Sunday, June 29, 2008

I Hurt All Over... How to Ease Away the Pain of Fibromyalgia!

At one moment, a life of activity consumed with enjoyable activities like biking, golfing, going to the movies, out to dinner. Then one day, it's gone. Replaced with constant pain and fatigue. Here's the lowdown on fibromyalgia.

Fibromyalgia is one of the most common forms of arthritis seen in a rheumatology practice. It is actually a soft tissue form of rheumatism. Typically, a patient will complain of feeling achy all over, being chronically tired, and feeling like they're walking around in a constant fog. Often a patient will complain of short term memory problems.

The American College of Rheumatology has set criteria by which fibromyalgia symptoms can be classified. These consist of a history of widespread pain for three or more months and pain in 11 of 18 tender point sites when 4 kilograms (about 9 pounds) of pressure is applied. When accompanied by a history of chronic fatigue and non-restorative sleep (waking up and feeling as if you haven't slept), there is a strong suspicion that fibromyalgia is to blame.

People affected by fibromyalgia experience two unique responses to stimuli. They perceive normal stimuli as being painful and they perceive painful stimuli as being more painful than it should be.

These abnormal responses are thought to be due to an abnormality involving pain-processing pathways within the central nervous system.

History and physical examination is the first step in evaluation. Unfortunately, there are no specific laboratory tests that confirm the diagnosis. However, the tests can be helpful in excluding other conditions that can mimic fibromyalgia such as hypothyroidism, lupus, and rheumatoid arthritis.

Treatment consists of a combination of four approaches. The first is patient education. Talking with the patient about the diagnosis and presenting what he options are. The second is institute medications. These may include one or more of the following:

- Analgesics which help to control pain. An example would be a drug such as Tramadol

- Antidepressants which are used for their ability to elevate serotonin and nor-epiephrine levels in the brain. Examples include amitryptiline, fluoxitene, and duloxitene.

- Muscle relaxants like cyclobenzaprine

- Anti-seizure medicines like gabapentin

- Anti-fatigue medicines (modafinil)

The third therapy is non-impact aerobic exercise which helps to increase endorphin production in the brain and helps to recondition muscles.

Finally, the fourth is cognitive behavioral therapy which helps with goal-setting, coping and other measures which reduce the sense of victimization that people with fibromyalgia often have.

Fibromyalgia can be treated effectively. It is important that a patient seek out a qualified and empathetic rheumatologist to help them.

Dr. Wei (pronounced "way") is a board-certified rheumatologist and Clinical Director of the nationally respected Arthritis and Osteoporosis Center of Maryland. He is a Clinical Assistant Professor of Medicine at the University of Maryland School of Medicine and has served as a consultant to the Arthritis Branch of the National Institutes of Health. He is a Fellow of the American College of Rheumatology and the American College of Physicians.

For more information on arthritis and related conditions, go to: Types of Arthritis

Saturday, June 28, 2008

What's a Good Arthritis Medicine for Me, Doctor?

Pain is the body's warning signal that something is wrong. If the pain is due to overuse or arthritis there are many things to consider. In all likelihood, one of the first things a person will reach for is an over-the-counter anti-inflammatory medicine.

Non-steroidal anti-inflammatory medicines work by blocking the synthesis of cyclooxygenase, the enzyme responsible for the production of pro-inflammatory prostaglandins. The two different pathways that are blocked are COX-1 and COX-2.

Despite the negative publicity surrounding COX-2 drugs, it is clear that all anti-inflammatory drugs have potential cardiovascular risks. These drugs also may inhibit bone and tendon healing. They may also block the absorption of nutrients... So the weekend warrior needs to take notice.

Nonetheless, anti-inflammatory drugs remain a bulwark for the treatment of painful episodes.

Here are some simple suggestions:

If you're going to undertake an activity that you're sure will cause a problem, it's OK to pop a small amount... say 200 mgs of ibuprofen before you do whatever you're going to do. Unless it's a marathon. Dehydration and anti-inflammatory drugs do not mix!

After your activity, it's also OK to pop a bit of ibuprofen or naproxen (200 mgs). Just make sure you're well hydrated. Also do not take these medicines if you have any underlying liver, kidney, or heart disease!

