Guest guest Posted October 29, 2006 Report Share Posted October 29, 2006 Hi, it might be worth checking your status in law if you prescribe, apparently you don't get days out and sky TV in their prisons. Just a thought Tony >From: " Sharpe, Ian [AT] " <Ian.Sharpe@...> >Reply- ><Remotesupportmedics > >Subject: FW: opiad analgesia >Date: Sun, 29 Oct 2006 13:53:54 +0500 > >Gents anyone help out with Micks question ? > > > >________________________________ > >From: Air [mailto:mair63@...] >Sent: Sunday, October 29, 2006 1:49 PM >Sharpe, Ian [AT] >Subject: opiad analgesia > > > >Hi Ian, > >I am currently working with a uxo team out in Libya and have great >difficulty gaining access to any pain relieving analgesia.They (the >local doctors) have decided voltarol IM 50mg and or valium will suffice >until delivered to the hospital. > >Not the best solution when we are dealing with munitions..... > >The nearest hospital is 80 kms from ambulance exchange point, and we are >on average about the same distance from the road. > >We have no helicopter support out here either.I suppose this is why i >joined the remote medic fraternity again......any suggestions on how to >best get passed the bollox of import/export licencing. > >Apparently opiods are only allowed in hospitals in Libya!! > >hope all is well,chat soon > >Mick Air > > > > >________________________________ > >Windows Live Messenger has arrived. Click here to download it for >free! <http://g.msn.com/8HMBENUK/2755??PS=47575> > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2006 Report Share Posted October 29, 2006 Ian, Replied direct. Regards On 10/29/06, Sharpe, Ian [AT] <Ian.Sharpe@...> wrote: > > Gents anyone help out with Micks question ? > > > > ________________________________ > > From: Air [mailto:mair63@...] > Sent: Sunday, October 29, 2006 1:49 PM > Sharpe, Ian [AT] > Subject: opiad analgesia > > > > Hi Ian, > > I am currently working with a uxo team out in Libya and have great > difficulty gaining access to any pain relieving analgesia.They (the > local doctors) have decided voltarol IM 50mg and or valium will suffice > until delivered to the hospital. > > Not the best solution when we are dealing with munitions..... > > The nearest hospital is 80 kms from ambulance exchange point, and we are > on average about the same distance from the road. > > We have no helicopter support out here either.I suppose this is why i > joined the remote medic fraternity again......any suggestions on how to > best get passed the bollox of import/export licencing. > > Apparently opiods are only allowed in hospitals in Libya!! > > hope all is well,chat soon > > Mick Air > > > > > ________________________________ > > Windows Live Messenger has arrived. Click here to download it for > free! <http://g.msn.com/8HMBENUK/2755??PS=47575> > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2006 Report Share Posted October 29, 2006 Thanks J. I passed it on to Mick opiad analgesia > > > > Hi Ian, > > I am currently working with a uxo team out in Libya and have great > difficulty gaining access to any pain relieving analgesia.They (the > local doctors) have decided voltarol IM 50mg and or valium will suffice > until delivered to the hospital. > > Not the best solution when we are dealing with munitions..... > > The nearest hospital is 80 kms from ambulance exchange point, and we are > on average about the same distance from the road. > > We have no helicopter support out here either.I suppose this is why i > joined the remote medic fraternity again......any suggestions on how to > best get passed the bollox of import/export licencing. > > Apparently opiods are only allowed in hospitals in Libya!! > > hope all is well,chat soon > > Mick Air > > > > > ________________________________ > > Windows Live Messenger has arrived. Click here to download it for > free! <http://g.msn.com/8HMBENUK/2755??PS=47575> > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2006 Report Share Posted October 29, 2006 Gents anyone help out with Micks question ? ________________________________ From: Air [mailto:mair63@...] Sent: Sunday, October 29, 2006 1:49 PM Sharpe, Ian [AT] Subject: opiad analgesia Hi Ian, I am currently working with a uxo team out in Libya and have great difficulty gaining access to any pain relieving analgesia.They (the local doctors) have decided voltarol IM 50mg and or valium will suffice until delivered to the hospital. Not the best solution when we are dealing with munitions..... The nearest hospital is 80 kms from ambulance exchange point, and we are on average about the same distance from the road. We have no helicopter support out here either.I suppose this is why i joined the remote medic fraternity again......any suggestions on how to best get passed the bollox of import/export licencing. Apparently opiods are only allowed in hospitals in Libya!! hope all is well,chat soon Mick Air ________________________________ Windows Live Messenger has arrived. Click here to download it for free! <http://g.msn.com/8HMBENUK/2755??PS=47575> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2006 Report Share Posted October 29, 2006 Ketamine at the right dose could do both jobs opiad analgesia Hi Ian, I am currently working with a uxo team out in Libya and have great difficulty gaining access to any pain relieving analgesia.They (the local doctors) have decided voltarol IM 50mg and or valium will suffice until delivered to the hospital. Not the best solution when we are dealing with munitions..... The nearest hospital is 80 kms from ambulance exchange point, and we are on average about the same distance from the road. We have no helicopter support out here either.I suppose this is why i joined the remote medic fraternity again......any suggestions on how to best get passed the bollox of import/export licencing. Apparently opiods are only allowed in hospitals in Libya!! hope all is well,chat soon Mick Air ________________________________ Recent Activity a.. 6New Members b.. 2New Files Visit Your Group Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2006 Report Share Posted October 29, 2006 Hiya Mick, Have you thought about Tramadol, its good IM and IV (over a couple of mins), not perfect but a stand in until you get sorted. Not sure how the Libyans see Tramadols classification either? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2006 Report Share Posted October 29, 2006 Ketamine plus midazolam or diazepam to control hallucinations etc as they wake up Cheers, >From: " Ross Boardman " <ross.boardman@...> >Reply- >< > >Subject: RE: FW: opiad analgesia >Date: Sun, 29 Oct 2006 11:01:11 -0000 > >Ketamine at the right dose could do both jobs > > > > opiad analgesia > > Hi Ian, > > I am currently working with a uxo team out in Libya and have great > difficulty gaining access to any pain relieving analgesia.They (the > local doctors) have decided voltarol IM 50mg and or valium will suffice > until delivered to the hospital. > > Not the best solution when we are dealing with munitions..... > > The nearest hospital is 80 kms from ambulance exchange point, and we are > on average about the same distance from the road. > > We have no helicopter support out here either.I suppose this is why i > joined the remote medic fraternity again......any suggestions on how to > best get passed the bollox of import/export licencing. > > Apparently opiods are only allowed in hospitals in Libya!! > > hope all is well,chat soon > > Mick Air > > ________________________________ > > Recent Activity > a.. 6New Members > b.. 2New Files > Visit Your Group > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2006 Report Share Posted October 29, 2006 so thats what happened to Ross! Tom G >From: " Baker " <RJGBAKER@...> >Reply- > >Subject: RE: FW: opiad analgesia >Date: Mon, 30 Oct 2006 04:44:06 +0000 > > >Ketamine plus midazolam or diazepam to control hallucinations etc as they >wake up > >Cheers, > > >From: " Ross Boardman " <ross.boardman@...