Hi. American here with atypical trigeminal neuralgia.
I don’t even bother with analgesics for anything at this point. You hit 10 on the pain scale enough times and anything below 6 you mostly shrug off.
Unless I stub my toe. That shit hurts like a motherfucker.
I agree with the sentiment but are 200mg common where you live? Here in Germany I always get 400mg packs.
Yes, 100 mg being the standard, 200 mg “strong” ones and 400 mg “we have a good price on these, look how strong they are” said by a visibly excited pharmacy lady. Just behind your eastern border.
I’m kinda in this meme. I went through one of those big bottles roughly every 1-2 months for 20 years. Sometimes 12 pills in one day, with 4-8 acetaminophen on top (they do giant double packs of those too). Chronic migraines, but every doctor I asked for help just told me to lose weight so it went untreated and got worse and worse. Our health care suuuucks.
I did lose the weight. It didn’t magically fix my migraines, or affect them at all. Insurance dicked me around for another year and a half while my neurologist tried to help every way she could, but we finally got it down to only one migraine a week. I’m truly glad for that, but I still think about the years of unnecessary suffering, and how much better it might be now if I’d been treated sooner.
You know what sucks as well? Taking too many painkillers against headaches actually causes headaches. Horrible ones at that. Glad to read that you’re feeling better, but that’s a real trap many people out there are stuck in.
Yup, it was the first thing we checked when I actually got treatment. I’m sure that didn’t help, but compared to the pain of the migraines it was negligible. Having to refrain from pain meds for a while to make sure was a hell of a ride though. I lasted about three months. The doctor was satisfied with 1-2 but I wanted to be damn sure.
I give people the same warning nowadays. Don’t take that stuff more than once a week.
Holy shit, how did you not die from stomach ulcers?
Prilosec presumably
Damn, got it in one
“Lol Americans are so funny, they can’t go to a doctor without going homeless, look at these coping mechanisms they use, hilarious”
Still better off than the people in the countries you coup to install dictators.
I coup?
It is funny since they keep voting in ways that make their healthcare worse instead of better so why should we feel pity?
I’ve consistently voted towards better healthcare options, for all the good it’s ever done (read: not even a little bit.)
There are dozens of us, dozens!
It’s not all of us ☹️
Yeah, it’s pretty funny considering how absurd it is.
And they got their propaganda machines to thank for it.
Namely fox news, Aon, shit like joe Rogan,etc…
Calm down liberals its something called “dork humor” 😎
Europeans: I’m taking a pill, if it keeps hurting I’m going to the doctor.
Americans: I’m keeping taking this until I pay the house. It is still hurting, I can refinance the house to see a doctor.
Really not much exaggeration here
Exaggerated, sure. The point still stands. Unfortunately.
The point might not stand, sure. But it’s not exaggerated. Boop.
Also at least in my country I can call in sick if I have a headache, will be paid for the day and there is no number of paid-time-off-days, which will be subtracted by one when I do so. The employer continues to pay up to 6 weeks of salary if you need to stay at home due to sickness, and for a period longer than 3 days you need a dr to confirm you’re sick. The number of sick days per year depend on you actually being sick - I was baffled when I learned this is a fixed number in the US (at least for some) . I guess the motivation to work sick when you have a limited number of paid sick days also contributes to the usage of pain killers.
Fun fact for Europeans: we call paracetamol acetaminophen
…but it is amid, not amin, no? Why do americans call it acetaminophen instead of acetamidophen?
Nope it’s amin according to Google.
I actually thought I spelled it wrong at first. Weird.
Nope it’s amin according to Google.
That’s why I ask. Americans call it “acetaminophen”, but compound doesn’t have amino-group and instead had amido-group.
IUPAC calls it as what it is: N-(4-Hydroxyphenyl)acetamide
EDIT: my guess is that america uses another nomenclature for organic chemistry. As usual. Do they have compound called “freedom eagle guns”? I’m so used to amine meaning specifically R-NH2 and nothing else.
Idk I’m not a chemist. I thought the whole point of scientific standards was that everyone used the same name/units but we don’t even spell meter right in the states.
Americans just tell you it’s a slight headache. In reality their back is so screwed up it’s going to require surgery but they can’t afford that and complaining about actual pain is strictly forbidden in American men.
So we take
2004008001600 Motrin, with some bourbon, and ignore it as best as we can.That’s really sad.
Yup, I know.
This is my mother for the last year or so because of rotoscoliosis, a bulging disc, and arthritis in her shoulders.
She can’t really get any form of treatment because the only insurance she can afford is a high-deductable plan, which means she would have to pretty much pay for the entire treatment out of pocket.
I’m so sorry. We really need universal healthcare.