If you already take anti-inflammatory drugs on a regular basis, remain well-hydrated, and avoid alcohol when exercising or undertaking strenuous activity. With the recent data regarding cardiovascular risk, it's a good idea to get your heart checked out.

Make sure you take your anti-inflammatory medicines with food. Sometimes people who develop indigestion with anti-inflammatory medicines but who do not have an ulcer will benefit from taking a proton pump inhibitor medicine such as Nexium or Protonix.

If you absolutely can't take anti-inflammatory medicines because of a true allergy or if you have an ulcer- or another valid reason- you can try Acetaminophen (Tylenol). The primary concerns here are that you not take this drug with alcohol (liver toxicity is increased) and you should not take this drug if you have significant liver or kidney disease.

An interesting new drug is Limbrel, a food-based COX-2 inhibitor. It has good effectiveness and appears to be well-tolerated by most patients.

Another option is Tramadol (Ultram) which is a pure analgesic. Ask your physician about this.

Always consult with your physician prior to taking these medicines on a regular basis. Anti-inflammatory drugs may affect the metabolism of other prescription drugs.

Dr. Wei (pronounced "way") is a board-certified rheumatologist and Clinical Director of the nationally respected Arthritis and Osteoporosis Center of Maryland. He is a Clinical Assistant Professor of Medicine at the University of Maryland School of Medicine and has served as a consultant to the Arthritis Branch of the National Institutes of Health. He is a Fellow of the American College of Rheumatology and the American College of Physicians. For more information on arthritis and related conditions, go to: Arthritis Treatment

Friday, June 27, 2008

Risks of NSAIDs

NSAIDs (Non-steroidal anti-inflammatory drugs) are the typical outline of treatment for dogs anguishing from osteoarthritis. For several years, NSAID's have been given to dogs for this illness for the reason that their efficiency in dealing with joint ache is very high.

Since several years more and more researches are being done on the topic 'NSAID's may not be the most excellent cure for canine osteoarthritis'. NSAID's acts by stopping the creation of hormones in a dogs body which lead to inflammation of the joints as well as joint ache in the exaggerated area. Just similar to any other ailment, the finest form of management for osteoarthritis should be somewhat that facilitates to fix the cause of the ailment itself, in this particular case, disintegrating cartilage in the joints. NSAID's can't do the needful. All it is capable of is to make an attempt to discontinue the swelling as well as manage the ache. General names of NSAID's ache killers prescribed in treatment of arthritis are Tramadol, Rymadol and Deramaxx.

But when we take a look at the risks of NSAIDs like the anorexia, Vomiting, melena ,diarrhea, inappetence, hematochezia, hematemesis, nausea, weight loss, gastrointestinal perforation, gastrointestinal ulceration, Anemia salivation, Hepatic enzyme elevations, thrombocytopenia, decreased albumin, decreased or increased total protein and globulin, , hyperbilirubinemia, decreased BUN, ascites, icterus, pancreatitis.

Neurological effects like:

1) Weakness

2) Lethargy

3) Ataxia

4) Seizure

5) Nystagmus

6) Tremor

7) Mydriasis

Sensory effects like:

1) Vestibular signs

2) Glazed eyes

3) Uveitis

Behavioral effects like:

1) Aggression

2) Apprehension

Urinary effects like:

1) Azotemia

2) Polydipsia

3) Polyuria

4) Hematuria

5) Low specific gravity

6) Urinary incontinence

7) Urinary tract infection

8) Renal failure

Respiratory effects like:

1) Tachypnea

2) Coughing.

Dermatological/Immunological effects like:

1) Edema

2) facial/muzzle edema

3) Pruritis

4) Urticaria

5) Moist dermatitis

6) Erythema

7) Dermal ulceration/necrosis.

In addition researches are also proving that NSAIDs might lead to even additional grave risks that can show the way to everlasting damages in your dogs. These damages consist of of gastrointestinal bleeding, kidney damage and ulcers liver damage which can escort to death. Therefore the best alternative for NSAIDs is Flextiva.

Flextiva is a chief burst through in rebuilding cartilage, removing the inflammation, treating joint pain. Its utilization is only for therapeutic use and therefore 101% safe. Its extraordinary skill to slow down swelling at the joint stage is amazing.

