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Medicines for TMJ pain - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: TMJ
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   hello i have a question about combining medications.. i took 5 mg of percocet earlier this evening (about 4 hrs ago) and would like to take a dose of advil pm to go to bed. is this safe?
Doctor :   hi
User :   hi!
Doctor :   you can take them
Doctor :   it can result in gastritis
User :   what is that
Doctor :   so you should be careful and take OTC acid suppressant along with the advil now
Doctor :   to counteract the gastritis, and not have effects like nausea, stomach pain
Doctor :   what symptoms are you having at present?
User :   okay. but otherwise it is ok? it's not too much depressant?
Doctor :   why do you want to combine them? were they prescribed to you?
User :   the percocet was. but i don't take it regularly. the advil pm i've been taking regularly. i have TMJ, and take the advil pm before bed. the percocet i only i take if the pain is very bad.
User :   but, as you cen tell from my question, i rarely take the percocet.
Doctor :   ok
User :   ok well thank you very much.
Doctor :   has the cause for TMJ found out?
Doctor :   both the medications are for pain relief and control of inflammation
Doctor :   and can result in gastritis, as in higher dose they are known to cause irritation to gastric mucosa
User :   right. the cause for the tmj was not found out
User :   i've been to several oral surgeons, had xrays, and was told it is stress related
Doctor :   which then secretes more acid leading to symptoms like pain, nausea, vomiting
User :   however the pain can be very very bad.
User :   i've adjusted things, like not eating chewy foods, being conscientious about not clenching my jaw, etc. but it is still a daily problem.
Doctor :   i suggest you to visit a dental surgeon for it,
Doctor :   there are maneuvers and exercises that can be done to strengthen the TMJ joint and avoid pain.
Doctor :   and also get a work up done for causes like fibromyalgia
User :   i will. i actually got a new referral the other day and am planning on calling. however i will say that none of the oral surgeons i have seen have ever suggested exercises...
Doctor :   that coul dbe responsible for recurrent pain
User :   i should ask for that workup?
Doctor :   yes, you can discuss with your treating doctor the options to get the work up done
User :   ok.
Doctor :   and also for giving you device prescription to stop involuntary clenching of teeth at night
User :   i was given a drug named flexoral once to take at night but it made me feel horrible in the morning.
Doctor :   if nothing works, then the option of getting a splint to fix the problem should be considered.
User :   are there better ones out there?
Doctor :   the permanent solution is surgery and splint, medications and exercises are temporary measures to control pain.
Doctor :   have you followed what i have said?
User :   right, i was told about the surgery. yes. i have followed. and i appreciate the advice. i will follow it.
Doctor :   is there anything else i can help you with?
User :   no, you've been a great help.
User :   thank you agin.
User :   *again
Doctor :   Please fill the feedback form say done when done
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service. Please chat with our doctors 24/7 for medical queries.
User :   Thank you. Good night.
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