Wednesday, November 30, 2011

Most Effective Pain Pill for Wisdom Teeth
This month's British Dental Journal has a study on this topic from Oxford. The winner- ibuprofen and Tylenol together! That's one ibuprofen and one extra-strength Tylenol! It achieved a tie with a COX-2 inhibitor not available in the US. They scored the percentage of patients who started out with moderate or severe pain and achieved at least 50% pain relief.

Ibuprofen/Tylenol scored 74%
Naproxen (Aleve) and 2 ibuprofen (separately) "scored well"
Lortab was only 24%
Placebo was 7%. It's always amazing how well placebos do.

Pain control is tricky. This study shows that even the best drugs fail to provide good relief in 30% of patients. No single drug is effective for everybody. Some people believe that a drug must make you stoned to really relieve pain- probably not true. While narcotics (Lortab) do make you sleepy, they also causes nausea, dizziness, constipation and massive problems with addiction. There are probably better medications to make you sleepy. The conclusion of the authors of the study was that if one medication doesn't give you relief, try another.

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