Read out for more Non-Steroid Arthritis Treatment

Thursday, June 26, 2008

Housewives' Most Common Gripe...

What is the most common illness housewives complain about?

Due to the weight of household chores - doing the laundry, cooking, cleaning the house, attending to the kids- housewives often complain of headaches, known as tension headaches.

Studies show that tension headaches are the most common type of headache. About 30% to 80% of adults occasionally experience this kind of headache. Tension headaches are more common among women than men.

These headaches are sometimes called stress headaches, muscle contraction headaches, daily headaches, or chronic non-progressive headaches.

Usually, the condition is triggered by some type of environmental or internal stress. The most common sources of stress include family, social relationships, friends, work and school. This makes housewives prone to this type of headache.

The attacks

The attacks usually begin gradually and often occur in the middle of the day. A tension headache may occur on an episodic basis (less than 15 days per month) or on a chronic basis (daily or more than 15 days per month).

Most people with episodic tension headaches have them no more than once or twice a month, but the headaches can occur more frequently.

Episodic tension headaches are usually triggered by an isolated stressful situation or a build-up of stress. Daily stress can lead to chronic tension headaches.

In mild to moderate tension headaches, there is a constant, band-like pain or pressure that lasts from 30 minutes to all day. Tension headaches tend to be moderate or mild and are rarely severe.

However, unlike migraines they are not usually unilateral, throbbing or associated with light and sound sensitivity or nausea and vomiting. Other features of tension headaches may include headache upon awakening, general muscle aches and difficulty falling asleep and staying asleep.

Tension headaches may also trigger chronic fatigue, irritability, disturbed concentration and mild sensitivity to light or noise.

Rid of the tension

Treatment for this type of headache usually includes nonprescription pain relievers such as aspirin or ibuprofen. Prescription medications like antidepressants may be needed in some cases.

Therapies such as stress management or biofeedback may be used in an effort to reduce or prevent tension headaches. Tramadol is a combination product used to treat certain types of headaches and migraines as well as mild to moderate pain.

(analgesic). Its mode of action resembles that of narcotics, but it has significantly less potential for abuse and addiction than the narcotics

"Pierre Gabriel" is a Writer for http://www.DrugStoreTM.Com, for more information please visit Buy Tramadol Online

Wednesday, June 25, 2008

Pain Medication You Can Legally Order Online

Millions of American live with pain. Chronic pain, daily pain, short term severe pain. Of all the medications sold by online pharmacies, by far the most common type is pain relievers. You might think then that online pharmacies are a great source of pain relievers.

Well, did you know the Drug Enforcement Agency of the United States (DEA) has busted and close over 5000 online pharmacies? Did you know that many online pharmacies sell counterfeit medication? Did you know it is a federal crime for you to order prescription drugs from outside the United States?

It is true, online pharmacies are a great source of pain relief medication. This article teaches you to order pain medication legally, from within the United States, with a legal prescription. It's the only way to go!

First, the caveats: You cannot legally order medication from outside the United States, even if you have a prescription. We always hear about the elderly taking buses to Canada to buy cheap medicine. The fact is, as of this writing, this course is illegal. Also, you cannot legally order medicine from a pharmacy without a prescription. Many online pharmacies (including my own) have physicians on staff who review your medication request and write you a prescription if they think it's safe. In addition, NEVER order narcotics through the mail. Forget codeine, Tylenol #3, oxycontin, demerol, percodan and percocet. You can be charged with a federal crime for buying these substances. Lastly, regardless of the medication you buy, be sure to read the package insert (or a monograph on my web site). Drugs interact with each other and with your body- the package insert will tip you off to potentially dangerous behavior with respect to the medication you ordered.

The following are quick summaries of common pain relief drugs you can order through the Internet with very little risk:

Fioricet (butalbital)

Fioricet is a combination drug. It is made up of Acetaminophen, caffeine and butalbital. Acetaminophen is the same medication in Tylenol You know caffeine from coffee (or even your favorite candy bar.) Butalbital is a mild barbiturate. It relaxes you.

Medical Science does not have an explanation for the reason this combination of drugs works so well, but the fact is Fioricet (and its generic form butalbital) is highly effective for tension headache. Presumably, it relaxes the muscles in the head and neck which typically tighten during tension headaches.. This is the top selling drug at our pharmacy month after month- it really helps headaches!