I’m sure we’ll get there next election!
(Says half of America every 4 years)
Next election? What next election? Elections are so out of fashion now!
I think we’ll still have elections, just like how Russia still has elections.
SSELECT ONE:
-
Donald J. Trump / James D. Vance
-
No suitable candidate (year in the gulag)
Not necessary with the candidates and policies the democrats are doomed to follow.
-
Would flying to Europe and getting healthcare there be cheaper? Look into it.
Maybe but still thousands that we don’t have
What about post-Soviet countries?
The good thing about the HDHPs is the availability to have an HSA.
HSA money is collected pre-tax. Balances over a certain amount can be invested. But the good thing about it is that it’s yours to keep. Not like an FSA that disappears at the end of a year.
So she could save up for the deductible for her surgery for her debilitating chronic pain over the course of several years. After she pays thousands in premiums and her employer pays thousands more. Like a good American.
But they’ll only recommend the surgery after trying muscle relaxers ten times over the course of a year.
Americans be like
The pills will ease the Payne.
Europeans be like: “I’m just gonna take a half tablet, don’t want to get dependent on this stuff”
Meanwhile, Americans:
Ngl I ibuprofen does kinda taste good
Don’t be fooled, they put a sugar coating around the OTC stuff. Instant release Adderall on the other hand… that shit tastes pretty good
The coating on advil is sweetened. The actual medicine tastes horrible.
Tastes like old rubber band to me
I dunno. When i take the pill ibruprofen its the most sour thing ever. You can literally see the face muscles of someone taking it contracting.
Y’all are letting the pills dissolve in your mouth before swelling it???
You can taste the after taste of the split second it spent in your mouth before you could swallow it. Its EXTREMELY sour
You sure you aren’t swallowing compacted toothpaste?
I hope not lol
Yea I’ve made the mistake of bitting one when I was younger.
I wonder if this is also one of those genetic things like cilantro, because ibuprofen tastes nasty as fuck to me. Like “bitter and my tongue wants to cut itself off to stop the taste even after a drink” nasty.
Just depends on the manufacturer. Unless you’re comparing with different people from the same bottle.
If those bottles are sold as a pair and each has 500 pills, 1000 pills is more than a hospital grade package in my country.
It’s always amusing how you can read Dutch with some difficulty by combining German and English.
You can read German with little difficulty by combining actual English with phonetic English.
You can read Bayerish by combining German with a pitcher of lager.
You can’t read Finish.
Yes I can
Two 500mg tablets of acetaminophen please, thank you
-A Certified American
My girlfriend always makes fun that in Germany chamomile tea is the go to painkiller and only if that doesn’t help the pills come out. It was one of her strongest culture-shocks she didn’t anticipate before coming to Europe
The pain of drinking chamomile tea does have a masking effect.
They’ll only have the “medicinal” tea if even more Lüften didn’t do the trick
Germans are weird like that
The rest of us are normal and will take a painkiller
French here and I’m team Germany on that one. The right herbal tea will ease most of the pain. Camomille is perfect for inflammation, verbena for digestation and so one.
The French love their pills though, especially anti-depressants, antibiotics, etc.
Yes, antobiotics are life but Camomille does have some antibiotic effects.
I don’t know what’s Europe anymore… Isn’t germany in it?
Don’t know about Ibuprofen, but Paracetamol overdose is horrible, agonizing death.
Overdosing on Ibuprofen is harder and less deadly iirc but it can really mess up your stomach and/or damage your kidneys.
Okay ok that does sound terrifying but I rest my case in that it’s hard to do. 28 pills is a hell of a lot.
The most ill do is 8 in a day, 2 doses of four spaced out over 8ish hours, and that’s on pretty rare occasion. I usually just need some to help with the back pain I get from my shitty college dorm mattress.
Is this a serious thing? It seems so normal here in the states.
Yes, it’s a thing. The idea behind it is that you don’t want to become dependent on the pills to the point that they have less effect or that you feel worse without them. Sincerely, a Dutch non-techno non-DJ.
Also it can cause or amplify a lot of stomach issues
Regular use also fucks up your organs. Paracetamol (Tylenol) kills your liver, and ibuprofen kills your kidneys.
What about acetaminophen?
acetaminophen = paracetamol = Tylenol
One compound, different names.
Acetaminophen and paracetamol are the same thing.
Others have answered, but I’ll say it anyway.
The name paracetamol is used in most of the world, and by the WHO. Acetaminophen is the adopted name in the United States, Canada, and Japan. US pharmacies also use APAP. The most common trade names are Tylenol and Panadol. They all refer to the same stuff.
