Steven Magill asked:




Before any neck or shoulder pain can be treated, the reason for the pain must be found out by a professional. It could be caused by nothing more than being in a position that will cause you to overuse certain muscles, working out with weights using the wrong technique, tension, or something more serious. No treatment can be prescribed without knowing the cause of the problem.

The first thing you need to do if you have neck and or shoulder pain is to determine if your position might be causing the problem. If the pain is slight, rest and possibly some heat or ice may be all that is required. You might also try some OTC medication such as aspirin, some simple stretching, or a non-aspirin pain reliever, while resting and making sure to remain as still as possible. If the pain continues or gets worse, you may need to seek a medical professional to determine the cause of your pain.

Once the doctor makes their diagnosis, they will better be able to prescribe a treatment regime for the cause of your pain. The worst thing you can do for any pain is to self-treat yourself with some medication that might be too old or something that some family member was prescribed. Taking any prescription medication that was not prescribed for you by a doctor is never a good idea, although I know people that have done this. It is never a good practice because you may not be aware of any side effects of the medication.

Your neck or shoulder pain may be caused by having your arms raised in an awkward position for too long, with rest, the pain will subside on its own. Tension can cause neck and shoulder pain as well. The treatment for tension might be as simple as resting and massaging the affected areas. While performing some tasks you might begin to notice some discomfort. The discomfort might be telling you that the position you are in is not the proper position for the task. You might also be trying to lift too much weight, which might also cause a strain.

If you think something doesn’t feel right, stop and think about what you are doing and if you are doing it properly. Never overreach or stand with your arms above your head for extended periods, like painting or working at an improper angle. If you are, change your position before you develop neck and shoulder pain.

The best treatment for any pain is not to get it in the first place. This is done by proper rest, proper working angles and never overtaxing yourself. Stress can cause neck and shoulder pain, so try to reduce your stress levels and reduce the tension factor that may cause you neck or shoulder pain before it happens.

If you do develop any pain, try an OTC first and rest. If that doesn’t help you, there might be a more serious underlying problem that will require medical intervention to alleviate the pain.



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Christopher Luck asked:




We all know how distracting and agitating a nagging headache or other dull ache in the body can be to our daily lives. Pain, even when slight or fleeting, affects us, making us grumpy, miserable, ineffectual, and unduly unproductive. That is why, whenever it is we begin to feel the usual symptoms of fever or headache, we do everything we can to quell the pain before it grows to an unbearable pitch. Fioricet is a barbiturate sedative combined with a pain reliever that can staunch your most painful headaches before they get out of control and render you little more than a grimacing zombie.

Barbiturates have been around for the better part of the last century, and have been used in various situations and for various patients to sedate and calm the nerves in cases of anxiety or shock. Because Fioricet is a barbiturate sedative, it is important to know that after you swallow the pill, it will have the effect of making you drowsy, and cause you to have less than optimal control of your motor skills. This means, of course, that Fioricet shouldn’t be taken at a time when you need to be in absolute control of your faculties.

This means don’t take Fioricet when you operate heavy machinery, drive a car, or, in a less physically dangerous situation, have to prepare a big presentation at your next company meeting. There are far too many unnecessary accidents caused by taking prescription or non-prescription medications that have a side effect of drowsiness, but all of these kinds of “accidents” can be avoided by knowing just what kind of drug you are taking, and what it can possibly do to your sensory perceptions.

You want to know all the side effects, risks, and dosage limits of any drug you take, and Fioricet is no exception. Like all drugs, the risk of side effects are small but possible, and there are considerations to be made as pertains to your own bill of health as well as health histories and allergies that could cause you to react adversely to Fioricet. As well, there are dosage limits that per usage and per day must be adhered to for your own safety, but this is all common sense – what you really want to do is get rid of that pesky headache.

And this is what Fioricet can do for you. Once you feel the initial pangs of a painful headache, it is always better to take whatever pain reliever you choose to use as soon as possible, because the worse the pain gets, the harder it is to get rid of it. So to it is important when you feel the onset of a fever – usually a harder thing to spot – to take my Fioricet Advice [http://www.therivertimes.com/category/health-guides] as soon as you can, in hopes that the body temperature can be brought back to normal as quickly as possible. The last thing you want when you have a fever is to see you temperature creep up to a level that is dangerous to your health, and so you want to try and stem that rise in body temperature as soon as you notice its symptoms.

Taken under the correct conditions to appease the right aches and pains, Fioricet can be just the thing you need to get on with your day and start feeling normal again.

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We tend to treat all pain relievers as if they were the same thing, but are they? How do you know whether your pain would go away faster if you took Ibuprofen instead of Acetaminophen? Not all pain relievers are created equal, so here’s a quick guide to what’s works best and when.

