of reading" because otherwise you would have understood that I have no financial interest in orders for products that are received by the corporate website of Oasis Wellness. BTW, you still haven’t

Ron, can people order from the website? Don’t they have to give a distributors ID number? It’s my understanding that it isn’t like this is something that you can buy at any drug store or health food place–you have to go through your wife or some other distributor in order to get it. It says at the website: In  order to shop online, you will need to have the AssociateID number of the Associate who referred you

Cheap Vioxx, Celebrex, Relafen, Mobic, Diclofenac, Voltaren.

Question:

The fact that he does his part to get rid of spam loving morons like yourself makes you think he has no life? More and more spammers are being prosecuted everyday…there isn’t an affiliate program on the planet that allows spam anymore because it is not effective at doing anything except irritating potential customers…anyway have fun sifting through your mail box stuffed with crap…I’m going to do my part and report this guy… -Ralph —                                     www.youthsystems.com      Its not your birthdate that determines your expiration date! —

+ADw-990813643.323108+AEA-irys.nyx.net+AD4-… – Hide quoted text — Show quoted text – +AD4-remember, a significant number of ISPs only respond to multiple +AD4-protests. +AD4- +AD4-bla bla bla you must have no life at all

Response:

No you must have no life at all You the spammer trying to make a buck from unsolicited crap like the above? Touchy!

Hmmmmm. — "There are some people that if they  don’t know, you can’t tell ‘em." — Louis Armstrong http://www.geocities.com/SoHo/Nook/9300

Response:

No – Hide quoted text — Show quoted text – you must have no life at all You the spammer trying to make a buck from unsolicited crap like the above? Touchy!

Response:

Hiya,      May I add to your list http://www.fda.gov ? I just sent a complaint concerning someone else and got an auto-reply, but hoping they investigate a fraud. <g Gentle Huggings from Rosie — "If you wanna get it done, you gotta fight for yourself." — Meat Loaf, Bat Outta Hell II

– Hide quoted text — Show quoted text – remember, a significant number of ISPs only respond to multiple protests. the following are all involved in getting this into our newsgroup. please write to them, and the poster (use email, please, not a post to the newsgroup – they never read the newsgroups). be sure to include a full header. without a full header, the ISP doesn’t know how to trace the offending post. mine follows as a sample: :Article: 31087 of misc.health.arthritis :Newsgroups:

alt.support.arthritis,alt.support.arthritis.risg-spondy.info,alt.support.ar t hritis.spondyloarthro.moderated,misc.health.arthritis,sci.med.diseases.arth r itis,uk.people.support.arthritis :Lines: 10 :NNTP-Posting-Host: 216.34.245.6 :MIME-Version: 1.0 :Content-Type: text/plain; charset=us-ascii :Content-Transfer-Encoding: 8bit :X-Mailer: Mozilla/4.0 (compatible; MSIE 5.0; Mac_PowerPC) – ur :P ath:

wormhole.dimensional.com!pulsar.dimensional.com!dimensional.com!newsfeed.fr i i.net!newsfeed.icl.net!newsfeed00.sul.t-online.de!t-online.de!news-in.ivm.n e t!feed.news.nacamar.de!news1.ip-mobilphone.net!news2.ip-mobilphone.net!u550 2 :Xref: wormhole.dimensional.com alt.support.arthritis:253893

alt.support.arthritis.risg-spondy.info:387 alt.support.arthritis.spondyloarthro.moderated:365 misc.health.arthritis:31087 uk.people.support.arthritis:3973 – Hide quoted text — Show quoted text – — Microsoft gambled that making their users fault-tolerant was a better use of resources than making their software reliable.  –Paul Guertin in adfp to email me, delete blackhole. from my return address

Response:

you must have no life at all

You the spammer trying to make a buck from unsolicited crap like the above? Touchy! — "There are some people that if they  don’t know, you can’t tell ‘em." — Louis Armstrong http://www.geocities.com/SoHo/Nook/9300

Response:

http://www.pharm-international.com :No prescription pharmacy accepts instant online orders.  6 payment options, SSL encryption, 300+ drugs, many arthritis meds. — Sent  by  support from pharm-international included in com This is a spam protected message. Please answer with reference header. Posted via http://www.usenet-replayer.com/cgi/content/new

Response:

+AD4-remember, a significant number of ISPs only respond to multiple +AD4-protests. +AD4- +AD4-bla bla bla you must have no life at all

Response:

Psoriasis and the Dead Sea

Question:

my psoriasis has recently flared up; i am having a very difficult time dealing with the expanding lesions.  i, too, am considering a trip to the dead sea.  i would be so very appreciative if anyone has helpful information about such a program. thanks

Response:

My twin brother and I both suffer from psoriasis and psoriatic arthritis. He lives in Australia and I live in Canada. Between the two of us, we have done everything there is for psoriasis/psoriatic arthritis…..uva, uvb, tegison, methotrexate, cyclosporin, psoralen etc,nsaid, vioxx,celebrex,aurudis etc. We spoke on the phone today…..we have both had enough. 34 years old and our liver’s are screwed because of the battery of medications. We have decided to go to the Dead Sea for 4 weeks to detoxify ourselves. Hopefully, that will work. Could anyone advise as to reasonable priced accomodations that would still allow us access to treatment facilities? Thanking you in advance.

Response:

would you mind ??