Thanks, I did not know that
Also often the pain is telling you that something is wrong - you wouldn’t treat a broken ankle with strong painkillers and continue walking as if nothing was wrong just because it doesn’t hurt anymore - would you?
Painkillers should make the pain bearable so you can still listen to your body and not take away the pain completely
Depends, how much is getting it seen going to cost me? And can I do my job with crutches I bought at the pharmacy? Cause if I miss a day I’ll get fired and the hospital will put me in jail if I don’t pay my bills.
America is a shit hole country.
you wouldn’t treat a broken ankle with strong painkillers and continue walking as if nothing was wrong just because it doesn’t hurt anymore - would you?
Of course not! We limp around trying to keep it from hurting, praying to any deity that will listen and some that won’t that it heals before you have to pay for a visit to urgent care.
The pills are just to help us go to work while we mentally figure out how many meals we will be skipping to pay for it.
Now ask me if I’m joking.
yes, but if i know i broke my finger, and it has a cast around it, why should it keep hurting???
back in the ooga booga days there weren’t any casts, so it’s pretty logical that it shouldn’t keep hurting, but if I already know i broke my finger and can’t move it, I think it’s okay to use pain killers to stop the pain.
I have never heard of this in the context of ibuprofen. I know it’s bad on the stomach which means you shouldn’t take it for long periods of time (unless prescribed by a doctor). However, when the source of the pain disappears it’s pretty easy to kick the habit. Very different from opioids that are addictive beyond their painkilling ability.
Also between European countries the price of otc painkillers differs tremendously, and my impression is that European pharmacies generally only sell small packages in an effort to maximise profits.
that very much depends on your country. here in the Netherlands every supermarket/pharmacy sells them, and they usually have them at school/office administration desks for free.
in France however, paracetamol isn’t even otc 😭😭
https://en.wikipedia.org/wiki/Medication_overuse_headache?wprov=sfla1
You can absolutely become addicted to all kinds of painkillers. Thats part of the reason why i write down every dose of painkillers i take. Not just the triptanes for my migraine.
The size has more to do with limiting use.
How exactly do small packages limit use? There is no limit to the amount of packages you can buy. However, those small packages are severely overpriced. I think it’s safe to say that profit considerations played a role in their design.
Nobody buys 3 packages at once. If someone does that it raises some alarms. And they come in blisters, not as candy, so your first way of taking them is one by one.
I do! I usually buy an annual supply in the Netherlands because it is much cheaper than in other European countries. No alarms were ever raised (obviously since otc pharmacies are entirely anonymous). Again, the price difference between countries gives a strong indication of the profit motive involved.
The argument about blisters sounds ridiculous. Do you really believe you will stop an addict from his addiction because he has to push a bit harder.
https://en.wikipedia.org/wiki/Medication_overuse_headache?wprov=sfla1
You can absolutely become addicted to all kinds of painkillers. Thats part of the reason why i write down every dose of painkillers i take. Not just the triptanes for my migraine.
You can’t become dependent on ibuprofen, it’s not addictive. You shouldn’t be popping it like candy, but taking it when you are in pain is perfectly fine.
You can reduce their effectiveness though.
Do you have a source for that?
Still, the vast majority of people taking NSAIDs in the recommended doses who have appropriate monitoring (such as the occasional blood test) have no major problems with them.
Not in humans, but an indicator anyhow: https://pmc.ncbi.nlm.nih.gov/articles/PMC4341275/
My doctor, but there’s a bunch of studies where they injected rats too.
I don’t think that actually happens.
Do people develop a dependency on ibuprofen? I didn’t know that was possible.
Then again, I don’t see why it wouldn’t be.
To be fair we also have it much easier with our healthcare that doesn’t know the concept of sick-days. When you’re sick you just don’t go to work and your healthcare pays half your salary while your employer continues paying the other half.
So we can actually afford to stay home in bed and let our bodies do the work while we rest.
Screw your sick days! I’m gonna work myself into oblivion to be able to buy my big-ass coal-roller truck on credit and fill up my garage to the brim with crap that I’ll let someone else move when I die from a cheese and Ibuprofen overdose. 'Murica!!!
I’m Dutch and I only take paracetamol when I cannot sleep or function due to pain/illness. I’ve never taken something stronger like Ibuprofen in my life. When I’m ill I usually just lie in bed and wait for it to blow over
Is acetaminophen really considered to be less strong than ibuprofen? I’d always considered them to be equal with ibuprofen being safer.
Yep here in Dutchland many people think paracetamol is a safer version of aspirine. They don’t know paracetamol can get dangerous very quickly. Dutch hospitals often get patients into the ER with a possible paracetamol overdose.