Soma (carisoprodol)

Soma is a muscle relaxant. It acts by blocking electrical signals among nerves in the reticular formation of the brain and in the spinal cord. Carisoprodol, combined with rest and physical therapy, is prescribed for the short term relief of painful muscle conditions- particularly muscle spasm (where the muscle tightens and does not relax). Most back strains result in muscle spasm, so patients find carisoprodol highly effective in relieving back pain.

Celebrex (celecoxib)

Celebrex is used in the treatment of symptoms of arthritis. This includes joint pain, stiffness, swelling and inflammation. The medication does not cure arthritis, but does provide symptomatic relief. It s a nonsteroidal anti-inflammatory drug (NSAID) which relieves pain and inflammation. The drug works by blocking the production of prostaglandins in the body. Prostaglandins contribute to the pain and swelling associated with arthritis.

Ultram (Tramadol)

Ultram is used for treatment of moderate to severe chronic pain. It binds to the opiod receptors on nerves (the same mechanism used by narcotics), but it has a far lower potential for dependency. It's the closest medication to a narcotic you can order legally in the US online. It is not a NSAID (nonsteroidal anti- inflammatory drug) and does not carry the risk of stomach ulceration and internal bleeding which can accompany the use of such medications. It is often prescribed for pain associated with shingles, fibromyalgia and other chronic diseases.


Ultracet is a combination of Acetaminophen and Tramadol. It is typically prescribed for the short term (up to five days) relief of moderately severe acute pain. It is often prescribed for post-surgical pain or after dental procedures.

The Ultram mechanism as described above is very similar to the mechanism employed by narcotics. Acetaminophen of course is the active ingredient in Tylenol. It works by increasing the threshold to pain (i.e. it takes more pain stimulus to cause the sensation of pain). These two drugs work by different mechanisms, and they combine to be more effective than either drug alone.

Pain relief medication can be ordered safely online, but one should exercise appropriate caution before doing so. Specifically, it's important to determine whether you need to see a physician before ordering pain medication. If you have a sudden onset of pain which is not readily explained, you should consult a physician first. If in doubt, go to the emergency room. If however you are a patient who has been diagnosed, and pain is a recurring problem, you can conveniently order pain medication online- typically at a lower cost than the combined cost of a doctor's appointment and the medication itself.

Copyright 2005

David Altfeder is the owner of and . He has written a series of articles on medication, medicine, health and the pharmacy industry.

Do You Want To Get Relief Of Your Pain?

Most of us suffer from severe or moderate pain in our day-to-day life and many people try to get relief with painkillers and medications. It is also a fact that many of us may not be forgetting the moments when we fall from the tree or got a bee sting or the pain occurred during the birth of a child.

Pain is usually experienced by everyone and is accompanied with trauma, to a certain part of the body. It is the transmission of the nerves, communicating and passing nerve messages through the neurons.

Medicines such as Butalbital, Tramadol, Ultram, or ultracet acts as a pain reliever from acute to chronic pain. Amongst these pain relievers, Ultram manages pain from different sources and reduces pain due to cancer, surgery, spinal damage, or arthritis.

Ultram works by binding opiod pain receptors of the body and blocking the reuptake of the neuro chemicals thereby modifies the pain message resulting in pain relief. It is not a NSAID (nonsteroidal anti- inflammatory drug) and does not carry the risk of stomach ulceration and internal bleeding which can accompany the use of such medications. It is often prescribed for pain associated with shingles, fibromyalgia, and other chronic diseases.

There are certain side effects using this medication but they are not severe as such including nausea, dizziness, dry mouth, constipation, headache, or sweating. You should know how long the medication would be necessary and about the possible side effects. Take proper instructions about your diet when you take the drugs prescribed by him. Do not leave behind any confusion in your mind and get clear all your doubts. Let the doctor know, how intelligent his patient is.

If you face any sort of problem with the dosage or if you had any problem with the prescribed drug in the past, it is your duty to bring it to the knowledge of the doctor. You are helping your cause by informing him everything about you.

For more information, visit our recommended website

Olivia Andrews, writing for

is a freelance journalist and has written many reviews on subjects such as finance, education, health, entertainment, music, gifts, crafts, travel, apparels and mobile phones.