> > >Reply- > >< > > >Subject: RE: FW: opiad analgesia > >Date: Sun, 29 Oct 2006 11:01:11 -0000 > > > >Ketamine at the right dose could do both jobs > > > > > > > > opiad analgesia > > > > Hi Ian, > > > > I am currently working with a uxo team out in Libya and have great > > difficulty gaining access to any pain relieving analgesia.They (the > > local doctors) have decided voltarol IM 50mg and or valium will >suffice > > until delivered to the hospital. > > > > Not the best solution when we are dealing with munitions..... > > > > The nearest hospital is 80 kms from ambulance exchange point, and we >are > > on average about the same distance from the road. > > > > We have no helicopter support out here either.I suppose this is why i > > joined the remote medic fraternity again......any suggestions on how >to > > best get passed the bollox of import/export licencing. > > > > Apparently opiods are only allowed in hospitals in Libya!! > > > > hope all is well,chat soon > > > > Mick Air > > > > ________________________________ > > > > Recent Activity > > a.. 6New Members > > b.. 2New Files > > Visit Your Group > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2006 Report Share Posted October 30, 2006 Whilst in Iraq, the American Medics favoured this NSAID, as it can be given IV as well for moderate to severe pain. Below is a short discription. I have used it in a couple of cases, and it showed to be quite effective. It seemed stronger than Voltaren. Hope this helps. http://www.nlm.nih.gov/medlineplus/druginfo/uspdi/202318.html Ketorolac ( kee-toe-ROLE-ak) is used to relieve moderately severe pain, usually pain that occurs after an operation or other painful procedure. It belongs to the group of medicines called nonsteroidal anti- inflammatory drugs (NSAIDs). Ketorolac is not a narcotic and is not habit-forming. It will not cause physical or mental dependence, as narcotics can. However, ketorolac is sometimes used together with a narcotic to provide better pain relief than either medicine used alone. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2006 Report Share Posted October 30, 2006 Have used ketorolac many times much stronger and faster acting in my opinion than voltaren great most most of the " muscle " pains and suprising me greatly very good for severe cases of piles as well and some mouth pain from swelling and abcesses Cheers Tom G >From: " medicrudy " <medicrudy@...> >Reply- > >Subject: Re: FW: opiad analgesia >Date: Mon, 30 Oct 2006 12:08:27 -0000 > >Whilst in Iraq, the American Medics favoured this NSAID, as it can be >given IV as well for moderate to severe pain. Below is a short >discription. I have used it in a couple of cases, and it showed to be >quite effective. It seemed stronger than Voltaren. > >Hope this helps. > > >http://www.nlm.nih.gov/medlineplus/druginfo/uspdi/202318.html > >Ketorolac ( kee-toe-ROLE-ak) is used to relieve moderately severe pain, >usually pain that occurs after an operation or other painful procedure. >It belongs to the group of medicines called nonsteroidal anti- >inflammatory drugs (NSAIDs). Ketorolac is not a narcotic and is not >habit-forming. It will not cause physical or mental dependence, as >narcotics can. However, ketorolac is sometimes used together with a >narcotic to provide better pain relief than either medicine used alone. > > > > > _________________________________________________________________ All-in-one security and maintenance for your PC. Get a free 90-day trial! http://clk.atdmt.com/MSN/go/msnnkwlo0050000002msn/direct/01/?href=http://www.win\ dowsonecare.com/?sc_cid=msn_hotmail Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2006 Report Share Posted October 30, 2006 I agree, good for renal stones/infections as well. In the old days we used to mix it (Voodoo/witch-doctor style)with Nubain (when still available) before they changed the composite (now causes precipitation), thereby using two effective analgesics not listed as narcotics. In another African-Arabic country, it was the norm for the doctors to combine injectable Asprin (Aspegic) with Voltaren 75mg and give it IV...of course, made me nervous as hell.Once it goes in...no way it comes out! However, the few times I saw it, it worked okay. Send instant messages to your online friends http://uk.messenger. