[Ena]

Scary item on R4 You and Yours today, saying it's not only very high use that can lead to addiction, but even 6 a week can. I know codeine is an issue here, but most climbers I know use a lot of ibuprofen, and for some ibuprofen is a way of life. I only take a few... but too often.

http://www.bbc.co.uk/radio4/youandyours/items/03/2008_03_wed.shtml

[fatdoc]

as an acute pain healthcare type dude can I just give a brief synopsis to stop some shite scare mongering drivel from the BBC

you  just cant get addicted - pyschologically or organically to any cyclo oxgenase inhibitor (paracetamol / any NSAID), thats bollocks... the long term effects of NSAIDS are another issue.

another news filler that will cause me months of work to dispell in patients, thanks Beeb. twats.


if you are in pain that needs opioids, take them. or your at risk of chronic pain state neurological wind up.

this is a big big subject....

[Houdini]

Never ever trust prescription drugs.




I grin, bear, and know what I feel.  When that fails I smoke little pot/drink a little wine; granted, not ideal, but I feel better than the alternative.

[Nibile]

When that fails I smoke little pot/drink a little wine;

those are the reasons i take painkillers...

[Ena]

as an acute pain healthcare type dude can I just give a brief synopsis to stop some shite scare mongering drivel from the BBC

you  just cant get addicted - pyschologically or organically to any cyclo oxgenase inhibitor (paracetamol / any NSAID), thats bollocks... the long term effects of NSAIDS are another issue.

another news filler that will cause me months of work to dispell in patients, thanks Beeb. twats.


if you are in pain that needs opioids, take them. or your at risk of chronic pain state neurological wind up.

this is a big big subject....

I did wonder about how freely they used the term 'addicted'. Sorry to stir it up hope it doesn't add to your work-load too much. I suppose my interest here is more about how folk training (and just getting on with life) use these, particularly NSAIDs, to carry on with whatever is causing the problem rather than fixing that.

[Houdini]

I think you reason you take painkillers (pukka overground painkillers) is because they are better at blocking the pain, allowing you to train harder/longer.   

A shaduf is good, but a 21C electropump works 1000% better, non?

[webbo]

as an acute pain healthcare type dude can I just give a brief synopsis to stop some shite scare mongering drivel from the BBC

you  just cant get addicted - pyschologically or organically to any cyclo oxgenase inhibitor (paracetamol / any NSAID), thats bollocks... the long term effects of NSAIDS are another issue.

another news filler that will cause me months of work to dispell in patients, thanks Beeb. twats.


if you are in pain that needs opioids, take them. or your at risk of chronic pain state neurological wind up.

this is a big big subject....

this may be a big subject but to come out with a concrete statement that you can not get addicted psychologically to said painkillers could possibly indicate a short fall in communicating with addiction services/mental health services.

[fatdoc]

you know just as well as I do that commet on cyclooxgenase inhibitors is irefuteable... "simple opioid" administration is not a clear issue, again you know.

what is often not easy to fathom is the use of painkillers to reduce morbididty and disability from a then to emerge chronic pain state... young people often need long term opioids for non cancer pain... good counselling and involvment of GP, pain specialist is vital. Indeed the open discussion of dependancy  and the difference to addiction is a vital conversation to have.

as to training on nsaids to block pain - dont. rest and rehab back to power, it's a long term fix you want, not short term training and then months off - as the tears turn to rips!!

[webbo]

i may know what the science says but you try telling that to some of the punters we see in the twilight world of psychiatry.

[slackline]

Prostaglandin and myokine involvement in the cyclooxygenase-inhibiting drug enhancement of skeletal muscle adaptations to resistance exercise in older adults. Am J Physiol Regul Integr Comp Physiol. 2013 Feb;304(3):R198-205.

[TobyD]

as to training on nsaids to block pain - dont. rest and rehab back to power, it's a long term fix you want, not short term training and then months off - as the tears turn to rips!!

quite.  higher injury risk, higher risk of stomach side effects. Generally bodies complain bitterly for a reason, generally listening to them is a good idea, not scarfing down something so you can dish out some more punishment.