Question:

I’ll try to put this medical jargin into normal words for you.  see below — Dr. Roland R. Hicks Doctor of Chiropractic All good things come from above-down-inside-out Natural Alternative to Celebrex/Vioxx: http://drhicks.joint-pain.com/ Internet Marketing to Win: http://www.aboutimw.com/drhicks.html Nutrition Guaranteed To Get Results: http://freelife.com/Sites/drhicks/redir.cfm?page=/info/welcome/welcom… fm toll free (877) 791-8686 Skull to T1 ..and I know it’s AWFUL !!!!!   Please note my ‘real’ email address is            and thanks ..for any input ..I know it’s not good. Already had a laminectomy 18 years ago but had NO idea all this had happened. The thing that worries me most is the ‘bone spur [I'm assuming that's what stenosis means]‘ indenting etc the Spinal Cord .. 1. Degenerative facet arthropathy without significiant hypertrophy on the right at C2-3 is seen

the beginnng of degenerative arthritis on the right without thickening of the bone around the C2-C3 facet joint 2. The C3-4 level marked degenerative facet hypertrophy is seen on the right. Mild posterior spondylosis and unconvertebral joint hypertrophy relatively worse on the right is also noted. Marked osseous foraminal stenosis on the right and to a moderate degree on the left is seen.

thickening of the bone around the facet joint on the right at C3-C4 due to degenerative arthritis, there are joints on the sides of the bodies of the bones in the neck called uncinate joints, they are also showing signs of bony thickening and the thinkening or spurs associated are narrowing the opening where the nerves exit the spine at the C3-C4 level more on the right than the left. 3. The C4-5 level posterior spondylosis and degenerative facet hypertrophy worse on the right is seen. Osseous foraminal stenosis to a marked degree on the right and moderate degree on the left is seen.

the same thing is happening at the C4-C5 level that there is at the C3-C4 level 4. At the C5-6 level prominent posterior bulging with spondylosis and uncovertebral joint hypertrophy is seen. Left sided laminectomy and foraminotomy has been performed. Marked flattening of the anterior thecal sac and possibly flattening of the anterior margin of the spinal cord. There is marked right sided osseous foraminal narrowing is seen.

At the C5-C6 level there is a prominent disc bulge that is pushing on the sac which surrounds the spinal cord and may be flattening the edge of the cord itself.  This is due to the degeneration of the disc and associated arthritis in the uncinate(side joints of the body of the vertebra).  The uncinate joint bone thickening is also narrowing the opening for the nerve on the right side.  This is the level where you had your laminectomy(removal of part of the bones in the back of the vertebra to take pressure off the cord) and foraminotomy( the widening of the opening where the nerve exits on the left. 5. At the C6-7 level posterior spondylosis especially prominent on the right abutting and possibly indenting the spinal cord on the right is seen. Marked hypertrophic osseous foraminal stenosis is seen on the right and to a moderate to marked degree on the left.

At C6-C7 there is degenerative arthritis more prominent on the right side again, it is either rubbing up against the cord or possibly indenting it. The uncinate joints are thickened and narrowing the openings for the nerves on the right more than the left. 6. Marked facet arthropathy without significant hypertrophy on the right at the C7-T1 is seen

at this level you primarily have facet joint arthritis without bony thickening on th right CT Cervical Spine Without IMP 1. Intervertebral disc degeneration and posterior spondylosis from C4-C5 through C6-C7 and degenerative facet arthopathy at multiple levels with especially marked facet hypertrophy on the right at C3-C4 and C4-C5

the discs are loosing their normal hydration (fluid content) and the vertebrae have significant arthritic changes on their edges around the discs from C4-C7, you also have arthitic changes in the posterior facet joints throughout the spine and especially at C3-C5 on the right 2. Hypertrophic oseous foraminal stenosis from C3-C4 through C6-C7 worse

on the right at these levels. the openings where the nerves exit the spine are narrowed from C3-C7 on the right more than the left 3. Possible flattening of the anterior margin of the spinal cord at C5-C6 and on the right at C6-C7. MR or post myelogram CT would be more

sensitive in assessing cord compression at these levels if clinically indicated.

You have a lot of  degenerative arthritis in the neck.  You definitely need to find a good neurosurgeon.  I hope I have helped you better understand you report.

Response:

 oHHHHHHH THANK YOU for spelling in out in laymen’s language !! I’m going to print that out.. also take it with me to the neuro as a guide. I never dreamed things were SO bad ..I did know the pain was getting MUCH worse.. Could I address one more question.. How dangerous is the ‘indenting’ of the spinal cord ?? that very word sends chills down my spine. In your opinion would this be addressed first ?       Sorry to be so hyper about this ..but ..I’m scared !              thank you again, for your time and effort !!

Response:

You’re right.  It’s not good.  I think you have the gist of it, just from reading what you do understand.  Have you discussed this with your doctor yet? Char "Remember, I’m pulling for ya’.  We’re all in this together."  Red Green

Response:

NO ..I go to the neurologist Friday .. can anyone tell me ..what’s the deal with the Spinal CORD !!!! how bad does that look ?? I’m still looking up words and I’m not understanding too much :( .. but could someone tell me..(incidently, I’m a BOTTOM LINE person.. un sugarcoated..if you get my drift ,g. ) how on earth can all this stuff get ‘fixed’ ..if it can ? I don’t see how any Dr can operate on 5-6 vertibrates .. I think I ’see’ a lot of bone spurs .. can you tell me more about what you see on the report ..I know it’s bad..but ..HOW bad ?? After that one laminectomy in 1982 and the AWFUL myleogram on the tilt top table withdrawning spinal fluid and then injecting dye etc .. Don’t tell me they still do it that way :( ( .. can’t all the necessary info be found out with an MRI with Contrast dye ??               sorry to be a pest ..but ..inquiring minds NEED to know :)

Response:

Hi ‘nita, and welcome! I don’t know too much about what you are asking, but wanted to tell you I have seen some good info and discussion on problems at this site created by a member of our group: www.arthritisinsight.com  click on "Expert Advice" on the choices at the left.  You most likely will not be able to get an answer before your neurologists appointment, and of course, they cannnot diagnose over the internet, but it is a great opportunity to get additional feedback. Check it out.  And best wishes getting it al sorted out and treated.  Liz G

Response:

‘Nita, It’s unlikely a myleogram would be done.  MRIs show much better detail.  I just saw a neurosurgeon last week (scheduled for a lumbar disc removal in three weeks) and he used the MRI alone and said he doesn’t order myleograms anymore because of the quality imaging of MRIs. I know this doesn’t answer any of your other questions, but I’m pretty sure you won’t have to go through another myleogram. Let us know how you make out at the neurologist, OK? Jim McGowan – Hide quoted text — Show quoted text – NO ..I go to the neurologist Friday .. can anyone tell me ..what’s the deal with the Spinal CORD !!!! how bad does that look ?? I’m still looking up words and I’m not understanding too much :( .. but could someone tell me..(incidently, I’m a BOTTOM LINE person.. un sugarcoated..if you get my drift ,g. ) how on earth can all this stuff get ‘fixed’ ..if it can ? I don’t see how any Dr can operate on 5-6 vertibrates .. I think I ’see’ a lot of bone spurs .. can you tell me more about what you see on the report ..I know it’s bad..but ..HOW bad ?? After that one laminectomy in 1982 and the AWFUL myleogram on the tilt top table withdrawning spinal fluid and then injecting dye etc .. Don’t tell me they still do it that way :( ( .. can’t all the necessary info be found out with an MRI with Contrast dye ??               sorry to be a pest ..but ..inquiring minds NEED to know :)

Response:

well, that sure is GOOD news .. wish I had had the MRI in the first place. Now, if I can get something from the neurologist that will help stop this pain ..I’ll be a semi happy camper. After reading my report , at least, I know why I’m having so much pain. I’ve tried Vioxx,Celebrex..all the Advils,tylenol etc etc ..and then Propox (Davocet+aspirin.. I think) ..and nothing even touchs the pain. I don’t need a lot ..but when my neck gets really painful.. well, I’m sure this nice bunch knows what I mean :(          thanks again ..and I will let you know what happens Friday .. – Hide quoted text — Show quoted text – ‘Nita, It’s unlikely a myleogram would be done.  MRIs show much better detail.  I just saw a neurosurgeon last week (scheduled for a lumbar disc removal in three weeks) and he used the MRI alone and said he doesn’t order myleograms anymore because of the quality imaging of MRIs. I know this doesn’t answer any of your other questions, but I’m pretty sure you won’t have to go through another myleogram. Let us know how you make out at the neurologist, OK? Jim McGowan NO ..I go to the neurologist Friday .. can anyone tell me ..what’s the deal with the Spinal CORD !!!! how bad does that look ?? I’m still looking up words and I’m not understanding too much :( .. but could someone tell me..(incidently, I’m a BOTTOM LINE person.. un sugarcoated..if you get my drift ,g. ) how on earth can all this stuff get ‘fixed’ ..if it can ? I don’t see how any Dr can operate on 5-6 vertibrates .. I think I ’see’ a lot of bone spurs .. can you tell me more about what you see on the report ..I know it’s bad..but ..HOW bad ?? After that one laminectomy in 1982 and the AWFUL myleogram on the tilt top table withdrawning spinal fluid and then injecting dye etc .. Don’t tell me they still do it that way :( ( .. can’t all the necessary info be found out with an MRI with Contrast dye ??               sorry to be a pest ..but ..inquiring minds NEED to know :)

Response:

MR or post myelogram CT would be more sensitive in assessing cord compression at these levels if clinically indicated.

Wow Anita, I don’t know anything about it but it sure looks painful.  As for the above, it sounds like the are suggesting the MRI or CT if you are having symptoms suggestive of cord compression.  Sorry I can’t be of much help but Walt or one of the other experts will be by shortly. Sarah L "Friends are those people who know the words to the song in your heart and sing them back to you when you have forgotten the words."  (unattributed)

Response:

Caroline

 ..but when my neck gets really painful.. well, I’m sure this – Hide quoted text — Show quoted text – nice bunch knows what I mean :(          thanks again ..and I will let you know what happens Friday .. ‘Nita, It’s unlikely a myleogram would be done.  MRIs show much better detail.  I just saw a neurosurgeon last week (scheduled for a lumbar disc removal in three weeks) and he used the MRI alone and said he doesn’t order myleograms anymore because of the quality imaging of MRIs. I know this doesn’t answer any of your other questions, but I’m pretty sure you won’t have to go through another myleogram. Let us know how you make out at the neurologist, OK? Jim McGowan NO ..I go to the neurologist Friday .. can anyone tell me ..what’s the deal with the Spinal CORD !!!! how bad does that look ?? I’m still looking up words and I’m not understanding too much :( .. but could someone tell me..(incidently, I’m a BOTTOM LINE person.. un sugarcoated..if you get my drift ,g. ) how on earth can all this stuff get ‘fixed’ ..if it can ? I don’t see how any Dr can operate on 5-6 vertibrates .. I think I ’see’ a lot of bone spurs .. can you tell me more about what you see on the report ..I know it’s bad..but ..HOW bad ?? After that one laminectomy in 1982 and the AWFUL myleogram on the tilt top table withdrawning spinal fluid and then injecting dye etc .. Don’t tell me they still do it that way :( ( .. can’t all the necessary info be found out with an MRI with Contrast dye ??               sorry to be a pest ..but ..inquiring minds NEED to know :)

Response:

Hi ‘nita, They sure know how to paint a picture don’t they? Had the stenosis surgery in May and it took away my pain for the most part. They fused c4-5,6-7. Walked the same day and was out of the hospital in 23 hrs. Amazing what they can do these days. Your doctor is the only one who can give you real information. I know how you feel though. Stay calm as you can. Friday will come quickly. Gary – Hide quoted text — Show quoted text – Skull to T1 ..and I know it’s AWFUL !!!!!   Please note my ‘real’ email address is            and thanks ..for any input ..I know it’s not good. Already had a laminectomy 18 years ago but had NO idea all this had happened. The thing that worries me most is the ‘bone spur [I'm assuming that's what stenosis means]‘ indenting etc the Spinal Cord ..

