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A question for people who have used Bisoprolol and pain relief

xMgx profile image
xMgx
26 Replies

Are there any pain relief meds that work with Bisoprolol?

I have a dentist appointment coming up and im quite certain that the paracetamol is not going to cut it during the recovery stage so was wondering if there was something stronger that doesnt negatively react with Bisoprolol.

Cheers guys,

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xMgx
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26 Replies
Bagrat profile image
Bagrat

I've found regular paracetamol 2 every 4-6 hours, (no more than eight in 24 hours) has seen me through wisdom tooth extraction, root canals and other extractions, no problem. Also the same after breast and hernia surgery.If you can tolerate it ( I can't)paracetamol and codeine is OK to take for 2 or 3 days, but watch out for constipation and check with your pharmacist. Paracetamol is a very effective analgesic.

xMgx profile image
xMgx in reply to Bagrat

Thank you, ill try sticking with paracetamol, hopefully will be okay. co-codamol sounds a bit iffy with the potential interactions

babs1234 profile image
babs1234 in reply to xMgx

I’m on bisoprasol and was prescribed co-codamol

JOY2THEWORLD49 profile image
JOY2THEWORLD49 in reply to Bagrat

Hi

Nuts best for constipation but may be difficult with mouth! So prunes, prune juice, figs, plums, licourice(not if you are taking thyroxin for the thyroid, juices.

Otherwise Colofac pill 1 hour before breakfast with a long, large glass of water.

Codeine is the culprit.

Give cheese a rest.

cherio JOY

Franks-Nan profile image
Franks-Nan in reply to JOY2THEWORLD49

Blimey joy, you would be pooing through the eye of a needle with that lot. :)

JOY2THEWORLD49 profile image
JOY2THEWORLD49 in reply to Franks-Nan

Hi

Please choose which option!

But if one is constipated I will go at length to solve!

The last resolve glycerine suppositories NOT ENEMAS. But with right shoulder in sling no right hand available. Put in freezer was the learning point.

I have 6 weeks of this after general anaestetic.

cheri JOY

opal11uk profile image
opal11uk

I have taken Paracetamol and Co-codomol to good effect

Ewloe profile image
Ewloe

there’s different strengths of cocodomol. You can buy the lowest strength over the counter 8mg codiene and 500mg of paracetamol.

You can take 1 of the above and 1 paracetamol at the same time so it’s only a little bit of codiene which might be enough. Good luck.

AmandaLouise77 profile image
AmandaLouise77

I was prescribed codeine by a hospital pharmacist

Ppiman profile image
Ppiman

If you start the paracetamol a day or so before a minor op, such as dental extraction, taking it as directed on the packet every 4-6 hours (with a maximum of four doses per day), then I was told recently by a nurse practitioner that its analgesic (i.e. pain relieving) effect is far better than the way we usually use it. An elderly friend with a painful arthritic hip is finding this so (he was the reason I was with the nurse).

By the way, it's not the bisoprolol, which is safe with pain killers, but the anticoagulant (e.g., apixaban, edoxaban, warfarin, etc.). This limits the kind of pain relief we can take drastically since many tablets are anti-inflammatory in action, such as aspirin, ibuprofen and naproxen, etc.. These put us at risk of internal bleeding and the anticoag drug increases the risk of this significantly.

Steve

Bagrat profile image
Bagrat in reply to Ppiman

Wot Steve said. After root canal I was to take first dose before numbness wore off ( which is pretty soon with non adrenaline local. Also think I was given paracetamol pre surgery too.

xMgx profile image
xMgx in reply to Bagrat

Hi, so i do need non-adrenal anaesthetic then? That's helpful to know.

Bagrat profile image
Bagrat in reply to xMgx

A rush of of adrenaline can kick off AF so most of us opt for non adrenaline local anaesthetic. Adrenaline keeps the anaesthetic near to the tooth and reduces bleeding but not good for AF. Dentists have other means to control bleeding so don't worry on that score. Non adrenaline doesn't last as long ( but I had 1hour 45 mins root canal with no need for a top up). If it is wearing off dentist will just top you up so no problem. The upside means your face feels weird for only a short time after treatment complete.Depending on treatment, also check re anti coagulant if you're on them. Every dentist different, even in same practice, I've discovered!!

