NSAIDS, renal problems and women

[shootingstar]

After enough years of cycling and some long multi-wk. or simply multi-day long, self-loaded touring rides, I feel like such a strange baby reading all this about the painkillers.

When dearie took the occasional Tyelnol, I thought he was unusual..simply because he has some other problems, ..sleep disorder, a knee that flares up at times, a shoulder muscle from a farming machinery accident years ago.

I just was not aware it was a common practice..among people doing certain sports regularily.

and I ride hybrids or my folding bike which is more effort since it's a less swifter type of bike. No, I actually I've never had a bike with dropped handlebars...yet.

Yea, well whimpy me. But I feel fine on bike.

[Cataboo]

SS, you're lucky, and I hope you remain so. My wrists have been a chronic problem from years of overuse from lab work and typing. I've been trying to keep them under control for 14 years now, and I don't expect anything to "cure" or fix them.

There's also the bad ankle, the bad knee, and the bad elbow - my bad ankle's been a problem for 20 years now.

[Kiwi Stoker]

Would we be better off using topical pain killer creams or patches like Panaflex Max patches? Bypassing the digestive tract and hopefully only targeting the direct area involved (not so good for headaches but OK for muscle or joint pain).

I have found these type of patches really helpful for my shoulder that was broken and healing tendons etc- actuallly better than taking an oral painkiller.

[emily_in_nc]

Would we be better off using topical pain killer creams or patches like Panaflex Max patches? Bypassing the digestive tract and hopefully only targeting the direct area involved (not so good for headaches but OK for muscle or joint pain).

I have found these type of patches really helpful for my shoulder that was broken and healing tendons etc- actuallly better than taking an oral painkiller.

Don't think these are available in the US, though possibly something equivalent is.

[OakLeaf]

Diclofenac sodium is available as a gel and diclofenac epolamine is available as a patch, in the USA. I don't have access to a print PDR right now, and the online version is only available to licensed prescribers, but the layperson's version says that it's prescribed "as a last resort [emphasis mine] to relieve acute pain due to minor strains, sprains, and bruises." That doesn't make it sound like it's much safer than the oral version...

Then there are salicylate pain patches (related to aspirin) that are available over the counter in the USA.