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2006 Report Share Posted October 30, 2006 Ketorolac (brand name in the U.S. is Toradol) is an NSAID that is commonly used, but probably no more effective than oral ibuprofen in most cases. It has approximately the same COX 1/COX 2 profile. When it first came out some years back, it was touted by many as the end-all in pain management. But in my experience it works poorly with musculoskeletal pain. I have given tons of it and am generally unimpressed. It is outstanding for patients with renal colic - it provides almost magical pain relief for these people. For anyone else, give 'em 800 mg of ibuprofen and you will have done just as much for them. LT medicrudy wrote: > Whilst in Iraq, the American Medics favoured this NSAID, as it can be > given IV as well for moderate to severe pain. Below is a short > discription. I have used it in a couple of cases, and it showed to be > quite effective. It seemed stronger than Voltaren. > > Hope this helps. > > > http://www.nlm.nih.gov/medlineplus/druginfo/uspdi/202318.html > > Ketorolac ( kee-toe-ROLE-ak) is used to relieve moderately severe pain, > usually pain that occurs after an operation or other painful procedure. > It belongs to the group of medicines called nonsteroidal anti- > inflammatory drugs (NSAIDs). Ketorolac is not a narcotic and is not > habit-forming. It will not cause physical or mental dependence, as > narcotics can. However, ketorolac is sometimes used together with a > narcotic to provide better pain relief than either medicine used alone. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2006 Report Share Posted October 30, 2006 I have had great experience with it  30mg IV, and I have seen 30 IV/30 IM at the same time as well. For kidney stones it has been very effective in my experience, and in several open fractures it brought the pain down considerably to easily managed levels, I have always been impressed by the drastic amount of pain relief. Usually it is with males in their mid-20¹s with musculoskeletal trauma  the US Military, especially Special Ops are really into it. Interesting discussion as I hear quite often of variable experience. - On 10/30/06 9:24 AM, " Larry Torrey " <ltorrey@...> wrote: > > > > > Ketorolac (brand name in the U.S. is Toradol) is an NSAID that is > commonly used, but probably no more effective than oral ibuprofen in > most cases. It has approximately the same COX 1/COX 2 profile. > > When it first came out some years back, it was touted by many as the > end-all in pain management. But in my experience it works poorly with > musculoskeletal pain. I have given tons of it and am generally > unimpressed. > > It is outstanding for patients with renal colic - it provides almost > magical pain relief for these people. For anyone else, give 'em 800 > mg of ibuprofen and you will have done just as much for them. > > LT > > medicrudy wrote: >> > Whilst in Iraq, the American Medics favoured this NSAID, as it can be >> > given IV as well for moderate to severe pain. Below is a short >> > discription. I have used it in a couple of cases, and it showed to be >> > quite effective. It seemed stronger than Voltaren. >> > >> > Hope this helps. >> > >> > >> > http://www.nlm.nih.gov/medlineplus/druginfo/uspdi/202318.html >> > >> > Ketorolac ( kee-toe-ROLE-ak) is used to relieve moderately severe pain, >> > usually pain that occurs after an operation or other painful procedure. >> > It belongs to the group of medicines called nonsteroidal anti- >> > inflammatory drugs (NSAIDs). Ketorolac is not a narcotic and is not >> > habit-forming. It will not cause physical or mental dependence, as >> > narcotics can. However, ketorolac is sometimes used together with a >> > narcotic to provide better pain relief than either medicine used alone. > > > > Messages in this topic > </message/12859;_ylc=X3oDMTM1 > bHVyc2ozBF9TAzk3MzU5NzE0BGdycElkAzQwNjQyNQRncnBzcElkAzE3MDUwNjExNDYEbXNnSWQDMT > I4NzQEc2VjA2Z0cgRzbGsDdnRwYwRzdGltZQMxMTYyMjM5Mzg5BHRwY0lkAzEyODU5> (12) > Reply (via web