Here is a toxicologist working in a Dutch hospital saying that https://youtu.be/P_Zt-xw7bME (has English subs)
In the Netherlands, yes. Ibuprofen is considered “stronger” or at least more serious. Most of that is because the general consensus seems to be to take 2 paracetamol (1000mg) and if it doesn’t help, add 400mg of ibuprofen on top.
So, everyone sees it as “stronger” instead of complementary
In my Dutch social circle it is indeed, but don’t ask me why. Personally I dislike Ibuprofen, it always makes me feel queasy and upsets my stomach.
Always take it with food.
Reading the other comments, this seems to be more of a cultural thing than something based on facts. Ibuprofen seems to be taken in more serious situations. Personally I’ve never had it so I’m not sure. Paracetamol is more of a casual thing here. Many people, like me, would only take it when very ill. But I’ve definitely had a few classmates or colleagues who just take paracetamol whenever they have a slight headache or something.
Ibuprofen is also anti-inflammatory while paracetamol isn’t, so it can be used to reduce swelling (eg) rather than just for pain reduction
You’re the second person I’ve seen saying that ibuprofen is stronger than paracetamol. Where does that come from?
It is slightly stronger, but the dose is smaller. A single dose of router either is roughy the same pain reduction, and similar damage for exceeding their recommended usage
Not sure. I’ve never used it but it always seems to be used as such, so I just assumed that was the case
It can be prescribed in much higher dosages, unlike paracetamol, but the regular over the counter stuff is the same.
200 ibuprofen = 250 paracetamol
Extra strength just doubles both
But prescription for ibuprofen can go up a bit from that. Never seen a higher prescription for paracetamol.
Yeah, in the UK they reduced the amount you can buy at once too, so drugs like paracetamol and ibuprofen only come in 16 tablet packs and you can only buy 2 packs at a shop., It’s helped lower suicides quite well.
People here have a real aversion to taking tablets a lot of the time. I have to convince people to take regular paracetamol (which is non addictive and doesn’t have side effects so long as you don’t take more than the recommended amount) after they have had surgery semi-regularly.
Suicide by by paracetamol is such a fucking horrible way to go, mostly since it doesn’t kill you, it just completely destroys your liver.
Just enough time to regret it, before you die slowly and in great pain
Much faster drinking distilled water.
That’s… Ugh. That’s the worst way to go. You have an entire week of pain to regret your decision while doctors can do nothing to help you.
Ibuprofen is pretty fucking strong. I stick with CBD and paracetamol and I’m bedridden with a painful disease.
Yeah I just stick to hot railing fentanyl if I have a headache or something. Much less addictive.
Idk if you’re just saying this out of the blue or comparing what I’m saying to that.
But NSAID’s like ibuprofen are quite strong and have lots of side effects. Regular usage can have quite some negative impacts on health. In comparison CBD oil is pretty gentle.
Ibuprofen and paracetamol are roughly the same in theme of pain relief and harm in long-term use.
UK National Health Service Website:
FAQ: Can I take [X] for long periods?
[paracetamol]
It’s safe to take paracetamol regularly for many years as long as you do not take more than the recommended dose.
[ibuprofen]
If you still need ibuprofen after taking it for 10 days (or for 3 days if you’re under 18) check with your doctor before continuing. If you need to take ibuprofen tablets, capsules, granules or liquid for a long time and you’re at risk of getting a stomach ulcer, your doctor may prescribe a medicine to help protect your stomach.
It seems like you’ve mistaken what “strong” means.
But I shouldn’t have said “long term”. The dangers of each are different.
Ibuprofen is relatively safe to go a bit over the recommended dose, but not over the recommended duration.
Paracetamol is relatively safe to go over the recommended duration, but not the recommended dose.
Paracetamol for me is better for headache and ibuprofen is better for muscular pain.
Low doses of ibuprofen are better as an anti-inflammatory, and higher doses are better for pain relief, from what I’ve learned online (I’m not a doctor).
I imagine the muscle pain you were dealing with was due to inflammation from overexertion or something?
yes. Pain killers (if you take way too many) can be incredibly bad for your liver, and (while almost impossible with paracetamol and ibuprofen) you can become ‘immune’ to them, making them work less/not at all.
Yes, it’s real. Just another case of “the European mind cannot comprehend”.
I just don’t think it’s a good idea to take pills without asking a doctor, I’m not a medical professional
In the UK you’re limited to 32 pills of paracetamol(acetaminophen in NA) per purchase. Less if they’re high dose.
Yeah I got sick of buying the little packets and just ended up buying a bottle of 500 from the US. Pain in the fucking ass
Ibuprofen is famous for making men less fertil and it can cause sterility to the unborn baby when took by pregnant women. Paracetamol on the other hand is very bad for the liver. Better took these two very carefully.
