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#486095 - 04/03/07 05:39 AM
Re: Taking pain meds with food or without food
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Threadhead
Registered: 01/18/05
Posts: 761
Loc: NY, USA
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My most effective dose is my first morning dose. I try to take it about 10-15 minutes before actually getting out of bed but my bladder has a mind of it's own. I either usually wake up because I have to "go potty" so bad that my bladder hurts, or because my back is hurting so bad that all I can do is fantasize about sleeping.
Either way, I usually have to actually get out of bed and take my first dose while I am in the bathroom. Thankfully it kicks in pretty fast on an empty stomach and I will hobble my way out to the couch until it does actually "kick in."
I will sit there with the heating pad against my back and after I start to loosen up a little, I'll usually go toast a couple of eggo nutri-grain waffles which I eat plain about 20-60 minutes after I take my meds. It's just become a habit to put those dry waffles in my stomach to avoid nausea and because they are light, they don't usually effect my meds.
But as the day wears on, any subsequent doses usually seem about 1/2 as effective at giving relief as that first morning dose is. I tend to think that this is not necessarily due to food intake, but has more to do with the fact that once you get up and start moving around and everything, your body starts creating it's own endorphins which will lessen the effect of the medications as well...but I am not a doctor. (I'd love to hear from chemsynth on this particular issue, though.)
Also, I will take a couple of low dose aspirin with a caffeine tablet to combat the onset of a headache which I almost always get, but those are sinus related and mornings are my worst times with my sinuses as well.
I mention this only because I know that most people drink some form of caffeine in the morning...coffee, tea, whatever whereas I do not. Just the smell of coffee brewing gives me an upset tummy and can bring on some wicked heart-burn. I don't know why, but I have always had that problem. It doesn't help that my husband likes his coffee strong enough to strip paint off the walls.
I have heard that caffeine can effect the meds one way or the other too. I don't know much about that one though.
_________________________
Diplomacy is...the art of letting someone have your way.
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#486098 - 04/03/07 11:27 AM
Re: Taking pain meds with food or without food
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GRAND Pooh-Bah
Registered: 11/07/06
Posts: 1902
Loc: The Doors of Perception
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I voted for 'less effective with food' only because that's the closest answer to what I believe you're referring to. Taken on an empty stomach, the active ingredient is absorbed faster, creating a higher probability of experiencing the euphoria, that many associate with relief. With or without food, the pain killers are still absorbed into the bloodstream, unless you're gorging yourself or purging, and ultimately provide equal pain relief. On an empty stomach, the relief is faster and more intense, it also doesn't last as long. You just have to weigh your options and decide if you want them to "kick in" in 30min or last for 5-6 hrs.
I'm not insinuating that you're only taking them for the buzz, just offering my personal opinion and experience, so please don't take offense.
_________________________
"God deliver us from such criminal imbecility."
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#486101 - 04/03/07 11:56 AM
Re: Taking pain meds with food or without food
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GRAND Pooh-Bah
Registered: 11/07/06
Posts: 1902
Loc: The Doors of Perception
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That's how it works for me. Someone mentioned eating 10-20min after you take your meds, on an empty stomach, and that's what I actually do. Lots of factors play a role in how you react to medication-weight, gender, brain chemistry, amount of water you drink, level of exercise, etc.. Try taking them with food and see if they do last longer? Oxy doesn't last as long as Hydro, IMO. So your pain med, itself may be the reason you only feel 2-3hrs of relief. Also, the first dose of the day being the best comment, has to do with your brains neurotransmitters being replenished from sleep, a longer amount of time between the dose before bed and the one when you get up, and some more of the residual meds not being locked into the receptor sites. More receptors available=more relief. Keep in mind this is all pseudo-science junk, that I've pieced together from years of experience, reading, speculating and studying chemistry and biology, but never having the patience to finish either course of study.
I'd like chemsynth to jump in and let me know how much of what I'm saying has any real science behind it?
_________________________
"God deliver us from such criminal imbecility."
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#486104 - 04/03/07 12:18 PM
Re: Taking pain meds with food or without food
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Threadhead
Registered: 01/18/05
Posts: 761
Loc: NY, USA
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Quote:
Consider yourself lucky. Euphoria often leads to abuse and "chasing the high". I wish my pain meds gave me no euphoric feeling, when I began taking them. Now my tolerance is so high or I've burned up all the pleasure receptors, that all I get is a mild "fuzzy" feeling, in the morning then I just feel normal the rest of the day, with less pain.
I guess I do. I have concluded that my seeming inability to experience this effect is God's way of keeping me out of trouble and "focused" on whatever it is He has for me to do in this life...which aside from taking care of my family, I have yet to really figure out!
Anyway, I know that my sister has tried just about everything you can imagine (in her younger years) but I never had the desire to do so. Same with alcohol...I'll get sick with nausea and stomach cramps before I have a chance to ever catch that "buzz."
Maybe it's my body's own built in mechanism for keeping my away from the things my very ailing kidneys (since I was born with a bad inherited disorder) cannot filter out. I think it's the same with my adversion to caffeine and how the smell of coffee turns my stomach and gives me heart-burn. Funny that my doctors have always said to stay away from caffeine as much as possible with my kidney issues. (And of course, flood my system with water, cranberry juice and diuretics to keep everything moving out.)
They say that pregnant woman experience natural diversions and nausea to certain substances, foods and smells as their body naturally builds a "defense mechanism" to protect the baby (which I know well!) But I seem to have been born with this same type of "defense mechanism."
So...yes, I guess I am lucky in that I have never had to go through the hell of addictions or withdrawals, etc. But I know there have been times in my life where I was around people who were drinking and were seemingly feeling great and having a ball where I felt a little envious.
_________________________
Diplomacy is...the art of letting someone have your way.
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