Aspirin

It’s a classic, but when should you use it beyond those times when the doctor tells you to take two and call him in the morning?

Aspirin enters your blood stream, reacts with substances that are concentrated in painful places (protaglandins) and then limits how many of them can be there. Aspirin an anti-inflammatory and works well on headaches and other minor pains. Some people also take it as a preventative for heart disease. However, it’s not a never-fail wonder drug. Aspirin is one of the worst of your normal anti-inflammatories if you’re going to take it for any length of time, mostly because it can give you heartburn and other digestive problems. It also shouldn’t be used by children (it’s linked to Reye’s syndrome) or hemophiliacs (it’s an anti-coagulant).

Ibuprofen

Ibuprofen, best known under the brand advil pain reliever,  isn’t so different from aspirin and works in almost the same way. However, ibuprofen is generally easier on the stomach and the esophagus. It’s especially good for people who have ulcers but still need to relieve inflammation, and it’s a favorite for arthritis.

Naproxen

OTC Naproxen is better known as Aleve. Naproxen can be used for headaches, but it’s one of the most effective anti-inflammatory medicines. For many people, it’s the best choice for sprains, sunburns, and menstrual cramps. It also tends to last a little longer than aspirin or ibuprofen, probably because the OTC version is more recent and just a step down from a prescription dose.

Acetaminophen

Best known as Tylenol, acetaminophen is NOT an anti-inflammatory. It works well as a pain reliever for headaches and as a fever-reducer, but it isn’t the best choice for coping with arthritis or other inflammation-based pain. However, it’s also better for children, hemophiliacs, and people suffering from heartburn or other esophagus problems. For pain that doesn’t go back to sprains or other inflammation, it’s probably the best thing to use – at least if you want your stomach to thank you for it.



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The short answer is this: Dilated blood vessels can cause or contribute to tension headaches. Caffeine is believed to shrink blood vessels, which helps relieve the pressure. Caffeine also facilitates the action of the other ingredients.

There are now several drugs on the market, both prescription and non prescription, in which caffeine is blended with one or more drugs to create effective “combination” pain relievers.

For example, in Butalbital, Acetaminophen and Caffeine (sold here as Butalbital / APAP / CAFF, but also called Fioricet) each of the three active ingredients plays a different role:

1. Butalbital is a powerful barbiturate sedative with muscle relaxing and anti-anxiety properties. It helps calm the brain.

2. Acetaminophen (Tylenol) relieves pain, eases inflammation and brings down fevers. It also boosts the potency of the Butalbital so less is needed.

3. Caffeine constricts swollen blood vessels to relieve pain and pressure.

That triple action is why Fioricet / Butalbital, Acetaminophen and Caffeine is often prescribed for people who suffer from tension headaches or migraines.

Here are some other common questions and answers about the effects of caffeine in pain relievers like Fioricet.

Q and A About Caffeine and Pain Relief

Q: If caffeine is a pain reliever, couldn’t I just drink coffee to get rid of my headaches?

A: It depends on what kind of headaches you get and how bad they are, but the caffeine in coffee may actually provide you with some pain relief.

A study of tension headache sufferers produced some fascinating results. Researchers at the Diamond Headache Clinic found that 200 mg of caffeine (the amount in 1-2 regular cups of coffee) gave the same level of pain relief as 400 mg of ibuprofen (Advil, Motrin, etc.) in their subjects. They also found the coffee gave faster relief than the ibuprofen.

But the best pain reliever in their study was caffeine in combination with ibuprofen, which gave fast and much longer lasting relief than either caffeine or ibuprofen alone.

Q: What is the caffeine content in pain relievers?

A: It differs depending on the product. Each Fioricet / Butalbital, Acetaminophen and Caffeine tablet that we sell contains 40 mg of caffeine. Other pain relievers may contain more or less caffeine than Fioricet. Check the product label for details.

Q: If I take a pain reliever that contains caffeine before bedtime, will it keep me awake?

A: It depends on your sensitivity to caffeine. Two Fioricet / Butalbital, Acetaminophen and Caffeine tablets contain a total of 80 mg of caffeine, which is about the same as one average cup of brewed coffee (there’s between 80 and 125 mg of caffeine in a cup of coffee, depending on how strong it is).

Q: If I drink coffee and take Butalbital containing caffeine at the same time, can I expect to have any side effects?

A: When taking Fioricet, check the caffeine content of beverages like coffee, tea and cola as well as all prescription and non-prescription drugs you take. Avoid taking too much caffeine as it could cause nervousness, shakiness and fast heartbeat.

However, drowsiness is actually a much more common side effect of the Butalbital, Acetaminophen and Caffeine combination.

