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Can’t take NSAID drugs like ibuprofen or Co-codamol. What else can be done?

(82 Posts)
Lovetopaint037 Wed 30-Jul-25 17:31:34

I had a nasty fall almost two weeks ago.When I have had falls before I have taken the above but saw a warning about not taking them if you have had a bleeding ulcer. I had a very large bleeding hiatus hernia discovered in January which took 6 weeks of very high doses of Omeprazole to heal. So having had them for a short time I now realise I can’t take them so keeping to ice and voltorol. Can anyone suggest anything else? I am 84 and do not want to go to a physiotherapist. If I contact the doctor they will suggest this as apparently you have to see a physio three times before they can suggest anything else. This is the third time I have fallen badly on my back. As well as other falls involving stitches etc. Just fed up as have other problems. Any suggestions would be welcome.

MayBee70 Thu 14-Aug-25 10:22:11

If you’re having falls I know at one time you could put a sticker on your door and kept a container in the fridge with your repeat prescription in it so, if eg ( worst case scenario) paramedics were called out they would know straight away what medication you were on. Having said that I’m way behind the times and they will have access to that straight away.

Lovetopaint037 Thu 14-Aug-25 01:45:56

Thank you pablyI will look into that.

Lovetopaint037 Thu 14-Aug-25 01:39:29

Thank you everyone. I was taking the correct amount of paracetomal which is no more than 1000 per dose. This was made up as only one cocodomal
which contains 500 paracetomal and one paracetamol which contains 500. I wrote this all down for the doctor and he had no objection.and issued me with50 15/500 so after a few days I could go down from 30/500. The over the counter one is 8/500. This was explained to me by my daughter who is a nurse. I was aware that it can make you drowsy but I was alright and feeling better until this blooming UT I and the antibiotics. I certainly need some help to prevent more falls. Thank you Silverlady that is good advice. I will be asking for the referral in a few days.

growstuff Wed 13-Aug-25 21:09:34

Lovetopaint I expect you already know that co-codamol can make you feel confused, drowsy or dizzy, especially if you're not used to them. They could have contributed to your fall rather than the antibiotics.

pably15 Wed 13-Aug-25 19:44:25

both O H and myself use T E N S machine for back pain physio recommended it...

Silverlady333 Wed 13-Aug-25 19:31:05

Having a UTI can cause disorientation and cause you to fall so be careful! Also get your GP to see if you can get an OT assessment. there are aids that you can get to help you such as a second hand rail on your stair case and walking aids. Extra grip handles in the bathroom, all sorts of stuff. Prevention is better than cure!

Madmeg Wed 13-Aug-25 19:29:32

I was also told that I couldn't take ibuprofen but a later GP said it was fine to take it for a couple of months if I also took a stomach-protector pill. Since then both I and DH have been taking (different) stomach protectors.

I was also told that topical ibuprofen and similar are fine to use.

Codeine is from Morphine, so take care with it. Both can cause severe constipation (they do with me), and there are different strengths. The higher strengths are only available on prescriptions. Some people take them and don't have any problem with constipation.

MayBee70 Wed 13-Aug-25 16:45:52

I guess it's ok in that you're only taking 2x500mg paracetamol altogethe each time but I'd still be wary of mixing and matching prescription medication especially paracetamol.

MayBee70 Wed 13-Aug-25 16:38:30

You must not take more paracetamol with co codamol which contains paracetamol.

