1. detoxin momma
    CHICAGO (AP) — Emergency rooms are where many patients are first introduced to powerful opioid painkillers, but what if doctors offered over-the-counter pills instead? A new study tested that approach on patients with broken bones and sprains and found pain relievers sold as Tylenol and Motrin worked as well as opioids at reducing severe pain.

    The results challenge common ER practice for treating short-term, severe pain and could prompt changes that would help prevent new patients from becoming addicted.

    The study has limitations: It only looked at short-term pain relief in the emergency room and researchers didn't evaluate how patients managed their pain after leaving the hospital.

    But given the scope of the U.S. opioid epidemic — more than 2 million Americans are addicted to opioid painkillers or heroin — experts say any dent in the problem could be meaningful.

    Results were published Tuesday in the Journal of the American Medical Association.

    Long-term opioid use often begins with a prescription painkiller for short-term pain, and use of these drugs in the ER has risen in recent years. Previous studies have shown opioids were prescribed in nearly one-third of ER visits and about 1 out of 5 ER patients are sent home with opioid prescriptions.

    "Preventing new patients from becoming addicted to opioids may have a greater effect on the opioid epidemic than providing sustained treatment to patients already addicted," Dr. Demetrios Kyriacou, an emergency medicine specialist at Northwestern University, wrote in an accompanying editorial.

    The study involved 411 adults treated in two emergency rooms at Montefiore Medical Center in New York City. Their injuries included leg and arm fractures or sprains. All were given acetaminophen, the main ingredient in Tylenol, plus either ibuprofen, the main ingredient in Motrin, or one of three opioids: oxycodone, hydrocodone or codeine. They were given standard doses and were not told which drug combo they received.

    Patients rated their pain levels before taking the medicine and two hours later. On average, pain scores dropped from almost 9 on a 10-point scale to about 5, with negligible differences between the groups.

    Ibuprofen and acetaminophen affect different pain receptors in the body so using the two drugs together may be especially potent, said Dr. Andrew Chang, an emergency medicine professor at Albany Medical College in upstate New York, who led the study.

    He noted that a pill combining ibuprofen and acetaminophen is available in other countries; his findings echo research from Canada and Australia testing that pill against opioids for pain relief.

    Image: Google image search

    Original Source

    Written by: Lindsey Tanner, Nov 8, 2017, CNBC

Recent User Reviews

  1. Coldchicken
    "Total BS"
    3/5, 3 out of 5, reviewed Nov 8, 2017
    They have been doing that for quite a while where I live. Tylenol does not come close to any opioid. How can they even publish something like that?? I am basing this on common sense and personal experience. Try this: take an aspirin then burn yourself with a cigarette. Then shoot up heroin and burn yourself with a cigarette. Feel the result.
  2. la fee brune
    3/5, 3 out of 5, reviewed Nov 8, 2017
    The article would have made a much better case if there had been links to the study it discusses, as well as links to the ones echoing the findings.

    I find it really hard to believe that patients couldn't distinguish between opioids and OTC painkillers. I know I'd be able to tell the difference...
  3. Yellow Brick Reality
    "Limited data pain scores are subjective"
    3/5, 3 out of 5, reviewed Nov 8, 2017
    Of course they will have a ridiculous study that shows that Tylenol and ibuprofen are just as effective as opiates.
    These pain scores are entirely subjective. The patient rates there own pain and despite no signs of symptoms of any pain at all, they rate it a 9! Really because you were sleeping when I came in the room?
    Happens multiple times everyday single day at my work.
    When someone really has a 9 for a pain rating, you know it. They are screaming or crying. The symptoms are there. But to expect acetaminophen or ibuprofen to work with a fractured bone is completely ridiculous.
    This extremely limited study gives doctors another justification to withhold adequate pain relief to their patients.
    I’m really sick of this and we’ve only just begun.
    perro-salchicha614 and JaneGault like this.


  1. Coldchicken
    Oh please! What is this?? Try this: take an aspirin then burn yourself with a cigarette. Then shoot up heroin and burn yourself with a cigarette. Feel the result.
    1. View previous replies...
    2. FalcoHere
      The difference between analgesia between an opiate, ibuprofen, acetaminophen, and a dissociative analgesic like ketamine is very profound. When I take opiates pain just seems to float away, and on ketamine it doesn’t even register. Ibuprofen couldn’t even reduce my pain after getting my wisdom teeth removed, codeine however, did help.
    3. Coldchicken
      @uzboth I would feel it, it just took a while. I have a bunch of scars. That was when I used real good H tho. It would burn right thru my cloths and burn me and I would wake up and not think much of it. I'd see the scars the next day and freak out.
    4. Coldchicken
      @FalcoHere I hear ya. That's a good way of putting it. The pain does seem to float away.
  2. Shawana
    I took a drug test for my pain management and I did cocaine 7 days Pryor about a half of a gram will it show up on my next Doc visit
  3. Coldchicken
    @Shawana I gotta admit this is a weird place to post this. There are many variables that are factored in with these things. I'd like to say no, it won't show up, but it all depends on the type of test, what you did in between, the amount you've used. I suggest you start a new thread.
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