Over the counter painkiller

[MiniMena]

Hello. 60 year old (F) recently diagnosed with PBC (stage 4). I am due to have a couple of dental implants next week (has been ok’d with my consultant) but I’m getting confused as to what over the counter painkillers I can use. I’ve just disposed of everything in my bathroom cabinet and bought a box of aspirin but now I think I should get rid of them and buy some paracetamol instead. I would be grateful if someone could clarify what’s meds would be suitable for dental pain. Many thanks.

[AyrshireK]

Aspirin not good with liver disease as it acts as a blood thinner and you don't want that. Safer with paracetamol - if under 60kg you need a reduced dose. Over 60kg you can take up to the recommended daily dose. (This was what hubbies liver specialist told us when we enquired after he sustained a painful knee knock cycling).

If in doubt always ask your specialist.

Katie

[MiniMena in reply to AyrshireK]

Thank you

[Cascade35]

Hi

I was diagnosed two years ago and had lengthy discussions with my PBC specialist about pain medication. Avoid aspirin and ibuprofen at all costs. You can take paracetamol for a few days. But if needed, an alternative pain medication to ibuprofen is Naproxen, you need a prescription from your GP and you when with a second medication called Omeprazole which protects your stomach from taking pain medication. When I’ve needed it I take all of those three combined for a few days and it’s either. And my GP and Specialist approved, they don’t want you to suffer unnecessarily - and in your case, especially after potential painful dentistry work. Good luck

[MiniMena in reply to Cascade35]

Thank you

[Lurcherliver]

hi

I ended up with auto immune hepatitis due to my liver taking a big hit over a dental problem. I had multiple courses of strong amoxicillin and took too many painkillers. Ibuprofen, paracetamol , you name it. My doctor reckons it was due to amoxicillin and ibuprofen and doesn’t recommend ibuprofen . Paracetamol is ok but stay within the guidelines. Hope it works out for you xx

[BritishLiverTrust8 Moderator British Liver Trust]

Dear MiniMena

In addition to the suggestions from members of the forum, your own health care professional or your pharmacist is best placed to answer, as they have access to your medical records.

We suggest talking this through with your own doctor or health care professional in the first instance and if you would find it useful to talk things over, our nurse-led helpline is open Monday to Friday 9am to 4pm on 0800 652 7330 excluding bank holidays.

Best wishes

British Liver Trust

[MiniMena]

Thank you. I would have contacted my consultant but last time I had a query they took over a month to get back to me and only did so then because I contacted PALS.