What painkillers can I take together

[Sophiejayj2]

Hello my name is Julie I suffer with rheumatoid arthritis I've just taken one co-codamol as I don't really like taking them because they make me feel sick but can I take prednisolone at the same time I took the co-codamol about 45 minutes ago I'm just in so much pain I want to know what else I can take with the co-codamol but I don't want to do myself need help ASAP thank you

[GOOD_GRIEF]

You need to speak to your medical team. It's obvious that your treatment isn't working. You should not be in so much pain that your are desperate for relief.

[Sophiejayj2 in reply to GOOD_GRIEF]

Thank u both I have a appiontment this afternoon at the doctors. Xx

[PMRpro Ambassador]

I have to agree with GG - you must tell your doctor if you are in that sort of pain.

[Telian]

You do need to speak to your doctor....

[Hidden]

So sorry you are in so much pain,please explain to your Dr how bad it is,hoping he will give you something to help you.Virtual hugs.xx

[Sophiejayj2]

Thank u so much.x

[PMRnewbie2017]

Ditto to all of the other comments.

Also on a clinical/pharmacological level:

There's little point taking meds at a sub-therapeutic dose. It makes sense to take the recommended dose or not bother because the blood levels which need to be achieved for the med to work are based on the blood level achieved after a dose is taken. So if you take only one co-codamol you probably won't get the analgesic benefits but do get the side effects!

Also if co-codamol makes you feel sick, are you sensitive to Opioids?? These are meds which are derived from morphine chemically and include codeine, dihydrocodeine, tramadol, diamorphine, pethidine, dipipanone, meptazinol etc. Perhaps you should discuss this with your GP too?

You can take the pred at the same time as paracetamol etc. Caution should be exercised with NSAID's (non-steroidal anti inflammatories such as Ibuprofen, Naproxen etc) because of the risk of developing gastric ulcers.

Paracetamol, although not anti-inflammatory is still a good pain killer if taken regularly at the recommended dose of 2 tabs four times a day.

Good luck with your chat with the Doc.

[Sophiejayj2 in reply to PMRnewbie2017]

Thank u

[GOOD_GRIEF in reply to PMRnewbie2017]

Sorry but I have to say the opioids are just not a good idea.

Some people can become addicted after as little as 5 days.

[PMRnewbie2017 in reply to GOOD_GRIEF]

Yes, I agree. Perhaps I didn't stress the point sufficiently. I was suggesting that the ladies' nausea could be from the codeine. It is frequently underestimated how many patients are Opioid sensitive, and tramadol causes a lot of issues for many people in regard to nausea, dizziness and cognitive function!!

[Sophiejayj2]

Went doctors this afternoon they have put me on 8 steroidsat day for 8 days and antibiotics in case I've got an infection in my elbow where is so swollen.x

[Hidden in reply to Sophiejayj2]

Glad you’ve seen your GP & he’s increased your Pred & given you Antibiotics incase you have an infection. Did he mention anything re Pain Meds for you if necessary?

[Hollyseden in reply to Sophiejayj2]

Hope the doctors advice helps you get some relief from your pain

[Sophiejayj2]

Is only Co-codamol and steroids and paracetamol I can take as all the other painkillers I've had like naproxen and tramadol and that and they've made me really ill but they're referring me to a pain management

[Bailybiscuit in reply to Sophiejayj2]

You must not take paracetamol at the same time as co codamol if that's what you mean as it already has paracetamol in it.

[AndrewT]

Dear Sophiejayj2,

I can only 'Echo', the comments above....TELL, your Doctor/ Consultant, about the PAIN that you are in. Don't pull your Metaphoric Punches, in fact, lay it done Really Thick. You should NOT be in such pain Sophie, simple as that!

Please do, let us know, how you get on with the Doctor. Hopefully (s)he will be able to Help you Sophie. Please let us know how you 'Get On', will you?

Wishing you Well

AndrewT

[Sophiejayj2]

Went doctors yesterday and u feel so much better today thank god