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Dr. Andrew Rynne

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Which painkiller would be safe for headaches due to cervical disc herniation?

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Dr. Gopal Goel

Orthopaedic Surgeon

Practicing since :1983

Answered : 1389 Questions

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Posted on Tue, 13 Nov 2018 in Bones, Muscles and Joints
Question: hello, 42 year old male with acid reflux and a bulging C-7 cervical disc injury. I take Atorvastatin 10mg and Pantoprazole 40mg twice a day. I suffer from headaches occasionally due to the disc problem. I take NSAIDS once every week or two weeks for pain when my neck flares up. My question is: Which painkiller would be safe for me and dosage amount? I usually take Advil 200-400mg. I am contemplating surgery to repair the disc. Thanks XXXX
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Answered by Dr. Gopal Goel 1 hour later
Brief Answer:
Can take a combination of paracetamol and tramadol.

Detailed Answer:

Hi,

I have read the description given by you.

As far as the safety of painkillers - no painkiller would be safe for long-term use. Since you are taking Advil, not very frequently, you can continue with it but it may increase esophageal reflux by causing gastritis.

I recommend to all my patients a combination of Tramadol and Paracetamol (as and when required). This medicines acts on a central nervous system and does not cause gastritis. Various brand names are available but you will have to look with a local chemist for the brand name. It may cause some nausea.
Alternatively, you can take Etoricoxib. It causes less gastritis.

Thanx for the question.

Regards,
Dr. Gopal Goel, Orthopedic Surgeon
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