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6708370 tn?1471490210

pain meds

Anyone have thoughts about Celebrex for pain management? In addition to the way Hep C makes me feel, I have arthritis in my foot joints - something that was completely manageable with Advil but now that I am Advil free, looking for something that works but won't make me feel lousy
Best Answer
Avatar universal
What pain meds you take should be fully evalutaed by your physician that is cognisant of any liver damage (fibrosis) you may have as well as any other health conditions.

In general the pain med "celebrex " is a NSAID that  can have containdications  if liver damage is severe(as there may be bleeding issues)
You may find this article of some interest
Will


http://hepatitiscnewdrugs.blogspot.com/


Liver damage. Acetaminophen, the No. 1 nonprescription pain reliever, does not cause GI bleeding, but long-term frequent use or even large single doses can cause severe liver damage. In fact, acetaminophen overdosing is the most common cause of acute liver failure in the U.S., often as the result of suicide attempts. Most people still don’t know about this risk and don’t realize that acetaminophen is in hundreds of OTC cold, allergy and headache products and some prescription pain relievers. Check labels for acetaminophen, and don’t take more than 4 grams—equal to eight Extra Strength Tylenol tab--lets—a day from all sources. Alcohol (three drinks or more at a time) and certain other drugs increase the risk. Heavy drinkers and those with liver disease should  at least limit, acetaminophen. Taking the drug while fasting also increases the risk.

• Kidney damage. NSAIDs (and acetaminophen to a lesser extent) can damage the kidneys. If you have kidney disease, talk to your doctor about pain reliever safety.

Here’s our advice

For healthy people who take OTC pain relievers as directed, the risks are relatively small. However, because these drugs are so popular, thousands of Americans are affected every year. Don’t let these concerns prevent you from taking the drugs if you need them, but do follow this advice, especially if you take pain relievers often:



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7 Responses
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6708370 tn?1471490210
I'll ask about the Limbrel, thanks. I am always surprised that my docs don't seem to recognize dangers that the NSAID drugs pose. Maybe it's a numbers game with them. You look at the contraindications and it's like, well, Some people will have that reaction but maybe not. You say you're in pain and they run through their list of drugs. Longing for some well reasoned, thoughtful, non-Big Pharm approach before I begin my Very Expensive Big Pharm approach to fighting hep C
Helpful - 0
163305 tn?1333668571
Yes. I know. Sadly they will refuse a person a transplant if they use marijuana even if their physician told them to use it.
Yet another reason why the draconian marijuana laws need to be changed.
Helpful - 0
6708370 tn?1471490210
Here's an interesting piece about someone who was denied a transplant for using cannabis as a safe alternative. He died.
http://www.alternet.org/drugs/denied-liver-transplant-using-medical-marijuana-and-dying-it-heartlessness-prohibition
Helpful - 0
6708370 tn?1471490210
Celebrex is what my doc ordered but I have yet to pick it up from the pharmacy because I was hoping for a better alternative. Thanks for your comment, orphanedhawk. I had been using medical cannabis (I have a card) that works quite well for both pain management and headaches but one of the last hurdles that I had to overcome in this testing roller coaster was a trip to Kaiser's drug dependency counselor. Apparently, one cannot be on a liver transplant list if you test positive for alcohol, cannabis or tobacco. My counselor has stated that I am not chemically dependent on cannabis (or anything for that matter) but that Those Were the Rules re: Transplant List. She also agreed that sometimes the best medicines do not come in a prescription bottle and recommended that I continue to do what works until I am closer to needing a transplant. Sigh...  I really don't want to add a highly addictive pain med to the regimen of nasty drugs that I will soon be taking but the alternative is to live with pain
Helpful - 0
163305 tn?1333668571
I used medicinal cannabis during tx which helped me immensely and was okay with my hepatologist.
I'd eat a brownie after my shot each week and it eased the muscle pain, in fact it totally relaxed it~ a wonderful discovery.
Helpful - 0
1840891 tn?1431547793
I agree with Will, Celebrex is in the NSAID category so it should be approved by your hepatologist befor taking it. If you choose not to take it you might consider asking your doctor about Limbrel. It's by Rx only and is anti-inflammatory but is not an NSAID. It is in fact considered a "medical food" in a capsule. The formula is proprietary but is probably some secret combination of supplements. It has been through FDA approval and seems to have no side effects at all, although it is nowhere near as effective as an NSAID. It helps me just barely enough to be worthwhile. Good luck!
Helpful - 0
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