post) > </post;_ylc=X3oDMTJwbHVwbW1lB > F9TAzk3MzU5NzE0BGdycElkAzQwNjQyNQRncnBzcElkAzE3MDUwNjExNDYEbXNnSWQDMTI4NzQEc2V > jA2Z0cgRzbGsDcnBseQRzdGltZQMxMTYyMjM5Mzg5?act=reply & messageNum=12874> | > Start a new topic > </post;_ylc=X3oDMTJkODl0ZXBtB > F9TAzk3MzU5NzE0BGdycElkAzQwNjQyNQRncnBzcElkAzE3MDUwNjExNDYEc2VjA2Z0cgRzbGsDbnR > wYwRzdGltZQMxMTYyMjM5Mzg5> > > Messages > </messages;_ylc=X3oDMTJkczBzb > G9jBF9TAzk3MzU5NzE0BGdycElkAzQwNjQyNQRncnBzcElkAzE3MDUwNjExNDYEc2VjA2Z0cgRzbGs > DbXNncwRzdGltZQMxMTYyMjM5Mzg5> | Links > </links;_ylc=X3oDMTJlM3JncDM0 > BF9TAzk3MzU5NzE0BGdycElkAzQwNjQyNQRncnBzcElkAzE3MDUwNjExNDYEc2VjA2Z0cgRzbGsDbG > lua3MEc3RpbWUDMTE2MjIzOTM4OQ--> | Database > </database;_ylc=X3oDMTJiMHU0d > jFpBF9TAzk3MzU5NzE0BGdycElkAzQwNjQyNQRncnBzcElkAzE3MDUwNjExNDYEc2VjA2Z0cgRzbGs > DZGIEc3RpbWUDMTE2MjIzOTM4OQ--> | Polls > </polls;_ylc=X3oDMTJlZmExb2xx > BF9TAzk3MzU5NzE0BGdycElkAzQwNjQyNQRncnBzcElkAzE3MDUwNjExNDYEc2VjA2Z0cgRzbGsDcG > 9sbHMEc3RpbWUDMTE2MjIzOTM4OQ--> | Members > </members;_ylc=X3oDMTJkaWZqNj > A0BF9TAzk3MzU5NzE0BGdycElkAzQwNjQyNQRncnBzcElkAzE3MDUwNjExNDYEc2VjA2Z0cgRzbGsD > bWJycwRzdGltZQMxMTYyMjM5Mzg5> | Calendar > </calendar;_ylc=X3oDMTJjcms4O > HY4BF9TAzk3MzU5NzE0BGdycElkAzQwNjQyNQRncnBzcElkAzE3MDUwNjExNDYEc2VjA2Z0cgRzbGs > DY2FsBHN0aW1lAzExNjIyMzkzODk-> > > Member Information: > > List owner: Ian Sharpe Owner@... > Editor: Ross Boardman Editor@... > > ALL list admin messages (subscriptions & unsubscriptions) should be sent to > the list owner. > > Post message: egroups > > Please visit our website http://www.remotemedics.co.uk > > Regards > > The Remote Medics Team > > > <;_ylc=X3oDMTJjcjQzM3JoBF9TAzk3MzU5NzE0BGdycElkAzQwNjQ > yNQRncnBzcElkAzE3MDUwNjExNDYEc2VjA2Z0cgRzbGsDZ2ZwBHN0aW1lAzExNjIyMzkzODk-> > Change settings via the Web > </join;_ylc=X3oDMTJlMWFsdGdtB > F9TAzk3MzU5NzE0BGdycElkAzQwNjQyNQRncnBzcElkAzE3MDUwNjExNDYEc2VjA2Z0cgRzbGsDc3R > uZ3MEc3RpbWUDMTE2MjIzOTM4OQ--> ( ID required) > Change settings via email: Switch delivery to Daily Digest > <mailto:-digest ?subject=Email Delivery: > Digest> | Switch format to Traditional > <mailto:-traditional ?subject=Change > Delivery Format: Traditional> > Visit Your Group > <;_ylc=X3oDMTJjM2Q3M2VqBF9TAz > k3MzU5NzE0BGdycElkAzQwNjQyNQRncnBzcElkAzE3MDUwNjExNDYEc2VjA2Z0cgRzbGsDaHBmBHN0 > aW1lAzExNjIyMzkzODk-> | Terms of Use > <> | Unsubscribe > <mailto:-unsubscribe ?subject=> > > > > > Recent Activity > > * > * 6 > * > * New Members > </members;_ylc=X3oDMTJlbWl1MG > NhBF9TAzk3MzU5NzE0BGdycElkAzQwNjQyNQRncnBzcElkAzE3MDUwNjExNDYEc2VjA3Z0bARzbGsD > dm1icnMEc3RpbWUDMTE2MjIzOTM4OQ--> > * > * > * 1 > * > * New Links > </links;_ylc=X3oDMTJmbWZpZHZ2 > BF9TAzk3MzU5NzE0BGdycElkAzQwNjQyNQRncnBzcElkAzE3MDUwNjExNDYEc2VjA3Z0bARzbGsDdm > xpbmtzBHN0aW1lAzExNjIyMzkzODk-> > * > * > * 2 > * > * New Files > </files;_ylc=X3oDMTJmbTg4cWRs > BF9TAzk3MzU5NzE0BGdycElkAzQwNjQyNQRncnBzcElkAzE3MDUwNjExNDYEc2VjA3Z0bARzbGsDdm > ZpbGVzBHN0aW1lAzExNjIyMzkzODk-> > * > Visit Your Group > <;_ylc=X3oDMTJkZHM1dGVrBF9TAz > k3MzU5NzE0BGdycElkAzQwNjQyNQRncnBzcElkAzE3MDUwNjExNDYEc2VjA3Z0bARzbGsDdmdocARz > dGltZQMxMTYyMjM5Mzg5> > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2006 Report Share Posted October 30, 2006 I agree with everything you wrote, and this is great for renal colic, but the question asked was for an alternative to narcotics, with quick action pain-relief in Libya due to country legislation. Another alternative mentioned before, was Tramadol. Correct me if I am wrong, but shouldn't IV Toradol work faster than oral Ibuprofen...if used for say renal colic. 