Best Long Term NAIDS

On 2004-04-21 15:12:55 -0400, "James E." <[email hidden]> said:

Unless you have liver problems or drink heavily, Tylenol
(acetaminophen) is the best first-line analgesic, as it's
safer for the stomach and kidneys than NSAIDs. The maximum
daily dose is 4,000 mg (usually either 2x650mg ever 8 hours
or 2x500 mg every 6 hours). Vicodin is a narcotic, and habit-
forming, so I'd put that at the bottom of the list. If you
have to take an NSAID, the newer COX-2 agents (Celebrex,
Bextra, Vioxx, and Mobic) are somewhat safer for the GI
tract for long-term use. They're considerably more
expensive, however.

Quoted message said:

I have a bulging disk which causes moderate but chronic
pain due to nerve compression. I am trying to avoid a
second back-surgery. The pain is greatly ameliorated if I
use one of the following medications on a daily basis:

Aspirin 4 x 350 mg Feldene 1 x 20 mg Acetaminophen 4 x 500
Ibuprofen 4 x 200 mg Vicodin 2 x 5/500mg

Since I will have to take the best one of these
medications for the rest of my life (75 YO), could someone
please tell me which of these medications has the least
side-effects in a long term application.

"anon" <[email hidden]> wrote in message
news:200404211904508930%anon@anoncom...

Quoted message said:

On 2004-04-21 15:12:55 -0400, "James E."
<[email hidden]> said:

Unless you have liver problems or drink heavily, Tylenol
(acetaminophen) is the best first-line analgesic, as it's
safer for the stomach and kidneys than NSAIDs. The maximum
daily dose is 4,000 mg (usually either 2x650mg ever 8
hours or 2x500 mg every 6 hours). Vicodin is a narcotic,
and habit-forming, so I'd put that at the bottom of the
list. If you have to take an NSAID, the newer COX-2 agents
(Celebrex, Bextra, Vioxx, and Mobic) are somewhat safer
for the GI tract for long-term use. They're considerably
more expensive, however.

That risk for a narcotic used for pain has been extremely
small in studies, but constipation and possible tolerance
can be a problem.

Quoted message said:

Quoted message said:

I have a bulging disk which causes moderate but chronic
pain due to

nerve

Quoted message said:

Quoted message said:

compression. I am trying to avoid a second back-surgery.
The pain is

greatly

Quoted message said:

Quoted message said:

ameliorated if I use one of the following medications on
a daily basis:

Aspirin 4 x 350 mg Feldene 1 x 20 mg Acetaminophen 4 x
500 Ibuprofen 4 x 200 mg Vicodin 2 x 5/500mg

Since I will have to take the best one of these
medications for the rest

of

Quoted message said:

Quoted message said:

my life (75 YO), could someone please tell me which of
these medications

has

Quoted message said:

Quoted message said:

the least side-effects in a long term application.