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Pumpuynarak

Doctors appointment - Meds prescribed !!!

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Wifey took her moma to the docs because she was suffering with lower back pain and and pain down her left leg. Now when she returned home and briefed me on the visit it transpired that the doc has prescribed her 4 sets of tablets as follows -

* Mobic 7.5mg - For pain or inflamation

* Gabapentin 100mg - To relieve nerve pain

* Norgesic 35mg - Muscle relaxant and pain reliever

* Nortriptyline 10mg for depression and chronic pain

Now do you notice a common denominator amongst these meds, they're all basically pain relievers. WTF do you need 4 sets of tabs doing the same job ?

I think i know the answer, is there such a thing as the "hippocratic oath" in Thailand ?  

Edited by Pumpuynarak
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I had Sciatica in 2012 , was prescribed some strong pain relief , but there was also tablets to protect my stomach .. can't remember which ones though ..

I know in Thailand codine based drugs are not allowed , so maybe they double / treble up to give more relief ....

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DO NOT TAKE GABAPENTIN.  and dont let her either.

before someone jumps in and says I am wrong, I will open up a little here.    Recently I have begun to endure TN, Trigeminal Neuralgia..  which is the most painful of things.  I was given that Gabapentin and it is a relative of heroin ( seriously).  within a day I was in a permenant mental haze..  i was driving but shouldnt have.  I came straight off it and suffered the DT's  even tho i had only been on the shit for 3-4 days.  they usually start u on 300mg a day, but i know many on 3000  which is, I am told, the max.  The quack told me off and I explained that i live my life with an active brain, i am not prepared to turn into a fkin drooler to appease a disease.

 

its not a pain relief.  its actually designed for people who  have fits and is set to chill the brain out.  its also given tho for serious pain but not as a fix, just to mask the pain by dulling the brain

 

I tried it at 25gm. ( after being prescirbed 75  originally)  . even that messed me up badly.  the Dr will tell u it takes up to 3 months to ADAPT to the drug

 

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19 minutes ago, tommy dee said:

DO NOT TAKE GABAPENTIN.  and dont let her either.

before someone jumps in and says I am wrong, I will open up a little here.    Recently I have begun to endure TN, Trigeminal Neuralgia..  which is the most painful of things.  I was given that Gabapentin and it is a relative of heroin ( seriously).  within a day I was in a permenant mental haze..  i was driving but shouldnt have.  I came straight off it and suffered the DT's  even tho i had only been on the shit for 3-4 days.  they usually start u on 300mg a day, but i know many on 3000  which is, I am told, the max.  The quack told me off and I explained that i live my life with an active brain, i am not prepared to turn into a fkin drooler to appease a disease.

 

its not a pain relief.  its actually designed for people who  have fits and is set to chill the brain out.  its also given tho for serious pain but not as a fix, just to mask the pain by dulling the brain

 

I tried it at 25gm. ( after being prescirbed 75  originally)  . even that messed me up badly.  the Dr will tell u it takes up to 3 months to ADAPT to the drug

 

Now i know Tommy that Gabapentin is a widely abused drug by those looking for a "high" so what you say rings some truth but do you not think it might have just had that effect on you ?

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7 minutes ago, Pumpuynarak said:

Now i know Tommy that Gabapentin is a widely abused drug by those looking for a "high" so what you say rings some truth but do you not think it might have just had that effect on you ?

no, sadly.  I am a member of a support group.    most if not all suffer the side effects.    many take it as the alternative, the pain, is terrible.   but they see thier lives change completely

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I have edited these comments heavily as they are private, but this way you get half an idea about that fkin drug without me abusing these folk's privacy...

 

I am on 800 mg of Tegretol a day. .. At 600 mg I was fine but still in pain. After the increase I’m tired, dizzy, confused, have headaches, and often twitch when moving a muscle

I take 300 but try to do 200 when I can.  but I don’t like the side effects on the kidney and liver.

 I take it for 2 years 100mg 3 x a day. Or more, but the side effects is bad, I got my hands shaking.

Tegretol (carbamazepine) and gabapentin are anti-epileptic medications used to treat seizures and nerve pain due to different causes. Tegretol such as nerve pain due to trigeminal neuralgia and diabetic neuropathy and gabapentin is used to treat nerve pain

 I feel like I’ve drank 3 margaritas loopy, nothing taste right and I’ve got a headache

 ! My doctor increased mine to 800 mg a day and I got dizzy, confused, tired, headache. 

