Migraineurs and other chronic pain patients who use narcotics (opioids) are often asked to sign narcotics contracts, or treatment agreements, with their doctors. These contracts establish the rules for the doctor’s prescribing narcotic pain medications. They require that the patient submit to random or scheduled drug testing to determine if they are taking the proper amount of the drug and that they are not taking any other pain medications or illicit drugs. If patients fail the test, these contracts allow the doctor to terminate care. Who do these contracts protect? Doctors can get into big trouble for over-prescribing controlled substances, or helping people with addiction or substance abuse issues get them. These contracts are an attempt to limit doctor’s exposure to prosecution for misuse of controlled narcotics. Research shows that it’s not usually chronic pain patients who abuse narcotics. Pain medication is widely under-prescribed, and pain u...
Most everyone knows narcotic pain killers like morphine, Percocet, and Vicodin are powerful. Doctors prescribe them with caution because although they relieve pain, they also have some nasty side effects. Addiction being one of those effects. But sometimes physicians are too cautious not realizing that some people require 10 to 40 times the standard dose to get the same effect. Animal studies have confirmed what doctors see in the clinic -- there are some unique differences in patient responsiveness. Scientists have found that the wide variability in how people respond to these drugs might be genetic. And once they discovered this factor, they found more than one genetic trait that is involved. For example, some folks don't have the CYP2D6 enzyme needed to activate the drug. Without this enzyme, the drug isn't metabolized (broken down) and the patient gets no (or very minimal) pain relief. Another problem occurs when P-glycoprotein doesn't function properly. This is the protein that tra...
Generic Name: DEXTROMETHORPHAN/DECONGESTANT/ACETAMINOPHEN -
ORAL Pain Reliever Flu Oral Interactions
If you are taking this product under your doctor's
direction, your doctor or pharmacist may already be aware of any possible drug
interactions and may be monitoring you for them. Do not start, stop, or change
the dosage of any medicine before checking with your doctor or pharmacist
This product should not be used with the following
medications because very serious (rarely fatal) interactions may
MAO inhibitors (isocarboxazid, linezolid, methylene blue,
moclobemide, phenelzine, procarbazine, rasagiline, selegiline,
If you are currently using any of these medications listed
above, tell your doctor or pharmacist before starting this medication. Avoid
taking MAO inhibitors within 2 weeks before, during, and after treatment with
Before using this prod...
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