800mg Ibuprofen tablets (the big white dog) is very effective (personal experience) for musculoskeletal pain....nothing less than 800mg. Re: Re: FW: opiad analgesia Ketorolac (brand name in the U.S. is Toradol) is an NSAID that is commonly used, but probably no more effective than oral ibuprofen in most cases. It has approximately the same COX 1/COX 2 profile. When it first came out some years back, it was touted by many as the end-all in pain management. But in my experience it works poorly with musculoskeletal pain. I have given tons of it and am generally unimpressed. It is outstanding for patients with renal colic - it provides almost magical pain relief for these people. For anyone else, give 'em 800 mg of ibuprofen and you will have done just as much for them. LT medicrudy wrote: > Whilst in Iraq, the American Medics favoured this NSAID, as it can be > given IV as well for moderate to severe pain. Below is a short > discription. I have used it in a couple of cases, and it showed to be > quite effective. It seemed stronger than Voltaren. > > Hope this helps. > > > http://www.nlm. nih.gov/medlinep lus/druginfo/ uspdi/202318. html > > Ketorolac ( kee-toe-ROLE- ak) is used to relieve moderately severe pain, > usually pain that occurs after an operation or other painful procedure. > It belongs to the group of medicines called nonsteroidal anti- > inflammatory drugs (NSAIDs). Ketorolac is not a narcotic and is not > habit-forming. It will not cause physical or mental dependence, as > narcotics can. However, ketorolac is sometimes used together with a > narcotic to provide better pain relief than either medicine used alone. Send instant messages to your online friends http://uk.messenger. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2006 Report Share Posted October 30, 2006 Totally agreed Larry: Recently removed from my protocols and rx inventory but never used it for Renal Colic though? I just didn't want to speak up first and get a bad rep. Maybe nubaine/nalbuphine? cheers Wilf Re: Re: FW: opiad analgesia > When it first came out some years back, it was touted by many as the > end-all in pain management. But in my experience it works poorly with > musculoskeletal pain. I have given tons of it and am generally > unimpressed. > LT Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2006 Report Share Posted October 30, 2006 The narcotics laws in the Middle East and former soviet union, are, to put it mildly, insane. Here is info from the US Embassy in the UAE regarding importation of narcotics and restricted medication. http://uae.usembassy.gov/restricted_medication_.html Note some of these restricted meds: 7, ACTIFED DM, Dextromethorphan 10mg , Triprolidine1.25mg, Pseudoephedrine 30mg/5ml, Linctus 22, ANEXATE 1mg/10ml, Flumazenil 0.1mg/ml, Injection 303, STEMETIL, Prochlorperazine maleate 0.1%w/v, Syrup 254, ROACCUTANE 2.5, Isotretinoin 2.5mg, Capsules 370, ZOLOFT, Sertraline 50mg, Tablets Note the section: .... " the Drug Control Department of the Ministry of health does have special regulations for personal import of such items: patients or travelers carrying prescribed prescription medications must have their prescriptions issued by licensed U.S. doctors, attested by a notary public, and duly authenticated by both the secretary of state of one’s U.S. state, and finally also authenticated by the Secretary of State of the U.S. Government in Washington, D.C. " So, all you need to do to bring your cough syrup with you to Dubai is a letter from Condi Rice and a few lesser mortals. This is not unusual. In many of these countries, the only time you get morphine or other opioids for terminal cancer is if you have been admitted to the hospital. No PCA pumps, no oxy-contin, etc. My mother-in-law in the FSU died of lung CA that had metastasized to her femur, weakening it and causing it to fracture when she fell down. For the pain she got ketorolac. The MDs are also EXTREMELY reluctant to give opioids because of the paperwork and oversite involved. I have seen Russian physicians withhold morphine from an acute MI and from a guy who had his hand torn up by a power grinder, because of the strict control of narcs. In order to import these drugs, you need an import license from the government of the country you are working in. These are, needless to say, virtually impossible to get. Without this, most *suppliers* will not supply you with anything other than Schedule 3 or 4 unless you have the import license. So you either use something like Ketorolac, or you get creative. Making friends with a local anesthesiologist is highly recommended. If you are some