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Side effects of prolonged use of analgesics - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Medicines and Side Effects
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi, I take 2 nurofen plus a day, I had a hip replacement 6 months ago, is this bad for my health?
Doctor :   Hi..
User :   Hello
Doctor :   yeah
Doctor :   May i know your age?
User :   44
Doctor :   LONG TERM USE
Doctor :   o f analgesics will damage your kidneys
Doctor :   Are you a diabetic?
User :   no
Doctor :   analgesic =pain killer
Doctor :   Did your doctor ask you to take for long?
User :   no, my doctor had me on oxycontin and endone before my operation as i was bone on bone, after the operation i was on the same for a few weeks, then i started taking nurofen plus, 2 tablets once a day.
Doctor :   Analgesic nephropathy is injury to the kidney caused by analgesic medications such as aspirin, phenacetin, and paracetamol.
Doctor :   Analgesics are a class of medications widely used in the treatment of pain.
Doctor :   They include aspirin and other non-steroidal anti-inflammatory drugs (NSAIDs), as well as the antipyretics paracetamol (known as acetaminophen i
Doctor :   Common findings in patients with analgesic kidney damage include headache, anemia, high blood pressure (hypertension), and white blood cells in the urine (pyuria)
User :   i understand that, it is just that i was reading that some people take up to 50 tablets a day, which I would never dream of taking, which made me think maybe taking 2 was not good for my health
Doctor :   ok
Doctor :   taking for more than 4 weeks is not advised
User :   i still have some pain from the operation and find i need some pain relief but nothing like before
Doctor :   nurofen plus has ibuprofen and codeine phosphate.
User :   yes
Doctor :   ok
Doctor :   was your hip replaced
Doctor :   with prosthesis
User :   what would you suggest for the pain as an alternative? Panadol does not help
User :   yes, i had hip dysplasia
Doctor :   any analgesic for long term is not advised
Doctor :   what you should do is physiotherapy and muscle strengthening exercises
Doctor :   in those areas to reduce the pain senation
Doctor :   are you doing any rehabilitation exercises now?
User :   ok, i was doing that, but i have a very demanding long hour job, so that ended that
Doctor :   ok
User :   i was back at work 3 weeks after my operation
Doctor :   are you on regular follow up?
Doctor :   ok good
User :   no, not even that
Doctor :   rehabilitation incorporates stepping, walking, and climbing.
Doctor :   Initially, supportive devices such as a walker or crutches are used.
User :   i do all those
Doctor :   Pain is monitored while exercise takes place.
Doctor :   Some degree of discomfort is normal.
User :   i walk alot, up and down stairs everyday
Doctor :   Physical therapy is extremely important in the overall outcome of any joint replacement surgery.
Doctor :   ok good
User :   maybe i have been doing too much too soon
Doctor :   that will help you relieve pain slowly
User :   ok
Doctor :   ok go as per advise of your surgeon
Doctor :   since he has the real idea of your hip damage
User :   ok, i will make an appt with him
Doctor :   The goals of physical therapy are to prevent contractures, improve patient education, and strengthen muscles around the hip joint through controlled exercises.
Doctor :   Specific techniques of body posturing, sitting, and using an elevated toilet seat can be extremely helpful.
Doctor :   Occupational therapists are also part of the rehabilitation process. These therapists review precautions with the patients related to everyday activities.
User :   i don't use any of those anymore
Doctor :   ok
User :   those a really only for the first 6 weeks
Doctor :   Patient education is important to ensure longevity of the replaced hip. Strenuous exercises such as running or contact sports are discouraged, since these activities can re-injure the replaced hip. Swimming is ideal in improving muscle strength and promoting mobility and endurance.
Doctor :   so do get an appointment with your surgeon
Doctor :   and dicscuss these
Doctor :   Thanks for consulting...
Doctor :   Bye for now....
Doctor :   Take care...
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