pain killers for severe sciatica

[Agapanthus1]

If I have PA can I take Ibuprofen or any other anti inflammatories for severe sciatica & back pain? I have been using paracetamol but it’s not really helping. I vaguely recall my dentist telling me I shouldn’t take NSAIDs if I have PA. Is this right? Thanks 😊

[Nackapan]

Hope not !

I was on alot of pain killers .

I alternated between paracetamol and ibuprofen

Ibuprofen can cause bleeds if over used

Always shouls be taken after food.

I imagine its the connection with bleeds and stomach irritation

I was told to stop it as iron dropped .

I did .

Its an absorption problem though.

Then told to stop paracetamol ax rebound headaches thought.

I did but took ibruofen if desperate

I didnt have rebound headaches.

Seemingly vestibular migraines .

If you need pain relief alternate otc.pain killers perhaps

Get advice ftom a pharmacist

Gps will prescribe all sorts to trial

Hope you get relief 😌

[Agapanthus1 in reply to Nackapan]

thank you, that’s really helpful to know. 😊

[Gambit62 Administrator]

PA is n autoimmune disorder of the stomach so could may you more susceptible to problems caused by constant use of NSAIDs. One important thing is to avoid taking them on an empty stomach as this seems to be a big contributor to problems.

A pharmacist might be able to help you with alternatives though reality is that most painkillers have side-effects.

[Agapanthus1 in reply to Gambit62]

thanks so much, I will ask pharmacy & GP 😊

[ACritical in reply to Gambit62]

You can ask your pharmacist for suppositories . In Europe you can by those paracetamol suppositories 500mg and 1000mg. over the counter. This bypass your stomach also works quicker. I use them if I have the occasional migraine when my stomach locks itself for anything coming in. There is also a Diclofenac suppository you can get prescribed. I use these now as I have had a fall and broken my shoulder.

[Agapanthus1 in reply to ACritical]

Brilliant, thank you! I really hope your shoulder heals quickly. I broke my ankle on January after a fall & the sciatica came on after I had the cast removed. 😞

[pitney]

If you are able to use a Chiropractor its worth a try, I had real relief from Sciatica after my first treatment😀

[Agapanthus1 in reply to pitney]

Thanks, I will investigate that. 😊

[Cookiedough2022]

have you tried using an ice pack on your back 20 mins every hour wrapped in a tea towel and regular gentle stretches eg knee to chest. The ice will reduce the inflammation in the lumbar area x

[Agapanthus1 in reply to Cookiedough2022]

I have a cold shower every day but never thought of an ice pack. Good idea, thanks 😊

[Sleepybunny]

Hi,

I just wondered if you are getting enough B12.

If B12 deficiency is under treated it may lead to problems affecting the spine.

[Agapanthus1 in reply to Sleepybunny]

That’s an excellent point! I am SI every other day at the moment because I had 2 courses of Nitrofurantoin for a UTI & it made me feel dreadful. Did a bit of research & found it strips the body of b12 & should be used with caution in people with PA. So it could well be that! Thanks so much

😊

[MrsTuft in reply to Agapanthus1]

That is exactly what happened to me. I had 17 days of nitrofurantoin and lost normal use of my legs. Please can you tell me what happened to you?

[Agapanthus1 in reply to MrsTuft]

I had 2 courses of 3 days each, I got mouth sores, sore tongue, numbness in my big toe, thrush, everything went very dry (mouth, eyes, vagina), breathlessness, dreadful fatigue, so weak, depression, couldn’t stop crying, anxiety, all joint pain, back pain etc get much much worse. Took me a while to work out what it was, GP had no clue. Will never take that ab again! So sorry you were made so poorly too. Are you feeling any better now? X

[MrsTuft in reply to Agapanthus1]

It’s a relief to know it’s not just me! Sounds like you had a lucky escape. It’s six months later and I’m still trying to heal. I was in a wheelchair, then walking with a stick. Now I can walk unaided big only for about 15 minutes and I’m very fatigued ans still have numbness in my knees. Absolutely nightmare. Doctors were both clueless and arse covering!!

[Hidden]

just posted link to Drugs that deplete B Vitamins.

(Love Agapanthus by the way lol)

[Agapanthus1 in reply to Hidden]

Great. I can’t see that, where should I look? Thanks so much 😊

[Hidden in reply to Agapanthus1]

perhaps someone can do direct link for me.

Goggled : NSAIDS and Vitamin B12 Deficiency

Scrolled down to the website drperlmutter.com

Hope you find it OK

[ForViolet in reply to Hidden]

blog.vitasciences.com/vitam...

[ForViolet in reply to ForViolet]

The following prescription medications may trigger vitamin B12 deficiency:

AminoglycosidesCephalosporinsChlorotrianiseneChlortetracyclineCholestyramine (Cholybar®, Questran®)Cimetidine (Tagamet®)Clofibrate (Atromid-S®)Colchicine- (ColBenemid®)ColestipolCo-trimoxazoleDemeclocyclineFamotidineFluoroquinolonesLansoprazoleMacrolidesMetforminMethyldopa (Aldomet®)MinocyclineNeomycinNizatidineOmeprazole (Prilosec®)Oral contraceptivesOxytetracyclinePenicillinsPhenobarbitalPhenytoinPotassium chlorideRanitidine (Zantac®)SulfonamidesTetracyclinesTrimethoprim- (TMP/SMX)Valproic Acid (Depakene®)Zidovudine

The list is more clear in the article at the above link. violet

[Agapanthus1 in reply to ForViolet]

Thanks. To think I was put on PPIs before I had my PA diagnosed. 😞

[Hidden in reply to Agapanthus1]

anti inflammatory also affects B12, along with co codamol

[Hidden in reply to ForViolet]

thanks for that, I became allergic to cephalosplorin ( family of antibiotics)

In my twenties. Head to toes in a rash, also had nerve studies on face ... So it was probably vit 12 d then

[Polaris]

A list of drugs that deplete B12 is given here:

stlukes-stl.com/health-cont...

ncbi.nlm.nih.gov/pmc/articl...

[Agapanthus1 in reply to Polaris]

thanks for this. I can’t work out if Nitrofurantoin is on this but it should be. Here’s the link where it states Nitrofurantoin should be used in caution with vit b & folate deficiency.

cks.nice.org.uk/topics/urin...