I'm upping the tegretol by 100 mg( cutting the pill in half,) at lunchtime. Total tegretol, (carbamazepine,,) 1300mg and gabapentin 1800mg.Yes it does make you drowsy but you get used to it and better than the pain.Worse thing for me is my memory which is all over the show.

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2 hours ago, tommy dee said:

DO NOT TAKE GABAPENTIN.  and dont let her either.

before someone jumps in and says I am wrong, I will open up a little here.    Recently I have begun to endure TN, Trigeminal Neuralgia..  which is the most painful of things.  I was given that Gabapentin and it is a relative of heroin ( seriously).  within a day I was in a permenant mental haze..  i was driving but shouldnt have.  I came straight off it and suffered the DT's  even tho i had only been on the shit for 3-4 days.  they usually start u on 300mg a day, but i know many on 3000  which is, I am told, the max.  The quack told me off and I explained that i live my life with an active brain, i am not prepared to turn into a fkin drooler to appease a disease.

 

its not a pain relief.  its actually designed for people who  have fits and is set to chill the brain out.  its also given tho for serious pain but not as a fix, just to mask the pain by dulling the brain

 

I tried it at 25gm. ( after being prescirbed 75  originally)  . even that messed me up badly.  the Dr will tell u it takes up to 3 months to ADAPT to the drug

 

have frend with TN. acupunture help him. good luck to you.

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When my wife Sai had a problem a few years ago she made an appointment at Bangkok Pattaya hospital and left with four different tablet medications.

Within 24 hours Sai was like a zombie, completely away with the fairies. I also checked each medication and also discovered that three of them basically did the same thing.

So I took Sai to Queen Sirikit (Government) hospital at Sattahip ( next to the Airport) and saw a specialist there who spoke excellent English and asked lots of questions to both so and I. This Doctor immediately took Sai off the medications prescribed by BPH and put Sai on one completely different medication which turned out to be the answer to the problem combined with monthly checks with the specialist to make sure the improvement was permanent.

The Thai way generally seems to be to over prescribe. Visit a pharmacist and you always seem to leave with a bag full of medications. It is the "shotgun" method of prescribing hoping something will do the trick.  It is exactly the same at our local vet  when if one of my dogs is not right I always seem to leave with four ( why is it always four) different tablets the dog has to take every day for a month. Try getting a dog to take tablets when they have spitting them out down to a fine art!

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5 hours ago, Jambo said:

When my wife Sai had a problem a few years ago she made an appointment at Bangkok Pattaya hospital and left with four different tablet medications.

Within 24 hours Sai was like a zombie, completely away with the fairies. I also checked each medication and also discovered that three of them basically did the same thing.

So I took Sai to Queen Sirikit (Government) hospital at Sattahip ( next to the Airport) and saw a specialist there who spoke excellent English and asked lots of questions to both so and I. This Doctor immediately took Sai off the medications prescribed by BPH and put Sai on one completely different medication which turned out to be the answer to the problem combined with monthly checks with the specialist to make sure the improvement was permanent.

The Thai way generally seems to be to over prescribe. Visit a pharmacist and you always seem to leave with a bag full of medications. It is the "shotgun" method of prescribing hoping something will do the trick.  It is exactly the same at our local vet  when if one of my dogs is not right I always seem to leave with four ( why is it always four) different tablets the dog has to take every day for a month. Try getting a dog to take tablets when they have spitting them out down to a fine art!

I learned a trick with the dogs. Throw them something that they catch and swallow. When you kind of toss it to them it usually works. I think I used a piece of soft bread. Tossed it softly in an arch so their head was up when they catch it (rather than hand it to them or put in bowl). Usually went right down the gullet. lol

They are good a spitting those suckers out. Faster than a squirrel unloading seed husks. And if you miss the first time the follow up is even more difficult.

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See what may turn some into zombies and be described as dreadful drugs could certainly be aimed at Tramadol. Yet I've taken 200 mg a day for now 18 years (never increased) and never ever once had the slightest side effect claimed by 100s of others.

I had that Gabapentin that Tommy mentioned above for several months. Again no side effects other doing what its meant to.  All these tabs effect us all differently

When I originally was diagnosed with chronic fibromylgia the quack put me on Zoplicone for sleep. Useless lol. Increased the dose to 15mg nightly....useless lol. Had no effect at all. At one point I had to take 10mg valium every 4 hours so four doses a day. After 3 days I'm asking is this meant to be actually doing something. No effect whatsoever on me.

