LIVER-SAFE PAIN MEDICATION?

[worried A LOT]

RECENTLY DIAGNOSED W/ HEP C AND WAITING (5 WKS) FOR SPECIALIST APPT.  HAVING CHRONIC ACHE AND SOME PAIN. HAVING THE ACHE/PAIN IN AREA ABOUT 1-2 INCHES BELOW WAISTLINE FROM RIGHT SIDE ACROSS TO THE LEFT SIDE OF AREA BELOW WAISTLINE (ALTHOUGH MOSTLY ON RIGHT SIDE).  PAIN IS NOT USUALLY BAD BUT CONSTANT.  CALLED THE SPECIALIST TO SEE WHAT I COULD TAKE AND WAS TOLD THAT SINCE HE HAS YET TO SEE ME AS A PT. HE CANNOT TREAT THE PAIN.  THEY RECCOMENDED TYLENOL "BUT NOT EVERY DAY".  I WILL CALL MY REGULAR M.D. BUT DON'T TRUST HIM TO ORDER THE BEST FOR MY LIVER.  I WOULD LIKE TO KNOW WHAT IS TYPICALLY USED FOR PEOPLE WITH LIVER/PAIN PROBLEMS BEFORE I CALL MY REGULAR DR.
THANKS!!!
VICKI

[Kalio1]

I take Vicoprophen, it is processed by the kidneys.
It works very well and doesn't get me all dinged out or fuzzy headed but works well on the pain. At first one pharmacy I went to had to get some as they mostly give out Vicodin not Vicoprophen, but after the initial glitch it's been fine.

One common use is dentists give it out frequently for tooth pain.

Try not to worry too much, all the waiting on appts drives you bonkers. Maybe once you control the pain you can put it out of your mind easier while you wait.

hang in there

[worried A LOT]

THANK YOU SO MUCH!!
I NOW HAVE SOMETHING TO GO ON WHEN I TALK TO MY DR. AND IT SOUNDS LIKE JUST WHAT I NEED...I DON'T WANT TO FEEL FUZZY EITHER.

[dog_lover]

I agree, Tylenol is death.  Bad for the liver and in large doses it kills by destroying the liver.  Vicoprofen is perfect it has a narcotic element, hydrocodone and ibuprofen for an anti-inflammatory. If that doesn't work for you, try going one step up to oxycodone.  Do not confuse oxycodone with oxycontin, same narcotic but very different delivery method.  Five milligram oxycodone are safe and effective and come in a small enough dose that you can take an effective dose without getting groggy.  Both of the oxy drugs have no other component to foul the waters.
Dog_Lover

[worried A LOT]

CAN SOMEONE GIVE ME A DIFINITIVE ANSWER ON WITCH IS THE WORST TO TAKE WHEN YOU HAVE HEP C...IBUPROFEN OR ACETAMINOPHEN?
ARE THERE ANY MILD PAIN MEDS OUT THERE WITHOUT EITHER OF THE ABOVE??
THANK YOU ALL!

[dog_lover]

I'm certainly not a medical professional and I am just relaying what I have been told and read over the year or so that I have been diagnosed.  I had a friend who opted for suicide using Tylenol and in spite of heroic measures to get her a new liver she died an unpleasant death. I know you are wise enough to ignore the rantings of a pi**ed off old man who thinks Tylenol is a bigger fraud than Darvon and rely on the advice of your doctors.  My best wishes to you and I hope you thrive in a difficult situation.
Dog_Lover

[susan400]

Since I can't take non-steroidal anti-inflammatory drugs (NSAIDS), and I can't take aspirin, my doctor said it was fine to take a nightly dose of Tylenol as long as I don't mix it with other drugs, alcohol, cold medicine, etc.  Like don't take Tylenol with another liver bad type of drug and just stick to the normal dose of Tylenol at night with my shot (when I was treating).  I'm not particularly worried about the Tylenol.  If I was taking it 4 times a day and taking a Demerol tab, or drinking a Martini with it, then I'd have some concerns about it.  I can't take the NSAIDS because it causes me to have such gastric upset that I've blood tinged throw up, so, that's more dangerous for me than Tylenol.

Susan

[APKhaos]

My clinical trial center is also a major liver disease center at a large teaching hospital. At the start of the clinical trial, they dosed 1000mg Tylenol 30 minutes before the first Inf shot as a preventative measre against sides.

For moderate aches, pains, fever etc., they say use Tylenol ONLY. That's what they said. Seems to clash with the 'Tylenol is Death'idea in this thread.

