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Drug treatment guide for pancreatitis and alcoholic hepatitis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
Doctor :   Dr here
User :   hi
Doctor :   how can i help you ?
User :   i have chronic pancreatitis and alcoholic hepatitis
User :   but now i aint drinking, so i am getting better
User :   everyday i get abdomen pain, in which tramadol, nsaid's, dicyclomine etc nothing helps
Doctor :   ok
User :   the only med that helps is proxyvon. But it has paracetamol ! my doc has strictly said not to even a little of paracetamol, otherwise the liver wont heal
Doctor :   may i know how did u end up having pancreatitis ?
User :   so my question is that is there any meds which has dextropropoxyphene solo or dextropropoxyphene with sumthing else like ibuprufen that wont harm the liver if taken in limit
Doctor :   and did u ever use paracetamol and this leading to side effects ?
User :   no no !!! onlytoo much alcohol !! now paracetamol is not been allowed as the liver is too big
Doctor :   Doloxene is one medication, that has 65 mg of dextroprophoxyphene
Doctor :   paracetamol is a safe medication , with the maximum daily dose of 4000mg per day
Doctor :   doses less than 100mg are safe
Doctor :   i mean 1000 mg
Doctor :   But Doloxene is not freely available in
Doctor :   it has been started just a few months ago
User :   so any brand like that ???? propoxyphene without acetaminophen??
Doctor :   No such a preparation has not been adviced by the drug coucil of india
User :   there are many brands like ibu-proxyvon which have dextropropoxyphene + ibuprufen, mentioned in the CIMS online
User :   but they are not available now
Doctor :   yes , but not dextropropoxyphene alone
User :   ok ok
User :   dextropropoxyphene with anything except paracetamol ! thats what i need
Doctor :   I am very sure, that you have been misinformed by your doctor about the use of paracetamol
Doctor :   since your blood tests have been normal, including your LFTs, there is no need to be apprehensive about a small dosage of paracetamol
Doctor :   but if you are compatible with combination of dextropropoxyphene + ibuprufen ., u can take it without any issues
User :   lft is normal !!! but GGT is very high at 700 ! earlier it was 2000 ! so better ! but in USG the liver and apllen r big ! hepatospleenogelamy
User :   combination of dextropropoxyphene + ibuprufen ------- Brand names readily available plsssss
Doctor :   that is due to alcohol intake induced alcoholic hepatitis
Doctor :   how are the ALT or AST levels ?
User :   normal currently !!
User :   after 2 months of no alcohol
Doctor :   in that case, this is not going to affect with the use of paracetamol
Doctor :   your doctor has adviced you not to take paraceamol, just as a precaution
Doctor :   so that you will refrain from taking more than 4000 mg
User :   neways for mental satisfaction !! combination of dextropropoxyphene + ibuprufen ------- Brand names readily available plsssss
Doctor :   corbutyl
Doctor :   DEXOVON cap
Doctor :   lobain = dextropropoxyphene + ibuprufen
Doctor :   parvon forte
User :   dexovon and corbutyl are with ibuprufen ???
Doctor :   no
Doctor :   they have paracetamol
Doctor :   but lobain, and parvon forte are with ibuprofen
User :   got these two from the cims book ! but to be found
User :   but not available newhere
Doctor :   there are many generics available with different names
User :   they are from companies which are not distributing in West Bengal
Doctor :   you can ask the pharmacist and he will provide it to you
User :   they simply say these r frm companies not active here in kolkata
User :   i mean even big pharmacies
Doctor :   drug companies in india manufacture drugs which can sell
Doctor :   and most of these companies are generic, so if the combination of medication is not in great demand they will not manufacture it
User :   so like u sure if i take 1.2 gms of paracetamol daily, its ok
Doctor :   the combination of dextropropoxyphene + ibuprufen will not be in great demand, as the combination of dextropropoxyphene + PCT sells more
Doctor :   yes , definitely
User :   ok !!
User :   i tried ethyl morphine tablet also
User :   but it gave terrible acidity for 2 days !! cudnt eat at all and lots of itching
Doctor :   the toxic dosage of PCT in a human is when u take 30-50 tabs of PCT
Doctor :   When taken in normal therapeutic doses, paracetamol has been shown to be safe.
Doctor :   Are u there ?
User :   yes
User :   i will talk to my doc again and lets see
User :   thanx a lot
Doctor :   you are welcome
Doctor :   I hope i have cleared your doubts
User :   y thanx
Doctor :   As long as ur LFTs are normal, taking doses less than 1000 mg is ok
User :   !! bye
User :   ok
Doctor :   take care and bye for now
User :   so in my case its max 1000 mg
User :   in a normal guy its 4000 mg
Doctor :   yes thats right
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