Response:

Hi Anita, The neuro will test for spinal nerve involvement and (in my case) base his recommendation on those results. Used his little hammer thing and asked about other problems in the body such as stumbling, dropping things, incontinence, etc. Stenosis is generally progressive and usually needs to be addressed in some manner eventually. They will probably only deal with the worst of it (if at all). Gary – Hide quoted text — Show quoted text – NO ..I go to the neurologist Friday .. can anyone tell me ..what’s the deal with the Spinal CORD !!!! how bad does that look ?? I’m still looking up words and I’m not understanding too much :( .. but could someone tell me..(incidently, I’m a BOTTOM LINE person.. un sugarcoated..if you get my drift ,g. ) how on earth can all this stuff get ‘fixed’ ..if it can ? I don’t see how any Dr can operate on 5-6 vertibrates .. I think I ’see’ a lot of bone spurs .. can you tell me more about what you see on the report ..I know it’s bad..but ..HOW bad ?? After that one laminectomy in 1982 and the AWFUL myleogram on the tilt top table withdrawning spinal fluid and then injecting dye etc .. Don’t tell me they still do it that way :( ( .. can’t all the necessary info be found out with an MRI with Contrast dye ??               sorry to be a pest ..but ..inquiring minds NEED to know :)

Response:

HI ..  I’m a lurker and wonder if I could post the CT-scan report I just got today. Had the CT-scn run last nite ..and it looks awful !! Would it be OK if I posted it to the knowledgable newsgroup for some input ???         thank you very much …

Response:

HI ..  I’m a lurker and wonder if I could post the CT-scan report I just got today. Had the CT-scn run last nite ..and it looks awful !! Would it be OK if I posted it to the knowledgable newsgroup for some input ???         thank you very much …

Of course.  Post away! Walt Hanks

Response:

Sure kiddo.  Post away!!  We will do what we can to help! Char "Remember, I’m pulling for ya’.  We’re all in this together."  Red Green

Response:

Skull to T1 ..and I know it’s AWFUL !!!!!   Please note my ‘real’ email address is            and thanks ..for any input ..I know it’s not good. Already had a laminectomy 18 years ago but had NO idea all this had happened. The thing that worries me most is the ‘bone spur [I'm assuming that's what stenosis means]‘ indenting etc the Spinal Cord .. 1. Degenerative facet arthropathy without significiant hypertrophy on the right at C2-3 is seen 2. The C3-4 level marked degenerative facet hypertrophy is seen on the right. Mild posterior spondylosis and unconvertebral joint hypertrophy relatively worse on the right is also noted. Marked osseous foraminal stenosis on the right and to a moderate degree on the left is seen. 3. The C4-5 level posterior spondylosis and degenerative facet hypertrophy worse on the right is seen. Osseous foraminal stenosis to a marked degree on the right and moderate degree on the left is seen. 4. At the C5-6 level prominent posterior bulging with spondylosis and uncovertebral joint hypertrophy is seen. Left sided laminectomy and foraminotomy has been performed. Marked flattening of the anterior thecal sac and possibly flattening of the anterior margin of the spinal cord. There is marked right sided osseous foraminal narrowing is seen. 5. At the C6-7 level posterior spondylosis especially prominent on the right abutting and possibly indenting the spinal cord on the right is seen. Marked hypertrophic osseous foraminal stenosis is seen on the right and to a moderate to marked degree on the left. 6. Marked facet arthropathy without significant hypertrophy on the right at the C7-T1 is seen CT Cervical Spine Without IMP 1. Intervertebral disc degeneration and posterior spondylosis from C4-C5 through C6-C7 and degenerative facet arthopathy at multiple levels with especially marked facet hypertrophy on the right at C3-C4 and C4-C5 2. Hypertrophic oseous foraminal stenosis from C3-C4 through C6-C7 worse on the right at these levels. 3. Possible flattening of the anterior margin of the spinal cord at C5-C6 and on the right at C6-C7. MR or post myelogram CT would be more sensitive in assessing cord compression at these levels if clinically indicated.

Response:

Pain is driving me nuts

Question:

I just read this page and after having been off my oxycontin for the first time in six months, it totally made me fiend for drugs!!!! AHH HAHAHHAHAHHA its amazing that I find this hilarious. Druuuuuuuuugggggggggs, yummy. Hehehe my husband is rolling his eyes at me presently.  Don’t worry he won’t let me take anything. I just thought I’d add this funny. http://drhurwitz.com/ Check out this site ladies, this is a good site for learing about pain medicine. There are many other dr’s around like this one =) Kim

Clare C. lisa simpson:  "what are you reading mr flanders?" ned flanders:  "everything but the opinion page.  i don’t need to be told what

Response:

Thanks, Kim! Before you buy.

Response:

Well Good Luck with everything , the only comp I had was scar tissue formed an Amniotic shelf and luckliy it didn’t impinge on the baby , thats why i am now staying away from laps and other surgery , plus the scarring is vulnerable tissue and i got cin 3 from it too. So please consider alteratives from surgery if you want babies , unless of course it is totally nesessary! In Love & Light Priscilla – Hide quoted text — Show quoted text – Priscilla – That was absolutely beautiful – Thank You!!! Congrats on your little ones (and on the pain-free pregnancy).  How did your endo react after the births?  Do you get a break for a while afterwards? I was diagnosed 2 years ago (finally!) and just turned 29.  Once we can get all my GI problems under control (wondering if it is bowel endo right now), I may get up the courage to get off the meds and start TTC.  I figure I’ll have to have another lap by the end of the year, so it will be nice to see how my reproductive system is holding out. – Nancy Before you buy.

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Priscilla – That was absolutely beautiful – Thank You!!! Congrats on your little ones (and on the pain-free pregnancy).  How did your endo react after the births?  Do you get a break for a while afterwards? I was diagnosed 2 years ago (finally!) and just turned 29.  Once we can get all my GI problems under control (wondering if it is bowel endo right now), I may get up the courage to get off the meds and start TTC.  I figure I’ll have to have another lap by the end of the year, so it will be nice to see how my reproductive system is holding out. – Nancy Before you buy.