Lovetopaint037 Wed 13-Aug-25 16:22:11

afte my fall and a half weeks ago and being told what I could or could not take for medication I was in a lot of pain a week and a half ago. My daughter came to see me and said that just taking cocodomal on odd occasions and depending on paracetomal ice and voltorol hadn’t allowed me to get on top of the pain. She went back home and returned with cocodomal 30/500. Which she had given her for pre hip replacement pain. I was worried about taking two at a time so we settled on one 30/500 and one paracetomal. I then rang my other daughter who lives 150 miles away and is an experienced nurse. She said that was fine and reiterated about getting on top of the pain. Shetoldme to take that for a week and then ask the doctor for 15/500with a view to gradually reducing the doses. I triaged all this to the surgery and he has given me 50 of the 15/500. The advice seemed to be helping until I now have a UTI. I triaged surgery again and dh took a urine sample to the surgery. This was positive so started on Pivmecillinan yesterday. Last night Igot up for the loo and felt wonky then I went again and found I was lying on the landing floor with a great lump and bruise on my elbow and my lower back hurting again. Managed to pull myself up on the bannister and get to the bed. Dh is stone deaf without his hearing aids so calling out was a waste of breath. I left him for quite a time before slowly waking him up. He made me a cup of tea and looked after me. For the rest of the night he stayed awake and accompanied me to the toilet and looked after me. I am banned from going down the stairs. I feel so shaky and so upset with myself.
I was fine up and down the stairs before this last episode. I have taken the antibiotics before and never had a problem. Will contact the surgery regarding the clinic referral.
but can’t manage that at the moment.

Caleo Tue 05-Aug-25 12:38:49

Claremont

Caleo

The informtion from ChatGPT is complex and unless you are accustomed to and good at self medication you need the advice of a doctor.

Exactly- I cannot fathom why GN allows complex and potentially dangerous medical advice to be metered out by ChatGPT and strangers.

Ought Gransnet to be a nanny to members?

AI is open to everyone , take it or leave it.

Jennerdysphoria Sun 03-Aug-25 02:12:30

Hypnosis is now medically respected and accepted as a treatment after lots of research, and it works for some people. I am a retired academic, and looked into this. I got an audiotape made for myself, using a script from a book on pain relief for cancer patients. I was having pain symptoms similar to polymyalgia rheumatica (though not conclusively diagnosed - so no treatment offered other than physiotherapy). The acute pains stopped after using the hypnosis tape. I still have stiffness, but am much better pain-wise.

EEJit Sat 02-Aug-25 22:27:12

See your doctor, that's what he is for

Claremont Sat 02-Aug-25 22:07:07

Caleo

The informtion from ChatGPT is complex and unless you are accustomed to and good at self medication you need the advice of a doctor.

Exactly- I cannot fathom why GN allows complex and potentially dangerous medical advice to be metered out by ChatGPT and strangers.

RedRidingHood Sat 02-Aug-25 15:44:27

Nanato3

*SEE YOUR GP.* They've got to give you something for pain relief and find out why you keep falling. There are things they can do to help you to stop falls.

This.
Having said that I also had gastritis caused in part by ibuprofen so I steer well away.
I don't have any problem with volterol (or non branded diclofenic which I use for rheumatoid arthritis. It's not touching the stomach and you'd need to use a lot to cause stomach issues.
Cocodamol causes constipation so best used with a laxative if affected.
I have a heated pad which is soothing when my back is bad.

Caleo Sat 02-Aug-25 10:57:42

The informtion from ChatGPT is complex and unless you are accustomed to and good at self medication you need the advice of a doctor.

Caleo Sat 02-Aug-25 10:55:28

The following is information from ChatGPT.

Alternatives to NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) depend on the reason you're taking them — whether it's for pain, inflammation, arthritis, or fever. Here's a breakdown by purpose, along with safer or non-NSAID options:

🔹 For Pain Relief (Analgesic alternatives)
Acetaminophen (Paracetamol / Tylenol):

Pros: Safer for the stomach and kidneys than NSAIDs

Cons: Less effective for inflammatory pain, risk of liver toxicity at high doses

Topical Analgesics:

Examples: Lidocaine patches, capsaicin cream, menthol-based rubs

Best for: Localized joint or muscle pain

Antidepressants (for chronic pain):

Examples: Amitriptyline, duloxetine (Cymbalta)

Best for: Neuropathic pain, fibromyalgia

Anticonvulsants (for nerve pain):