place where the military is operating, you can try getting some from them. OTOH, n some places, such as parts of Africa, Pakistan, and until recently, Afghanistan, you could buy morphine, valium, midazolam etc over the counter. It makes life SO much easier. Jim Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 31, 2006 Report Share Posted October 31, 2006 Yes, IV meds would certainly have a faster onset of action than oral. I was commenting on overall pain relief. As an alternative to narcs, Toradol would be better than acetaminophen or nothing and faster onset than oral ibuprofen. OF course, 800 mg of ibuprofen only requires a glass of water, and not an IV or IM injection. My opinion only. LT RUDY VAN-DENTEN wrote: > I agree with everything you wrote, and this is great for renal colic, but the question asked was for an alternative to narcotics, with quick action pain-relief in Libya due to country legislation. Another alternative mentioned before, was Tramadol. Correct me if I am wrong, but shouldn't IV Toradol work faster than oral Ibuprofen...if used for say renal colic. 800mg Ibuprofen tablets (the big white dog) is very effective (personal experience) for musculoskeletal pain....nothing less than 800mg. > > > Re: Re: FW: opiad analgesia > > Ketorolac (brand name in the U.S. is Toradol) is an NSAID that is > commonly used, but probably no more effective than oral ibuprofen in > most cases. It has approximately the same COX 1/COX 2 profile. > > When it first came out some years back, it was touted by many as the > end-all in pain management. But in my experience it works poorly with > musculoskeletal pain. I have given tons of it and am generally > unimpressed. > > It is outstanding for patients with renal colic - it provides almost > magical pain relief for these people. For anyone else, give 'em 800 > mg of ibuprofen and you will have done just as much for them. > > LT > > medicrudy wrote: >> Whilst in Iraq, the American Medics favoured this NSAID, as it can be >> given IV as well for moderate to severe pain. Below is a short >> discription. I have used it in a couple of cases, and it showed to be >> quite effective. It seemed stronger than Voltaren. >> >> Hope this helps. >> >> >> http://www.nlm. nih.gov/medlinep lus/druginfo/ uspdi/202318. html >> >> Ketorolac ( kee-toe-ROLE- ak) is used to relieve moderately severe pain, >> usually pain that occurs after an operation or other painful procedure. >> It belongs to the group of medicines called nonsteroidal anti- >> inflammatory drugs (NSAIDs). Ketorolac is not a narcotic and is not >> habit-forming. It will not cause physical or mental dependence, as >> narcotics can. However, ketorolac is sometimes used together with a >> narcotic to provide better pain relief than either medicine used alone. > > > > > Send instant messages to your online friends http://uk.messenger. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 31, 2006 Report Share Posted October 31, 2006 It is absolutely outstanding for renal colic. It's almost diagnostic if you have a flank/abd pain pt and your trying to figure out if it's stones or not. LT Wilf Mackie wrote: > Totally agreed Larry: > Recently removed from my protocols and rx inventory but never used it for > Renal Colic though? > I just didn't want to speak up first and get a bad rep. > > Maybe nubaine/nalbuphine? > > cheers > Wilf > > > Re: Re: FW: opiad analgesia > > > >> When it first came out some years back, it was touted by many as the >> end-all in pain management. But in my experience it works poorly with >> musculoskeletal pain. I have given tons of it and am generally >> unimpressed. > >> LT > > > > Member Information: > > List owner: Ian Sharpe Owner@... > Editor: Ross Boardman Editor@... > > ALL list admin messages (subscriptions & unsubscriptions) should be sent to the list owner. > > Post message: egroups > > Please visit our website http://www.remotemedics.co.uk > > Regards > > The Remote Medics Team > Quote Link to comment Share on other sites More sharing options...
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