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Dear Nancy ,  Oh how i feel for you , i was so desperate to have a family , and at 19 was told to have a full hysterectomy , HA i wouldn’t listen to them , after 6 laps i fould some solice in a great natropath and at 23 wound up a mummy ! They said i would probably take pain meds during the pregnancy and my baby would be born addicted and would have to be weaned off them, but shortly after i became preg , i had no pain ( execpt for a few adhesion streching pain , but no like period pain !) so i ve had two drug free births . Good Luck with your endo and may the universe shine down upon you and bless you as i have been blessed ! In Love & Light Priscilla – Hide quoted text — Show quoted text – Tricia – How I wish there was a simple answer for what you are going through. It sounds like you are thinking through all of this carefully and I’m sure that you will make the right decision in all of this. I know that you are facing tough decisions.  As my endo gets worse, I face the increasing likelihood that I will not be able to have children.  I’ve always wanted kids more than anything, but I’ve come to realize that I need to remain functional and I simply cannot do that right now without taking the meds that make it impossible for me to concieve currently. I hope that your basal chart results are positive and that you will quickly achieve your desired pregnancy. Good luck! Nancy Before you buy.

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Tricia – How I wish there was a simple answer for what you are going through. It sounds like you are thinking through all of this carefully and I’m sure that you will make the right decision in all of this. I know that you are facing tough decisions.  As my endo gets worse, I face the increasing likelihood that I will not be able to have children.  I’ve always wanted kids more than anything, but I’ve come to realize that I need to remain functional and I simply cannot do that right now without taking the meds that make it impossible for me to concieve currently. I hope that your basal chart results are positive and that you will quickly achieve your desired pregnancy. Good luck! Nancy Before you buy.

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Tricia, A pain DR changed my life (for the better)… KIm

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http://drhurwitz.com/ Check out this site ladies, this is a good site for learing about pain medicine. There are many other dr’s around like this one =) Kim

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ANother site to help find a good pain Dr… http://www.widomaker.com/~skipb/skiphome.htm.html Before going to a pain dr get plenty of refrences from patients~ Kim

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Nancy, My family doctor does give me pain meds, but he usually prescribes them to me for my lower back pain, which is fine, but he gives me a 30 day supply to be taken 2 times a day.  Sometimes that 2 times a day during my period turns into 4 times a day and 2 during the night when I wake up out of a dead sleep thinking someone is ripping my insides apart!!  He does know that I take them for my cramps though, I told him that. I talked to the nurse on the phone, and she ’said’ she talked to the doctor who happended to be at her other office today and that is what the doc said about the meds.  Who knows!!  I am not yet on Clomid or any other fertility treatments.  I just finished my basal temp. chart for the first month yesterday, I have to fax that to them, then she will look it over (to make sure I am ovulating) then have me come in to discuss what is next.  My husband had to have a semen analysis done last week, which came back fine, he has to have one more done on the 2nd of Sept. too.  I also had the HSG done (die thru the tubes) and everything was clear.  But since this pain is getting worse with every passing month I don’t think I can hold off any longer, I need to get something done that will end this pain, and if that means having a hyst then so be it.  I do know that hyst’s don’t always work, but at least I won’t have a period, so I won’t have to deal with that pain, and that is when the pain is unbearable.   I looked in the yellow pages this afternoon for the Pain Management Clinic that is near my house but I couldn’t find it.  So, tomorrow I might drive there and find out.   Thanks again! TRICIA

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Tricia – I am so sorry about your RE office’s response to your pain.  I don’t know whether I would cry, scream or run for another doctor.  I chose the crying option myself last month, when I went in to my GYN’s office complaining of severe and steadily increasing pain and his solution was to give me a *less effective* pain killer, tell me I couldn’t be having the symptoms I’m having and tell me I’m just constipated.  I know that its hard to accurately measure someone else’s pain, but when you tell them you’ve already tried their suggestion and it didn’t touch the pain, they ought to listen. I’m glad you have a family doctor that you can trust.  Perhaps this doctor might be able to help you with pain meds and get you a referral to a pain clinic.  It’s important to have a doctor who is on your side and who will help you get the treatment you need. Does the RE have you on any hormone treatments to help with fertility? I’ve heard some of them, Clomid is the one I can think of right now, can really make Endo pain worse.  Did the *no pain meds* decision come from your RE or did it come from his nurse?  I’ve actually encountered nurses who took it upon themselves to make these decisions for the doctor and never even let the doctor know that a patient called.  In cases like that, I’ve learned to ask to have the doctor call me. I haven’t done the PSN or the pain clinic yet, so I’d love to hear if you find out anything interesting. I’ll be thinking good thoughts for you that your pain will begin to subside soon. Nancy Before you buy.

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HI Tricia I am concerned that you are going to an RE who doesnt believe that endo can cause debilitating pain.  Obviously this is not an RE who knows enough about endo.  Maybe he is more fertility oriented…which isnt necessarily "bad"… but if you have endo..  it doesnt really help YOU. Please consider getting treated by a doctor who DOES know about endo and current treatments for it.      There are good doctors out there. and you can have one… dont give up,   Eileen K

