12 minutes ago, GammaGlobulin said:

 

 

Unlike the USA, Taiwan does NOT give out dangerous pain meds like they do in America.

 

 

Make that used to do in America.

 

They have gone completely over to the opposite extreme there now.

 

Which is also unfortunate.

21 minutes ago, Hummin said:

Could had been depot since it was 100mg?

No long acting forms of it here AFAIK.

 

100 mg is available but certainly not what would usually be needed or prescribed.

 

I also react very badly to Tramadol but find that if I must take it (rare situation) the 37.5mg in Ultracet works as well as any larger dose and with fewer (though not nil) adverse effects.

 

 

Just now, Sheryl said:

 

Make that used to do in America.

 

They have gone completely over to the opposite extreme there now.

 

Which is also unfortunate.

 

Yes.

I have heard that, too.

And, yes, very unfortunate.

There IS a place for opioids, when warranted and needed.

 

However, for "casual use" in controlling pain....

I would always do my best to get by with ibuprofen.

 

11 minutes ago, Sheryl said:

No long acting forms of it here AFAIK.

 

100 mg is available but certainly not what would usually be needed or prescribed.

 

I also react very badly to Tramadol but find that if I must take it (rare situation) the 37.5mg in Ultracet works as well as any larger dose and with fewer (though not nil) adverse effects.

 

 

I have been painfree the last 3 years now from L4 and L5, hope it lasts.

 

20 years with struggle 

 

 

2 hours ago, Sheryl said:

Ultracet is Tramadol plus codeine

Ultracet is 37.5mg Tramadol plus 325mg paracetamol.

Codeine is not OTC in Thailand. 

2 hours ago, Lorry said:

Ultracet is 37.5mg Tramadol plus 325mg paracetamol.

Codeine is not OTC in Thailand. 

Sorry typo. Meant to say dnd para

My chronic back pain lasts around 2 months after I do something (physical) to reignite it. 

The Paracetamol/Ibuprofen tablet  works for me, however I never take more than 1 per day...   and definitely not every day as I am now on blood thinners..  read the warnings.

Also a back massage is good for temp. relief using an anti inflammatory gel.  I find heat pads don't really help me and really smell, especially the Thai Tiger Balm ones.

 

On 7/23/2024 at 9:59 AM, TheAppletons said:

Paracetamol and ibuprofen taken simultaneously.

 

Not recommended for any sort of long term use but for a one-off pain episode it works quite well.

 

(Recommended to me by my oral surgeon.)

 

 

Depends on the individual's response. I took both together and were of no more use that either alone. I also have paracetamol and codeine, but that's prescription only in NZ. Even that doesn't work very well for me.

23 hours ago, scubascuba3 said:

Do you do daily back stretches? can really help

Has the OP seen a chiropractor? I had many long term spinal problems that went away after a course at the chiropractor. I should have gone to one 20 years ago.

Combo method

4 hours ago, thaibeachlovers said:

Has the OP seen a chiropractor? I had many long term spinal problems that went away after a course at the chiropractor. I should have gone to one 20 years ago.

Depending on the causes of the pain, a chiropractor may be helpful. 

But even if he gets the symptoms to clear completely,  he is not the long term solution. 

After taking care of the acute problem by medication,  surgery,  chiropractor or physical therapy (usually used as an intermediate treatment, after the acute phase),   the only long term solution is back strengthening. Formerly known as sports.

And good posture, i.e. avoid sitting (office, driving, TV, beer, smartphone).

 

 

5 hours ago, thaibeachlovers said:

Has the OP seen a chiropractor? I had many long term spinal problems that went away after a course at the chiropractor. I should have gone to one 20 years ago.

Quite, he mentioned spasms which means daily back stretches would likely help but sounds like he'd prefer drugs, a quick fix, although drugs barely touch back pain

13 hours ago, Sheryl said:

Para plus codeine is certainly better but you can only get it from a hospital or clinic and Thai doctors are hesitant to give  for chronic pain.

 

Over-the-counter in the old days. Good stuff, miss having it around.

I can still buy a tablet of Paracetamol 500mg combined with 30mg of codeine and that works well.

I’ve got a bad back too and what I find that helps on occasion is Norgesic.