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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Insomnia. Taking Ibuprofen And Codeine. How To Get Rid From Taking Tablets?

Need help Quitting Nuprofen Plus- Ibuprofen and Codeine (12mg). been doing this for a couple of years, started low and has graduated to 768mg of codeine, which is 64 tablets a day, every after a meal in the morning and at lunch. 32 after breakfast and 32 after lunch; With 8mg to 12 mg= 512mg or 768mg /day Quit before for about a month but re-started due to psyschological issues and cravings. Withdrawls (immediate) not very bad for me, but insomnia was really bad and the only one i could do without. Need to have help during the first month in regards the psychological withdrawl symptoms through a support structure if possible. Who do i chat with please. Thanks and live in Europe
Thu, 13 Sep 2012
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Internal Medicine Specialist 's  Response
Hi Pati,
Thanks for writing in to Healthcare Magic!
You are taking the codeine in dangerous doses.
Please try to swap the medicine as told below.
Reduce 10% of tablets of ibuprofen and codeine every day.
Simultaneously start Tab. Tramadol 50 mg thrice a day x week
and tablet Lorazepam 2mg at bed time once a day under physician supervision.
After a week make Tramadol twice a day.
In third week tramadol only at bed time and Lorazepam 1mg at bed time.
Then in fourth week only 1mg Lorazepam which would be tapered 0.5mg x 1week then stop.
Then you can sustain without addiction.
If you have any further query please let me know I would try to answer it for you.
Wish you a great health!
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Insomnia. Taking Ibuprofen And Codeine. How To Get Rid From Taking Tablets?

Hi Pati, Thanks for writing in to Healthcare Magic! You are taking the codeine in dangerous doses. Please try to swap the medicine as told below. Reduce 10% of tablets of ibuprofen and codeine every day. Simultaneously start Tab. Tramadol 50 mg thrice a day x week and tablet Lorazepam 2mg at bed time once a day under physician supervision. After a week make Tramadol twice a day. In third week tramadol only at bed time and Lorazepam 1mg at bed time. Then in fourth week only 1mg Lorazepam which would be tapered 0.5mg x 1week then stop. Then you can sustain without addiction. If you have any further query please let me know I would try to answer it for you. Wish you a great health!