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Here’s another "I hear ya!".  My doc may be sending me to a pain management doc in 6 mos (or sooner if I don’t get better).  I didn’t know what that meant, but reading these posts, I think I’m looking forward to it now.  I guess I’m lucky that my pain doesn’t send me to the ER, but it’s still a daily thing for me and aggravating as h*ll.  I hate taking pain meds too, I just can’t stand that groggy feeling. I’ve been having to take them now though b/c it’s so bad.  I’ve gotten a lot of info from people in here about pain, Lupron, and the disease itself.  I just want to thank everyone for everything, even just venting, b/c it lets me know that I am unfortunately not alone with my emotions. – Hide quoted text — Show quoted text – Nancy, Thank you! I just feel like crying my eyes out, which I was actually doing after I got off the phone with my RE’s nurse.  They won’t prescribe anything else besides Motrin 800mg, or Anaprox.  Come on, like that is really going to work, I told her that it doesn’t help.  I know why Motrin, Ananprox, Naprosyn don’t work, it is because since I was 18 and probably before that I have been taking them.  I have tried Vioxx, Celebrex, and even Arthrotic…NOTHING!  Just gives me one hell of a stomach ache.  I wish I could see my family doctor for everything, he is the only one who listens to me, he believes me when I tell him that something is wrong or something hurts he doesn’t look at me like I am nuts and the pain can’t be ‘that bad’. I have to fax over my Basal temp. chart today for the RE to look over, then they are going to  call me and let me know what she wants to do next, at that time I will ask about the presacral neurectomy (sp?).  I think she is really more intersted in hurrying up and getting me pregnant than trying to help with the endo.  I am glad that she is trying so hard to get me pregnant, but I can’t deal with this god awful pain in between.  Well, in the meantime I am going to call a Pain Management Clinc and check it out, there is one up the road from me, can’t hurt to find out, right? Thanks, Nancy and to EVERYONE else who listened to me vent and gave me the support and suggestions I needed to hear.  To bad some of us aren’t doctors, we would be much more compassionate toward each other. TRICIA

Before you buy.

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Nancy, Thank you! I just feel like crying my eyes out, which I was actually doing after I got off the phone with my RE’s nurse.  They won’t prescribe anything else besides Motrin 800mg, or Anaprox.  Come on, like that is really going to work, I told her that it doesn’t help.  I know why Motrin, Ananprox, Naprosyn don’t work, it is because since I was 18 and probably before that I have been taking them.  I have tried Vioxx, Celebrex, and even Arthrotic…NOTHING!  Just gives me one hell of a stomach ache.  I wish I could see my family doctor for everything, he is the only one who listens to me, he believes me when I tell him that something is wrong or something hurts he doesn’t look at me like I am nuts and the pain can’t be ‘that bad’.   I have to fax over my Basal temp. chart today for the RE to look over, then they are going to  call me and let me know what she wants to do next, at that time I will ask about the presacral neurectomy (sp?).  I think she is really more intersted in hurrying up and getting me pregnant than trying to help with the endo.  I am glad that she is trying so hard to get me pregnant, but I can’t deal with this god awful pain in between.  Well, in the meantime I am going to call a Pain Management Clinc and check it out, there is one up the road from me, can’t hurt to find out, right?   Thanks, Nancy and to EVERYONE else who listened to me vent and gave me the support and suggestions I needed to hear.  To bad some of us aren’t doctors, we would be much more compassionate toward each other. TRICIA

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Tricia – I don’t have any sage words of wisdom, but wanted to offer an "I hear you"!  It must be so frustrating.  It’s aggravating that the doctors can’t do more.  It seems like with all of the advances in medical science, that they ought to be able to do more for us.  I’ve seen my doctor quite frustrated that he can’t do more for me, but at other times he just can’t seem to understand the level of symptoms I’m living with. I know what you mean about pulling teeth to get pain killers.  I just got my doctor to bump me back up to a more effective pain killer, but got a big lecture about not to take them unless I absolutely have to. Now I end up waiting until the pain is so bad I feel like I will collapse (been there, done that far too often) before I take the meds because I’m worried he won’t refill my prescription if I take them as often as the pain dictates. I’ve heard really good things about the procedure Carey mentioned and it sounds like it would be worth looking into for you.  Like everything Endo-related, it doesn’t work for everyone, but if it does work, the pain relief could be tremendous. Please let us know how you are doing. Nancy Before you buy.

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Carey, Thanks, sounds like a lifesaver!  I am going to call my RE here in a few.  I can’t seem to get going today, I have nausea and diarreha…yay!  Thanks for all the info. TRICIA

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Clare, Sometimes I take vicoprofen, most of the time I take Darvocet.  I was thinking about checking out one of those pain management clinics, what have they done for you?   TRICIA

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Tricia, I do hope you find some relief soon.  May I ask what pain meds you are taking???  I have found some great help through pain management when the endo or endo related pain has been unbearable. Clare C. lisa simpson:  "what are you reading mr flanders?" ned flanders:  "everything but the opinion page.  i don’t need to be told what

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Carey, What exactly is the presacral neurectomy?  I am definatley calling my RE in teh AM, cramps have ‘calmed’ down abit for now. Thanks TRICIA

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A presacral neurectomy (not medical terms here, just plain talk) is when the nerves that carry pain signals from the mid line pelvic area, are severed. It doesn’t stop any pain coming from outside the mid line area, but for me, it completely stopped my period cramps, which were causing me to stay drugged into oblivion for a few days during my period because the pain was so severe.  I also don’t have the menstrual diarrhea or nausea with my periods anymore, and I’m not sure why that happened like that, but I’m extremely grateful.  It was done via a laparoscopy and involved two tiny incisions in addition to my belly button entry.  There is also something called a LUNA, but I’ve heard it doesn’t work as well.  Now the PSN doesn’t work for everyone or the time frame can differ, (mine was done 12/14/97 and it still works), but it doesn’t appear to cause any problems to have it done, and it could be the life saver for you that it was for me.  I wish you the best and glad you are feeling a bit better. Carey — John’s page:  MENDO – Men and Endometriosis: http://www.geocities.com/HotSprings/Spa/8449/ Carey’s Endo Window with Endo Sister’s Survival Kit: http://www.geocities.com/HotSprings/Spa/8509/

– Hide quoted text — Show quoted text – Carey, What exactly is the presacral neurectomy?  I am definatley calling my RE in teh AM, cramps have ‘calmed’ down abit for now. Thanks TRICIA

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(((TRICIA))) I’m so sorry you are hurting so badly.  I don’t know what to suggest except maybe try a presacral neurectomy, as that is the only thing that made my menstrual cramps go completely away.  Not even needing an aspirin.  It’s just a thought. I hope you are able to get some relief soon, and don’t apologize for venting.  I will never forget how bad it can be. Carey — John’s page:  MENDO – Men and Endometriosis: http://www.geocities.com/HotSprings/Spa/8449/ Carey’s Endo Window with Endo Sister’s Survival Kit: http://www.geocities.com/HotSprings/Spa/8509/

