The Use Of Alcohol With Acetaminophen

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Ken Says:

I'm on T3's and naproxen for my chronic back pain and just found out the implications of the use of alcohol with this medication. I am not an alcoholic, but I do enjoy my beer. I asked my Doctor for a replacement analgesic, but he just canceled my T3's, leaving me only the naproxen, not enough. I'm currently looking for a new Doctor and would appreciate some alternative pain killer suggestions, I'm not allergic to anything, but Im on some anti depresents,buproprion,sertralin, resperidon.

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Lauren Says:

Your risk is related more to the acetaminophen than the codeine, although your doctor may fear the opiate use more. More people suffered liver failure last year, due to overdoses of acetaminophen than any other single cause, so the risk is real.

In any case, 30 mg of codeine is not considered nearly a big dose for a "chronic pain" patient. (I say that b/c I worked in a pain clinic, and have myself been a pain patient for both spinal injury and a broken leg, for over a decade.

Due to the risks from acetaminophen, however, most physicians prescribe hydrocodone or oxycodone alone, with no acetaminophen added. You can also (usually) take the NSAID (naprosyn, Ibuprofen, etc) along or alternately with the opiates they prescribe. These medications, along with physical therapy, have done wonders for my activity level.

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BL Says:

Ken, you need tp get a copy if your medical records ans read them. Chances are your dr has put in your medical records that you have a drinking problem. He cancelled your Tylenol #3 rx because you choose to mix opiates with alcohol. Mixing opiates with alcohol can cause injury and even death, no dr is going to want to take a high risk patient.

If you go to a new dr and ask for a certain med, if it is an opiate that is a red flag for drug seeking. Most new dr will get a copy of your medical records from your current dr. if your current dr has written anything regarding you having a alcohol problem, good luck with getting any type of opiate as well as certain other meds.

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Ken Says:

From Ken: Thanks to your input I was able to get a new Doctor that will look after my other needs and will entertain analgesic relief in Febuary. I t may verry well be that the simplest thing to do is stop the alcohol use while on pain treatment. Afterall once I rebuild my core mussels I wont need pain killers, nor my backbrace. Why February? The superbowl is in Feb. after that I am willing to forgo my beer for my back, I've got 7months before football returns. Thanks

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