So 4 drugs I've mentioned all reacting on me differently to what others think they probably should do

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6 hours ago, RR007 said:

When I originally was diagnosed with chronic fibromylgia the quack put me on Zoplicone for sleep. Useless lol.

I was put on morphine for my chronic back pain and sciatica by the surgeon who eventually operated on me with reasonable success but have a guess what did work to alleviate the pain ?

Edited by Pumpuynarak
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4 minutes ago, Pumpuynarak said:

I was put on morphine for my chronic back pain and sciatica by the surgeon who eventually operated on me with reasonable success but have a guess what did work to alleviate the pain ?

G&T

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12 hours ago, Jambo said:

When my wife Sai had a problem a few years ago she made an appointment at Bangkok Pattaya hospital and left with four different tablet medications.

Within 24 hours Sai was like a zombie, completely away with the fairies. I also checked each medication and also discovered that three of them basically did the same thing.

So I took Sai to Queen Sirikit (Government) hospital at Sattahip ( next to the Airport) and saw a specialist there who spoke excellent English and asked lots of questions to both so and I. This Doctor immediately took Sai off the medications prescribed by BPH and put Sai on one completely different medication which turned out to be the answer to the problem combined with monthly checks with the specialist to make sure the improvement was permanent.

The Thai way generally seems to be to over prescribe. Visit a pharmacist and you always seem to leave with a bag full of medications. It is the "shotgun" method of prescribing hoping something will do the trick.  It is exactly the same at our local vet  when if one of my dogs is not right I always seem to leave with four ( why is it always four) different tablets the dog has to take every day for a month. Try getting a dog to take tablets when they have spitting them out down to a fine art!

I agree, they do tend to over prescribe here. I always check the meds I'm given and selectively toss the ones that are redundant or not really appropriate for what ails me.

As for getting a dog to take a pill, the trick is to place it on the back of their tongue. Then gently hold their muzzle closed and stroke their throat in a downward direction. Vet taught me that method and works every time.

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18 hours ago, forcebwithu said:

I agree, they do tend to over prescribe here. I always check the meds I'm given and selectively toss the ones that are redundant or not really appropriate for what ails me.

As for getting a dog to take a pill, the trick is to place it on the back of their tongue. Then gently hold their muzzle closed and stroke their throat in a downward direction. Vet taught me that method and works every time.

That's good advice for a cat too. It induces swollowing.

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34 minutes ago, boydeste said:

That's good advice for a cat too. It induces swollowing.

Does it work with bar girls ... ? 😜

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48 minutes ago, Stillearly said:

Does it work with bar girls ... ? 😜

I have no idea. Let me know how ya get on mate. 😁

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Have seen the same whilst I was working in India. The patients seemed to feel cheated if they were not prescribed something, and felt  like it's a successful visit if the've been given 3 or 4 meds.

Legal(?) pharmaceutical companies can be the lowest, of the low.

Feel for those with chronic conditions, but the majority of patients are being way over medicated.

 

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On 10/28/2019 at 7:05 PM, Stillearly said:

I know in Thailand codeine based drugs are not allowed , so maybe they double / treble up to give more relief ....

I thought codeine based drugs were just restricted but allowed to be prescribed by a doctor in Thailand? I didn't know they were just plain not allowed. 

No worries though, if anyone has some pain they want to suppress, they sell Tramadol all day long in most pharmacies in Patts, Phuket, etc. 

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1 minute ago, Steelers4Life said:

I thought codeine based drugs were just restricted but allowed to be prescribed by a doctor in Thailand? I didn't know they were just plain not allowed. 

No worries though, if anyone has some pain they want to suppress, they sell Tramadol all day long in most pharmacies in Patts, Phuket, etc. 

Just googled and it's looks to be prescription only , I did some research in 2014 when I I was travelling and it was on the restricted list then 

http://www.fda.moph.go.th/sites/Narcotics/en/Shared Documents/NARCO-list-update-05.10.2015.pdf

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4 hours ago, Stillearly said:

Does it work with bar girls ... ? 😜

You took the words right out of my mouth lol 

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2 hours ago, Stillearly said:

Just googled and it's looks to be prescription only , I did some research in 2014 when I I was travelling and it was on the restricted list then 

http://www.fda.moph.go.th/sites/Narcotics/en/Shared Documents/NARCO-list-update-05.10.2015.pdf

Great info on that listing, i just got some more Bupropion yesterday in prep for me packing smoking in, no questions asked by the pharmacy and i could'nt find it on the list, thats obviously why it was readily given.  

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