Ppiman profile image
Ppiman in reply to Bagrat

My dentist told me that all numbing injections do have a tiny quantity of adrenaline-like substances in as this is needed to allow the blood to absorb the anaesthetic. I was surprised but he reassured me and all was well. Were you told differently?

Steve

Bagrat profile image
Bagrat in reply to Ppiman

I asked AFA years ago and the jury was out!! But if you search on here a lot of people do opt for non epinephrine (adrenalin) local anaesthetic. Some heart conditions are in dentists' "book of words for "non epinephrine anaesthetics". Again years ago my then dentist said AF wasn't. Also to take into consideration, how many of us produce natural adrenaline at the thought of dental treatment, so I guess not clear cut. The local without, certainly works for me though as I said adrenaline constricts blood vessels slowing down dissipation. I know a severe infection can prevent local getting to the nerve. I suppose the chance local could be injected into a slightly larger blood vessel is a possibility when the anaesthetic would get into the system, though my dentist says NO!!

Ppiman profile image
Ppiman in reply to Bagrat

Mine just said there’s none that is effective and has zero adrenaline in. I had no problems though. I have several issues looming so will be needing to be sure when they reach the stage of no return!

Steve

Bagrat profile image
Bagrat in reply to Ppiman

"In patients with severe hypertension or unstable cardiac rhythm, mepivacaine hydrochloride without adrenaline/epinephrine may be used". This is a quote from the BNFbnf.nice.org.uk/treatment-s...

Scroll to dental anaesthesia, quite a lot of options. You are right the amount of adrenaline is very small in comparison to the actual local anaesthetic.

Wendy

Ppiman profile image
Ppiman in reply to Bagrat

I’m hoping to steer clear for a while yet. There are three ancient once-filled back teeth in my mouth with cracks and fillings adrift. Apart from implants for £$£$ my dentist said to just keep them super clean and live in hope!!

Strve

Steve

Ducky2003 profile image
Ducky2003 in reply to Bagrat

My dentist used Articaine on me last year. Cleared by my EP as its low adrenaline but better and longer numbing than conventional adrenaline free. No problems with it.

xMgx profile image
xMgx in reply to Ducky2003

Thank you :-)

xMgx profile image
xMgx in reply to Bagrat

Thank you, Bagrat, you've been very helpful :-)

JOY2THEWORLD49 profile image
JOY2THEWORLD49

Hi

React with Bisoprolol? I think you mean your anti.co-agulant?

Codeine/Paracetamol, Tramadol, really painful I was given Oxy-norm (strictly 3 times day).

Sometimes best to take a Dr's approved antibiotic. Only Amoxil-Clav healed me.

Foods Tumeric, garlic, clove, ginger. Also Vit A and C.

Told to gargle on Day 3 with salt.

You will be OK.

It is the pain injection that is changed from adrenaline - do I have word right?

If working near upper molars where the sinuses are usually done in hospital. My local dentist sent me there.

Hospital have 'items' to the ready.

May need to stop anti-co,agulants.

Best to go to Dr beforehabd and get a few different pain killers. No NOACs.

cheri JOY. 75 (NZ)

Bumpitybump profile image
Bumpitybump

Agree with the idea of taking paracetamol steadily, before and after procedure, not just when you think you need it. It is the only pain meds I have had for OHS AVR recovery and been perfectly adequate. Mind you big empathy on any dental treatment, each area of body has such a different level of pain to be managed. Good luck!

Ducky2003 profile image
Ducky2003

Do you take an anticoagulant? If not, Ibruprofen alongside paracetamol is the best pain relief for dental issues (as per my dentist and my pre AF life).I tried co-codamol last year, and I have the top dose prescription 30mg tablets (for errant gallbladder) and it made no difference to using paracetamol on its own, other than causing a blockage on the lines of the M25 on a Friday at 4pm, necessitating laxative assistance.

I did find some pressure points info on line, which did help (and I was always a bit cynical about that kind of stuff) and a frozen veg ice pack.

Hope it's not too painful for you anyways.

TillyBoss profile image
TillyBoss

Panadol

JOY2THEWORLD49 profile image
JOY2THEWORLD49 in reply to TillyBoss

Hi

No, PANACETAMOL only.

Not PANADOL.

cheri JOY

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