– Hide quoted text — Show quoted text – I am having a really bad day.  I started my period this morning and woke up in excruciating pain, and have been the same ever since.  I took some pain killers, but they only last an hour or so.  I am so mad right I can’t run to the ER every month, it is ridiculous to have to do that. But I hate to say it, I feel I will be there before morning.  I don’t know if I should go to the hospital where my OB/GYN is out of, or if I should go where my RE is out of?  Any suggestions?  I can’t believe that I got stuck with this miserable ^%^%&^ disease. Sorry if I am offending anyone, I have just had it.  I can’t wait any longer for doctors to think of what they can do next, they tell us that just because they DON’T know what to do next.  I wanted to get pregnant, but I cannot wait any longer.  I can’t even go to work because of this, 11 years is long enough I am thru. How would I support a baby, when we can hardly support our selves because I can’t work.  And when I am feeling fine, I feel like an idiot because I don’t work.  There is just no end to it!  If I don’t go to ER tonight, I am calling RE in the AM, and telling her that I am done.  I won’t live like this anymore, 5 days out of the month I can’t hardly stand up unless I take an abundance of pain killers, it’s like pulling teeth to even get anything from them to relieve the pain.  I have to go, thanks for listening and sorry if I offended anyone. TRICIA

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I am having a really bad day.  I started my period this morning and woke up in excruciating pain, and have been the same ever since.  I took some pain killers, but they only last an hour or so.  I am so mad right I can’t run to the ER every month, it is ridiculous to have to do that.  But I hate to say it, I feel I will be there before morning.  I don’t know if I should go to the hospital where my OB/GYN is out of, or if I should go where my RE is out of?  Any suggestions?  I can’t believe that I got stuck with this miserable ^%^%&^ disease. Sorry if I am offending anyone, I have just had it.  I can’t wait any longer for doctors to think of what they can do next, they tell us that just because they DON’T know what to do next.  I wanted to get pregnant, but I cannot wait any longer.  I can’t even go to work because of this, 11 years is long enough I am thru. How would I support a baby, when we can hardly support our selves because I can’t work.  And when I am feeling fine, I feel like an idiot because I don’t work.  There is just no end to it!  If I don’t go to ER tonight, I am calling RE in the AM, and telling her that I am done.  I won’t live like this anymore, 5 days out of the month I can’t hardly stand up unless I take an abundance of pain killers, it’s like pulling teeth to even get anything from them to relieve the pain.  I have to go, thanks for listening and sorry if I offended anyone. TRICIA

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Doc Visit soon

Question:

Here are some suggestions: Insomnia – Ambien since you are having delayed falling asleep Pain – increase the OxyContin to 80 mg TID and see what happens Vicodin – I don’t understand…is that 3 a day or 3 at a time? Paxil – Is that for depression?  If so, it has long since either worked or it never will and you should be pulled off of it.  Ask for his justification to have you on it for so long.  Sometimes docs kinda forget they have someone on something or someone else had put them on it years before and they never review what meds you are taking. One last piece of advice: bring all of your meds (including herbals/vitamins) with you and go over each of them and discusss the need for more or less of the drug. That last piece is something EVERYONE on meds (no matter what type) should do at least once a year. — Bill Work

– Hide quoted text — Show quoted text – Ok, guys…..I’m heading to the Doc on Tues.  Any suggestions on what I could/should ask for.  Here’s what I’m on and my problems w/them: Oxy 40mg — 1 in the a.m., 2 @ 2pm, 2 @ 8pm.  Not a steady amount and too much between time that hurts. Vicodin — 3 "as needed" for breakthru…..not nearly enough. Flexeril — 2 a day….helps, but the knots/spasms I still have (neck’s better, but….) aren’t being touched. Paxil —  20 mg 2 times a day.  Same dosage as since 1994. Not on any anti-inflammatories. Swelled Feet STILL! Nothing is touching the fact that I CANNOT sleep at night.  I’m finally falling asleep at 2 or 3 am……just to get up again at 6:30 or so. Any ideas??? Rae

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I wish EVERYONE did that when they came to the doc for a med review.  That is not necessary or prudent to do everytime, but at least once a year or every 6 months.  I would love to have my patients do it. — Bill Work

– Hide quoted text — Show quoted text – I do that on every visit… kind of. I take a spreadsheet with all my drugs listed, their strengths, last time prescribed, last time refilled, how many I’m taking if different than the script, what the drug is doing to help or not help, any side effects, how many refills are left or if I need a refill, and a discussion column for things I may want to talk to him about concerning each drug… like all the suggestions I get from this group. Will

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TID = three times a day…I am sorry, I thought you were an RN (your nick). As to the Paxil, I apparently misunderstood you (frequent occurrence on my part) and thought you said that the Paxil wasn’t working.  Well, if it isn’t then you stop it.  But it apparently is working for you.  As to the length of time on it, it is standard to attempt a "drug holiday" after one year on an SSRI to see if you need it any more.  Apparently, you have done it and you found you did.  So keep it up. As to substitutes for a COX II inhibitor like Vioxx or Celebrex…sorry, short of narcotics I can’t think of one.  Perhaps David (our illustrious PharmD) can assist. Something better than Flexeril for spasms?  Valium is good for acute spasms and Klonopin has a long half-life that works for spasms, especially in conjunction with Baclofen (both are frequently given to paraplegics with spastic paralysis).  But there are side-effects and you may have had these in the past.  Some here will probably swear by them and others will curse the day they took them.  Chronic pain is so universal and yet so individualistic for treatment. — Bill Work

