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go to this site and find a pain rep in your area.
They will give you the names of compassionate doctors who will treat migraines with pain meds if needed.
If your headaches are being taken care of by Darvocet, then you really do not need an opiod as darvocette is about as strong as tylenol aspirn.
http://www.widomaker.com/~skipb/skiphome.htm.html
Try the site again, I think I messed up last time
In a normal physical, there are no tests to detect narcotics like codiene or vicodin. Pre-employment and, of course, parole or probation dept tests would look for the metabolites of opiates in your urine. But your family MD won't be testing for those things unless you ask him to. 2.5 Vic ES per 4 hrs? Relax. Narcotics in themselves rarely cause direct damage to the body. As drugs go, they're pretty benign (harmless). What you have to watch out for is the Tylenol in the Vicodin. You're taking basically, 2.5 extra stength Tylenols every 4 hrs. That's about the upper limit of what someone should be taking over a long term. One big warning for you: NEVER combine alcohol with Tylenol. People have died from mixing a few beers with a couple Tylenol! You should be staying away from the booze anyway with migraines. By in large, docs don't like to dispense a lot of narcotics for headache patients. There's a trust issue there, plus, if you really do have classic migraines, the imitrex and other drugs like it should relieve your pain. If they don't, that pretty much tells the doc you don't have true migraines. If they persist, you'll be in for some expensive brain scans and the like. Have you had an MRI? Headaches can be phsycologically motivated, too, and that makes DR's even less willing to put you on addictive drugs like the good ole Vics. I got terrible headaches that weren't migraines for years until I changed professions and started writing for a living, something I love. That "cured' my "migraines." You might take a good look at your life in general. Headaches can be caused by depression and, in turn, perpetuate the depression, creating a neverending cycle. Add addiction to that picture and you'll really be a mess! See a specialist like Dr Steve suggested. Don't go on suffering.
Can someone really die from beers and a few Tylenol? Or might there be a pre-disposing condition that is being exacerbated by the acetaminophen and alcohol? In my day, I used to take quite a few Vics or Tylenol with codeine...and I would drink, too. And all my addict/recovering addict friends did the same thing. We never had a problem (other than the obvious addiction). There's been a bit of hype in the press lately about acetaminophen, alcohol and liver damage...but most of the evidence re: unintentional overdoses are anecdotal, at best. There are people who have been taking large amounts of Tylenol for years, and seem to be fine. This would suggest confounding factors in the cases that are not fine--like a co-morbidity of some sort.
Again--this is not meant to be a criticism of your post. I'm just interested in your opinion or some additional information. I must admit, I don't know what to believe. Every now and then, when I take a few plain old Tylenol (ie, no narcotic blend), I feel my lower abdomen jump around a lot. And I actually imagine that it could be my liver protesting. But my doc says that's impossible...