Examples: Gabapentin, pregabalin

Best for: Sciatica, postherpetic neuralgia, diabetic neuropathy

🔹 For Inflammation
Steroids (Corticosteroids):

Examples: Prednisone, methylprednisolone

Use: Short-term flare-ups (e.g., arthritis, autoimmune conditions)

Caution: Long-term use has significant side effects

DMARDs / Biologics (for autoimmune diseases):

Examples: Methotrexate, Humira, Enbrel

Use: For conditions like rheumatoid arthritis, psoriatic arthritis

Requires specialist oversight

Natural Anti-inflammatories (milder):

Examples: Curcumin (turmeric), omega-3 fatty acids (fish oil), ginger, boswellia

Pros: Fewer side effects, but effects are milder and slower

🔹 For Musculoskeletal Pain
Physical Therapy / Stretching / Exercise:

Helps reduce pain long-term by improving mobility and function

Massage or Myofascial Release Therapy

Acupuncture or Dry Needling

🔹 For Fever
Acetaminophen is again the main alternative

Note: Fever isn't always harmful — the cause should guide treatment

🔹 For Osteoarthritis or Joint Issues
Hyaluronic acid injections

Platelet-rich plasma (PRP)

Heat/cold therapy

Weight management and supportive devices (braces, orthotics)

Would you like suggestions tailored to a specific condition (e.g., arthritis, migraines, back pain)? That would help narrow down the best options.




Ask ChatGPT

Jaxjacky Sat 02-Aug-25 09:44:50

Thanks for coming back Lovetopaint good you’ve had proper advice.

Jenthehen Sat 02-Aug-25 08:56:44

Second that, get checked out. Blood pressure could be dropping when uou stand up, postural drop. You need a review.

Daddima Sat 02-Aug-25 00:52:21

Daddima

I find my TENS machine very effective, and now I have a much smaller pad which works in the same way. I bought the machine from the pharmacy and the other from Amazon. Neither was expensive.

And, after saying on other posts I need to brush up on my abbreviations…..
TENS is Transcutaneous Electrical Nerve Stimulation.
OK?

Daddima Sat 02-Aug-25 00:38:30

I find my TENS machine very effective, and now I have a much smaller pad which works in the same way. I bought the machine from the pharmacy and the other from Amazon. Neither was expensive.

Lovetopaint037 Fri 01-Aug-25 23:45:45

Ps I am using ice throughout the day. That helps for a time.

Lovetopaint037 Fri 01-Aug-25 23:43:58

Thank you everyone. The reason I can’t take them is that in January an endoscopy showed I had a very large hiatus hernia which was bleeding.It took 6 weeks of massive doses of Omeprazole before it healed. I had a telephone appointment with a doctor yesterday and she told me that I could take Co-codomal but to be careful because of the side effects.She said no to the Ibuprofen unless I wanted to take the odd one as I was on Omeprazole but she wouldn’t be happy about it. So no to that.Paracetamol is fine. Voltorol must be the rub in one. She asked questions and said if it got worse to contact them again and possibly get an exray. She asked if I would like a referral to a clinic as I had so many falls. I said I was not in a state to go anywhere at the moment. She said when this was got over perhaps I could have the referral. My dd said I should have just said yes. I know she is right but I was afraid the referral would come through before I was ready. I will ask when I start to feel better. Doctor said it can take weeks to recover. Thank you all again.

FranP Fri 01-Aug-25 20:16:47

I fall too.

I was prescribed a physio but the wait (in pain) was 6 months. I paid for a osteopath, who diagnosed my pain as a detachment of the rib cage cartilage and put me right in 2 short sessions, then fixed my knees. Not cheap, but well worth freedom from pain.

I would not presume to discuss medication except to say that whatever you get, please avoid the addictive Gabapentin

welbeck Fri 01-Aug-25 15:55:21

I'd ring 111 if I were you.
Tell them the whole thing.
History of falls etc.
All the best.