– Hide quoted text — Show quoted text – Ok….. What does TID mean?? Vicodin:  3 a day (7.5) Paxil…..it works.  If I were to stop, I’d be a sobbing wicked Bit** around whom no one would want to be.  I was put on it by a different doc for depression….my therapist and I are still working on my "issues" — how I HATE that overworked term!  Anyway, what makes you say that it no longer works or never did? Any suggestions for a substitute for the Vioxx, Celebrex which I cannot take? How ’bout something that works better than Flexeril? Thanks!  I’m grateful for any and all suggestions. Here are some suggestions: Insomnia – Ambien since you are having delayed falling asleep Pain – increase the OxyContin to 80 mg TID and see what happens Vicodin – I don’t understand…is that 3 a day or 3 at a time? Paxil – Is that for depression?  If so, it has long since either worked or it never will and you should be pulled off of it.  Ask for his justification to have you on it for so long.  Sometimes docs kinda forget they have someone on something or someone else had put them on it years before

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Well, I only see my doc every six months, so I’m right on your schedule. Besides, I like to be organized. :) Will – Hide quoted text — Show quoted text – I wish EVERYONE did that when they came to the doc for a med review.  That is not necessary or prudent to do everytime, but at least once a year or every 6 months.  I would love to have my patients do it. — Bill Work

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Hi Rae, I don’t have any advice on the medical stuff; my brain is too foggy right now. I just really wanted to wish you luck! I know how scary it can be to tell the doc that you need more pain relief! Please keep us posted, okay? Hugs, Shell

– Hide quoted text — Show quoted text – Ok, guys…..I’m heading to the Doc on Tues.  Any suggestions on what I could/should ask for.  Here’s what I’m on and my problems w/them: Oxy 40mg — 1 in the a.m., 2 @ 2pm, 2 @ 8pm.  Not a steady amount and too much between time that hurts. Vicodin — 3 "as needed" for breakthru…..not nearly enough. Flexeril — 2 a day….helps, but the knots/spasms I still have (neck’s better, but….) aren’t being touched. Paxil —  20 mg 2 times a day.  Same dosage as since 1994. Not on any anti-inflammatories. Swelled Feet STILL! Nothing is touching the fact that I CANNOT sleep at night.  I’m finally falling asleep at 2 or 3 am……just to get up again at 6:30 or so. Any ideas??? Rae

Response:

Ok, guys…..I’m heading to the Doc on Tues.  Any suggestions on what I could/should ask for.  Here’s what I’m on and my problems w/them: Oxy 40mg — 1 in the a.m., 2 @ 2pm, 2 @ 8pm.  Not a steady amount and too much between time that hurts. Vicodin — 3 "as needed" for breakthru…..not nearly enough. Flexeril — 2 a day….helps, but the knots/spasms I still have (neck’s better, but….) aren’t being touched. Paxil —  20 mg 2 times a day.  Same dosage as since 1994. Not on any anti-inflammatories. Swelled Feet STILL! Nothing is touching the fact that I CANNOT sleep at night.  I’m finally falling asleep at 2 or 3 am……just to get up again at 6:30 or so. Any ideas??? Rae

Response:

– Hide quoted text — Show quoted text – Here are some suggestions: Insomnia – Ambien since you are having delayed falling asleep Pain – increase the OxyContin to 80 mg TID and see what happens Vicodin – I don’t understand…is that 3 a day or 3 at a time? Paxil – Is that for depression?  If so, it has long since either worked or it never will and you should be pulled off of it.  Ask for his justification to have you on it for so long.  Sometimes docs kinda forget they have someone on something or someone else had put them on it years before and they never review what meds you are taking. One last piece of advice: bring all of your meds (including herbals/vitamins) with you and go over each of them and discusss the need for more or less of the drug. That last piece is something EVERYONE on meds (no matter what type) should do at least once a year.

I do it on every visit. Changes in meds, unusual reactions, effectiveness. It’s logged in a hanging file folder, with copies of all doctors’ reports, blood tests, other tests, cross-reference and in chronological sequence. This isn’t obsessiveness – it’s the result of bad mix-ups because doctor A didn’t know what doctor B was doing. My doctor has hundreds, if not thousands, of patients (They take turns running the walk-in clinic that they’re part of.). I have one "patient" – ME!

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I do that on every visit… kind of. I take a spreadsheet with all my drugs listed, their strengths, last time prescribed, last time refilled, how many I’m taking if different than the script, what the drug is doing to help or not help, any side effects, how many refills are left or if I need a refill, and a discussion column for things I may want to talk to him about concerning each drug… like all the suggestions I get from this group. Will – Hide quoted text — Show quoted text – Here are some suggestions: Insomnia – Ambien since you are having delayed falling asleep Pain – increase the OxyContin to 80 mg TID and see what happens Vicodin – I don’t understand…is that 3 a day or 3 at a time? Paxil – Is that for depression?  If so, it has long since either worked or it never will and you should be pulled off of it.  Ask for his justification to have you on it for so long.  Sometimes docs kinda forget they have someone on something or someone else had put them on it years before and they never review what meds you are taking. One last piece of advice: bring all of your meds (including herbals/vitamins) with you and go over each of them and discusss the need for more or less of the drug. That last piece is something EVERYONE on meds (no matter what type) should do at least once a year.

Response:

Ok….. What does TID mean?? Vicodin:  3 a day (7.5) Paxil…..it works.  If I were to stop, I’d be a sobbing wicked Bit** around whom no one would want to be.  I was put on it by a different doc for depression….my therapist and I are still working on my "issues" — how I HATE that overworked term!  Anyway, what makes you say that it no longer works or never did? Any suggestions for a substitute for the Vioxx, Celebrex which I cannot take? How ’bout something that works better than Flexeril? Thanks!  I’m grateful for any and all suggestions. – Hide quoted text — Show quoted text – Here are some suggestions: Insomnia – Ambien since you are having delayed falling asleep Pain – increase the OxyContin to 80 mg TID and see what happens Vicodin – I don’t understand…is that 3 a day or 3 at a time? Paxil – Is that for depression?  If so, it has long since either worked or it never will and you should be pulled off of it.  Ask for his justification to have you on it for so long.  Sometimes docs kinda forget they have someone on something or someone else had put them on it years before

Response: