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Old 02-26-2013, 11:36 PM   #102
Street Pharmacist
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Quote:
Originally Posted by Puxlut View Post
1)Why would taking a daily vitamin give me a wicked headache? I read that it might be the niacin?

2)I take either naproxen or ibuprofen for my back. My doctor said that prolonged use of these are bad for you. True? and How? and What other alternative do I have?
1) niacin can cause a drop in bp and increase cutaneous vadodilation. The drop in bp can cause headaches. It's actually a fairly common reaction to niacin. Maybe stop taking a multivitamin

2) prolonged use of NSAIDS (non-steroidal anti-inflammatory drugs such as aspirin, Advil, Aleve) can lead to ulcer formation. This happens because they decrease how much protective mucus (the stomach's protective "lining") is produced. Over time the acid in the stomach can then burn the actual stomach tissue. NSAIDS also increase blood pressure and have been proven to contribute to cardiovascular events like heart attacks and stroke.
You have three options:
1) Acetaminophen (Tylenol) is a pain killer that does not cause the above effects and at normal doses (<1300mg per dose and <3200mg per day) is very safe. Probably your best option if it works
2) Narcotics are addictive and can cause impairment, dysphoria and constipation among other things. At your age a very poor idea imo.
3) Topical NSAIDS are a good way of getting some anti inflammatory action and minimizing the stomach issue (though not eliminating it entirely)

My suggestion? Take a Tylenol Arthritis (or house brand equivalent) the times daily and add Voltaren Emulgel if needed up to three times daily. Ok to use both together.

All of this is assuming you don't have any allergies or other medical issues I'm not aware of...

Last edited by Street Pharmacist; 02-26-2013 at 11:56 PM.
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