Here are the possible side effects listed for Fioricet / Butalbital, Acetaminophen and Caffeine:

* drowsiness

* upset stomach, stomach pain

* nausea, vomiting, loss of appetite

* depression

* lightheadedness, dizziness, confusion

* tiredness, weakness

* shortness of breath

* dry mouth

* agitation, anxiety, irritability

* rash or itching

* headache

* constipation

More serious but rare side effects like difficulty breathing, low blood sugar or unusual bleeding are possible when taking Fioricet and should be reported to a doctor immediately.

Summary

Since caffeine has pain relieving properties and few if any known negative side effects, it has been added to the active ingredients of several different pain relievers. The effects of caffeine in these products is to lessen the pressure that contributes to headache pain and help the other ingredients work more effectively.



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, nonnarcotic drugs against pain for dental pain are discussed. Dentists use these medications to relieve mild to moderate oral pain. This article describes the narcotic medications. For moderate to severe dental pain, medications are typical:

•Tramadol (Ultram), 50 mg every 6 hours as needed for pain.

• Tramadol with acetaminophen (Ultracet, containing 37.5 mg of tramadol hydrochloride and 325 mg of acetaminophen), a table every 6 hours as needed for pain.

• Acetaminophen (Tylenol # 4, containing 60 mg of codeine phosphate and 300 mg of acetaminophen), a table every 4-6 hours as needed for pain.

For pain, opioid combinations are advised. For example, one Vicodin ES (10 mg 750 mg hydrocodone and acetaminophen) may be taken every 4-6 hours as needed for pain.

Opioids: Opioids are narcotic agents that act on the central nervous system. Side effects, including nausea, constipation, dizziness, sedation and respiratory depression, are common with opioid therapy. However, the relative risk of side effects opioidlike varies.

Although opioids as a class are effective for relieving dental pain, some commonly used formulas show poor efficacy for dental pain. Other drugs with fewer serious side effects can have similar results. For example, codeine alone has not been found as effective as other analgesics (acetaminophen and NSAIDs) for relief of dental pain. Oxycodone, hydrocodone and propoxyphene are about as effective as codeine. Dihydrocodeine, penta-and zocine meperidine show no advantages over codeine orally and may even be less effective. Their effectiveness in combination (combining opiods with acetaminophen and NSADs) is better than monotherapy.

Tramadol: Tramadol is a synthetic, centrally acting pain reliever. It is indicated for moderate to moderately severe oral pain. Its analgesic action affects both opioid receptor and serotonin uptake. This suggests that the effect of tramadol is not mainly through narcotic mechanism. Tramadol, a nonscheduled drug. Serious side effects generally associated with opioids, such as dependence, sedation, respiratory depression and constipation, are less often with this medication. Tramadol has a low rate of abuse, about one per 100,000 persons. The side effects commonly seen with tramadol include nausea, dizziness, drowsiness and fatigue.

Tramadol in the absence of sedation is particularly important for the day of dental surgery. Tramadol does not have the same side effects as traditional NSAIDs or opioids. Side effects are usually mild and transient. Importantly, tramadol does not have the ceiling dose effect common to many other analgesics. Recent studies show that tramadol is a good and post-dental pain killer. They also show that tramadol has a dose-response. For example, in one study they reviewed, tramadol 200 mg was more effective than 100 mg after third molar extraction. Unlike aspirin and acetaminophen with codeine, a pain that lasts for about four hours, tramadol provides analgesia for five to six hours after dental surgery.

Benzodiazepines are increasingly being used to reduce patient anxiety. Their sedative, “the reduction of anxiety” and “memory” properties, with their mild respiratory depression, are particularly useful for reducing the “view” of dental pain. By reducing the fear of dental treatment, the patient becomes less sensitive to painful stimuli.

Midazolam: Midazolam has the ability to decrease postoperative anxiety. It provides surgical amnesia (memory blockage) that lasts approximately 25 minutes. A multidrug combination of fentanyl, midazolam and metho-hexital (commonly used in intraveous sedation for wisdom teeth removal) gives better pain control but produced deeper sedation.

Treatment of anxiety related to dental procedures is most useful for children. Extreme preoperative apprehension May need more anesthesia and lead to postoperative negative effects. Oral midazolam has been shown significantly to the amnesia of the child when it is given10 minutes before surgery. Recent clinical trials of oral tramadol mixed with midazolam provides effective pain relief during and after surgery for children.

Diazepam: Diazepam is another useful benzodiazepine that treats oral pain associated with muscle spasms. However, its use is limited by the long-term sedation, the potential for abuse and dependence potential. Diazepam May have additive effects with other central nervous system depressants. Combinations of benzodiazepines and opioids are used widely for conscious sedation but are associated with significant risks. These combinations May be used under adequate cardiopulmonary monitoring.

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