I'm not arguing, just presenting the instructions given by the liver disease center.

[APKhaos]

My clinical trial center is also a major liver disease center at a large teaching hospital. At the start of the VX-950 clinical trial, they dosed 1000mg Tylenol 30 minutes before the first Inf shot as a preventative measure against sides.

For moderate aches, pains, fever etc., they say use Tylenol ONLY. That's what they said. Seems to clash with the 'Tylenol is Death'idea in this thread.

I'm not arguing, just presenting the instructions given by the liver disease center.

[cuteus]

I was told to use tylenol by my first hepatologist. when i told her that it did nothing for my pain, she agreed to the ibuprofen. no one can tell which one is the worse for your liver for sure, not even a dr, let alone this board.  My 2nd hepatologist mentioned that NSAIDS are more frequently associated with drug induced fulminant hepatitis than tylenol.  But if it is not going to help the pain, why use it?
perhaps you can do a web search on 'fulminant hepatitis with ibuprofen' and the same search with tylenol, and read the statistics offered and make a decission based on knowing the risks and on what works for you.

[GrandOak]

Pharmacist recommended Ibuprofen as being the easiest on the liver. However, my doc also recommended 1000 mg of Tylenol PM, particularily 1/2 hour prior to injections, as it is the best for fighting flu-like symptoms and helps sleeping (tried Ambien and it did not work at all).  When I questioned the impact to liver, I was told that as long as recommened daily dosage of 2000 mg or less is followed that there shouldn't be any problem.

Given my doc is quite experienced with HCV and head of the Transplantation Dept. at the University of Minnesota's Medical Center, I figured he must know what he's talking about.

[tulsatime]

In my opinion. Whether or to take tylenol depends on the stage of your liver. I am stage 4. So no tylenol for me. I can't take asprin or IB prophin, because they are blood thinners. And when your bloodplatelets get lows during treatment, that would be a no no. I like the idea of the one that filters through the kidneys. I will have to keep that in mind. take care.. Debi

[Kalio1]

One important aspect of these OTC pain products is the amount you take. I was told they are fine, both Tylenol and Ibuprophen ( my docs prefer ibupropen) as long as you stay under the daily mg. amount. that your doctor advises for you. I was told that is 2,000mg a day for me and I have cirrhosis.
I never use Tylenol, it doesn't work at all for me.

I take less than 600mg. a day of ibuprophen and both the doc and the pharmacist said that will not cause any problems whatsoever even with low platelets. Of course, HOW low the platelets are is an issue too.  
I think anyone who takes info. off the internet, or any source, either here or from other places should then speak to their doctors about whatever the issue is FIRST before they alter their health regimen.

[APKhaos]

GrandOak said: However, my doc also recommended 1000 mg of Tylenol PM, particularily 1/2 hour prior to injections, as it is the best for fighting flu-like symptoms and helps sleeping (tried Ambien and it did not work at all). When I questioned the impact to liver, I was told that as long as recommened daily dosage of 2000 mg or less is followed that there shouldn't be any problem.


That is precisely what I was told. Stay under the 2000mg limit/24hrs and all will be well.

[GrandOak]

I should possibly add that I'm stage 4 with early onset of cirrhosis with platelet counts half or third of normal.

The only caution I got beyond the recommended dail dosage limit was mixing Tylenol with other Acetometaphines and/or NSAIDS.  I was told low dosage of Ibuprofen was OK as long is it was outside of the coverage period for the dosage of Tylenol I was taking.

I've found the Ibuprofen works better for headaches and muscle pains than Tylenol for me, but none seem to help when headaches appear to be caused by anemic condition.

Given my doctors credentials in the hepatology and transplantation fields, I feel quite safe following his recommendations.

[tulsatime]

Thanks for the info. I was wonderong about pain IB prophin. I just assumed the was a blood thinner. My platelets are down to 49 now. Doctor is trying to cut the peg in half. But the are rethinking it and will let me know today. Talk to you later, Debi

[glow57]

Ihave had hepc for 10 years..Ihave severe pain pain everyday because of severe arthritist everywhere and fibromyalgia. My doctor has been giving me percocets 6 a day for the last 20 years. I just found out that tylenol is in percocet and it is not that great for the liver.I would like to find an alternative medication to take for the pain. thank you

[hitmanh2001]

i have tried everything and the best and safest i found was oxycodone15mg works almost allday long four me