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--- Silverbells2006@... wrote:

> As of right now he is in so much pain that he cannot

> tolerate it. His joints

> have all swelled, turned red and he cant bend his

> fingers. He is taking apx

> 20 Tylenol a day and has gotten some prescription

> painkillers from a friend

> to use at night and he only gets about 2 hrs of

> sleep per night because of the

> pain.

Hi Debbie

You're friend is fortunate to have someone who cares,

and is helping him join a support group. I'm very

sorry that he has 2 types of arthritis, plus lymphoma.

I'm surprised that his physician didn't start him on

an anti-inflammatory drug such as Ibuprofen. Maybe it

is contraindicated, so I am not suggesting he take it

without an okay from his physician.

Tylenol, can help with pain, but it cannot help with

inflammation. Both of the types of arthritis he has

cause inflammation in his joints.

Too much Tylenol can cause liver damage. He should

never take more than 2 extra strength (1,000 mg or 1

gm) 4 times each day. Tylenol (acetaminophen) is also

in many, many over the counter products. Please help

him read the labels carefully.

It isn't wise to take someone else's prescription

medication, but make sure that there isn't already

Tylenol in it. Adding an additional 20 Tylenol,

generic named acetaminophen, here in the states is in

many narcotics.

It is already in Lortabs, (hydrocodone), Percocet,

(oxycodone), Darvocet, (propoxyphene), and Tylenol #3

(acetaminophen plus codeine), just to name a few

common narcotics used here in the states.

Anti seizure medications such as Lyrica, or Tegretol

can help with arthritis pain. Antidepressants can help

with sleep. Medications such as Klonopin, Valium or

Ativan, can help with all the anxiety pain causes. The

Duragesic patch might irritate his skin.

There is also many drugs other than the DMARDS, such

as corticosteroids, but all those decrease the immune

system.

Please help your friend contact his physician

immediately for his own prescription pain relief.

Shame on his physician for not prescribing adequate

pain relief already. Please help him contact his

physician today.

If he can stand to wear gloves for warmth, that might

help. There are also inserts you can put in gloves

that make them warmer for up to 7 hours. I believe

there are feet warmers too.

Welcome to the group. I wish you and your friend the

very best. I'm sorry his immune system is wrecking

havoc in his body.

Kaylene

Moderator

Here is a good site about Psoriatic Arthritis

http://www.arthritis.org/conditions/DiseaseCenter/psoriatic_arthritis.asp

Here are several sites about Rheumatoid Arthritis

http://www.medicinenet.com/rheumatoid_arthritis/page4.HTML

http://www.arthritis.org/conditions/DiseaseCenter/RA/ra_treatments1.asp

http://www.nlm.nih.gov/medlineplus/rheumatoidarthritis.html

Kaylene

Moderator

__________________________________________________

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Hi Debbie,

What a nice friend to try and help. I feel sorry for your friend knowing how

he feel myself. My hands are not as bad as your friens but I have gone to a

rhumy and not had much success.

I was put on folic acid, methatrexate and relefin. No of which helped. I do

not have rhumatoid arthritis. It is some kind of inflammatory and I have a very

hard time with my hands too. It has not affected any other part of my body, but

your hands are enough.

Every dr. that just looks at my hands thinks I have rhumatoid, but all the

test come back inflammatory. The dr. suggested embrel and I told him NO. I

take enough meds. for a broken back that healed wrong.

I wish you the best of luck with your friend, and hope all turns out well.

And welcome to our little group.

donna

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HE did mention Methatrexate to me and it was either that he was on that also

or that he asked about it and the Dr. didn't want to give it to him. There

was one medication that his own dr had given someone and they actually died

from it. I wish I could remember which one it was. But the Embrel is just as

dangerous in my oppinion. Im glad you said no when they offered it to you. Some

drugs should not have been approved by the FDA because the risks are too

severe. I know there are side effects for almost everything but some are just

not worth it.

Deb

Donna B. wrote:

The dr. suggested embrel and I told him NO.

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Thank you Kaylene. My friend, his name is , he does not want to take

so many Tylinol but the pain is so severe. The doctors (he is seeing 3, his

internist, the rheumotoligst (sp?), and the surgeon), they all wouldn't give

him anything because they dont know if the Embrel caused the tumors in my

friends face. They said that after the tumors are removed (April 5th) then they

can give him pain killers and medication for the arthritus. They do not know if

he has lymphoma yet, the biopsy came back inconclusive and they will know

for sure when they remove them, we are praying they are not. So in the meantime

my friend is suffering so badly. I am wondering if acupuncture would

help? Has anyone ever tried that?

Debbie

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Hey Debbie,

For one thing, taking 20 tylenol (assuming they are extra-strength)

is 10 grams of tylenol per day. That is 21/2 times the max dose. He

needs to get to a pain clinic to get on non-Apap meds. That much

tylenol is worse than narcotic pain meds.

All I can say is quit the tylenol and go Dr. shopping until you can

find one that believes the need is legit. Good luck,

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Moderator's Note: Please remember to trim your posts prior to sending them in to

the group. Also Trim the previous post that you are replying to, down to one or

two lines so that your reply ties into that post. Thanks for your help.

Welcome,

I cannot believe that they took him off ALL painkillers. That poor man needs

some relief! Goodness, those doctors sound heartless to say the least. Perhaps

he or you could call and get him something to get him through until the surgery

- that is inhuman to expect him to get along without any painkillers.

sending much love and relief from pain,

barb k.

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That is just wrong, I would keep calling even if you get the same answer - the

poor fellow is in huge pain for goodness sake! They could talk to the

anesthesiologist to get some ideas or even an oncology dr to help him out.

much love,

barb k.

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Hi Debbie;

Just tell your friend that he is in my prayers. I do not know if this

will take his mind of the pain, but maybe some relaxing music or the

type of music he may enjoy, it may relax him take his mind of

what is going on right now, at least for a little while.

I'm praying for you and your friend.

LaDonna

>

> Hi, my name is Debbie and I am new to the list. I am here for my

friend, he

> has never joined a Yahoo list, I have to explain to him how it

works.

>

> Thanks,

> Debbie

>

>

>

>

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