What exactly is a "black box" warning? Simply put, it's the strongest warning that the U.S. Food and Drug Administration (FDA) can require on a drug's packaging. The FDA requires the black box warning when studies suggest a drug can cause a serious or life-threatening side effect. The text of the warning is set apart from other information in a black box, so that doctors, pharmacists, and patients can easily see it. What did the FDA advisory panel recommend? The FDA itself hasn't made a decision about acetaminophen, but an FDA advisory panel has made 10 recommendations concerning the drug. Among those recommendations, the panel voted to remove acetaminophen-containing painkillers such as Vicodin, Tylenol 3, and Percocet from the nation's formularies. It also voted in favor of removing all acetaminophen-containing prescription drugs from the market. But the panel voted to keep over-the-counter (OTC) pills that combine acetaminophen and other ingredients, su...
The instructions on the bottle read, Take 1 tablet every 4-6 hours as needed for breakthrough pain .
Exactly what does that mean? Some may interpret these instructions as permission to use a medication round-the-clock every four hours. Some may interpret that phrase as the bottle should only be opened come "hell or high water." And what exactly is " breakthrough pain ?"
For those whose pain never ceases, it is hard to know when pain is "breaking through." Doctors write these instructions as if there is supposed to be some magical ceiling that pain burst through before the medication should be used. The problem with this confusion is that many people ultimately do take the pain medication on a routine schedule. So, if the instructions allow for four pills per day, a person locked into a routine might take Vicodin, Percocet, Dilaudid, or Norco at morning, noon, late afternoon and bedtime, everyday. With this type of schedule, the body becomes conditioned to "salivate" for pil...
I have had a migraine for 18 days. Since Thursday of this week I have taken four 200 mg Imitrex prescribed by my doctor that didn't work. So I went to a rural ER and had one bag of iv fluids. They gave me four 0.5 of dilatyn, one dose of Toradol all iv and two Percocet pills. I still do not have any relief. What should I do now? Toby.
Call your doctor for assistance. When a Migraine lasts longer than 72 hours, without at least a four hour break while awake, it's time to call your doctor for help. Your doctor may be able to treat you in his or her office, or may send you back to the ER. If you're sent back to the ER, ask your doctor to call ahead, let them know you're coming, and suggest what treatment they should give you.
Often, an IV infusion of medication is the best option for refractory Migraines - Migraines that aren't responding to medication. An infusion of simple magnesium sulfate works to stop a Migraine for many p...
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