Cactus Juice Inflammation and Pain Relief

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Pain and Chronic Inflammation relief

Many people turn to Over-the-counter (OTC) pain relievers for pain relief, because they do not require a prescription which is why many people use them without sufficient consideration for their safe use. In response, the Food & Drug Administration has begun to enforce regulations concerning warning labels and dosage. The FDA may also move to ban some prescription medications containing acetaminophen, a very common ingredient in OTC pain relievers.

There are two forms of non-prescription pain relievers:

• Nonsteroidal anti-inflammatory drugs, called NSAIDs, are found in aspirin, Advil, Motrin, Aleve, and others
• Acetaminophen is found in Tylenol and many generic pain relievers

NSAIDs Risks

The biggest risk with NSAIDs is severe and sometimes fatal gastrointestinal bleeding. NSAIDs can trigger an increase in stomach acid and, at the same time, reduce the stomach's normal protective mucus layer. In some patients, these widely used drugs can also make high blood pressure worse. They can cause reversible damage to the kidneys in people over 60; those with high blood pressure, heart disease, or pre-existing kidney disease; and people taking water pills.

Acetaminophen Risks

Acetaminophen is considered safe if used according to the directions. However, taking more than the recommended dose can cause liver disease, liver failure, and death. Often, liver damage occurs before any symptoms show up. Shockingly, acetaminophen has replaced viral hepatitis as the leading cause of acute liver failure in the United States. The risk is greatest in people who already have liver problems, such as hepatitis or cirrhosis. But anyone who takes too much of the drug for too long faces danger.

Experts say that despite growing worries, OTC painkillers can be safe and effective, even for people with chronic pain. But it's crucial to follow a few rules.

Rule #1 for Over-the-Counter Painkillers: Don't Take Them Lightly

"The first mistake people make," says Penney Cowan, founder and executive director of the American Chronic Pain Association, "is thinking that if something is over-the-counter, it's safe and they can do anything they want with it. These are potent drugs that can have severe side effects."

Unfortunately, many people take them without a second thought. Philippe Berenger, MD, says, "We can ask patients what medicines they take. But they almost never mention over-the-counter pain medication unless we ask specifically, 'Are you taking Tylenol or Excedrin?'" Berenger is a pain management specialist at the Cleveland Clinic Foundation.

"Patients end up compounding these drugs. They're taking Tylenol without keeping track of how much. Then they take a course of a cold medicine with acetaminophen. Then their doctor prescribes a drug with acetaminophen in it. All of a sudden they're at toxic doses

David Ogden
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