Monday, June 23, 2008

Prostate Pain

Prostate pain is caused by the inflammation of the prostate gland, which is an exocrine gland of the male reproductive system. Its main function is to secrete and store a fluid that constitutes up to one-third of the volume of semen. This inflammation of the prostate is also known as prostatitis. If the prostate grows too large, it may constrict the urethra and impede the flow of urine, making urination extremely difficult and painful and in extreme cases, completely impossible. Prostatitis is usually treated with antibiotics, prostate massage or in extreme cases, surgery.

In older men, the prostate gland often enlarges to the point where urination becomes very difficult. This is known as benign prostatic hyperplasia and can be treated with medication or with surgery that removes a part of the prostate gland. The surgery technique most often used in such cases is called transurethral resection of the prostate. In this case, an instrument is inserted through the urethra to remove excess prostate tissue that is pressing against the upper part of the urethra and restricting the flow of urine.

Prostate cancer is one of the most common cancers affecting elderly men in developed countries and a major cause of death among them. Regular rectal exams are recommended for elderly men to detect prostate cancer in its early stages. There is also a blood test that measures the concentration of a protein, Prostate Specific Antigen (PSA), which is normally very low.

Elevated and more sophisticated test results may be an indicator of disorder within the prostate either prostatitis or benign hyperplasia or prostate cancer. The PSA test cannot distinguish between them, but can certainly lead a doctor to investigate further. Prostate cancer is treated with hormone manipulation, which is the prevention of production of testosterone, with radiation and surgery. It has recently been found that a drug known as Docetaxel can be effective in the treatment of prostate cancer.

Pain Medications

Pain medications generally deal with painkillers, medically known as analgesics. They are a member of the diverse group of drugs used to relieve pain. The word analgesic is derived from the Greek word 'an' which means 'without', and 'algia' which means 'pain.'

Analgesic drugs act in different ways on the peripheral and central nervous system of the body. They include paracetamol (Acetaminophen), nonsteroidal anti-inflammatory drugs (NSAIDs) such as the salicylates, narcotic drugs such as morphine, synthetic drugs with narcotic properties such as Tramadol, and various others. Some other classes of drugs, not otherwise considered analgesics, are also used to treat neuropathic pain syndromes, which include tricyclic antidepressants and anticonvulsants.

Analgesics can be broadly categorised into three groups. The first one comprises of Paracetamol and NSAIDs. The exact mechanism for action of paracetamol is uncertain, but it apparently acts centrally. Aspirin and the NSAIDs inhibit cyclo-oxygenase, leading to a decrease in prostaglandin production. This improves pain and also inflammation, in contrast to paracetamol and the opioids. Paracetamol has few side effects, but dosing is limited by possible hepatotoxicity (potential for liver damage). NSAIDs may predispose to peptic ulcers, renal failure, allergic reactions, and hearing loss, and may also increase the risk of hemorrhage.

The second group is of Opiates and morphinomimetics. Tramadol and buprenorphine are considered to be partial agonists of the opioid receptors. Morphine, the common opioid, and various other substances like pethidine, oxycodone, hydrocodone and diamorphine, all exert a similar influence on the cerebral opioid system. Dosing may be limited by toxicity caused by opoids leading to confusion, myoclonic jerks and pinpoint pupils, but there is no dose ceiling in patients who can tolerate this. Opioids, though very effective analgesics, may have some unpleasant side-effects. Up to 1 in 3 patients starting morphine, may experience nausea and vomiting, which is generally relieved by a short course of antiemetics. Pruritus or itching may require switching to a different opioid. Constipation occurs in almost all patients on opioids, and laxatives such as lactulose, macrogol-containing or co-danthramer are typically co-prescribed. When used appropriately, opioids and other similar narcotic analgesics are safe and effective, carrying relatively little risk of addiction. Occasionally, gradual reduction of the dose is required to avoid withdrawal symptoms.

The third category is of the specific agents consumed by patients suffering from chronic or neuropathic pain. Tricyclic antidepressants, especially amitriptyline, have been shown to improve pain in apparently a central manner. The exact mechanism of carbamazepine, gabapentin and pregabalin is unclear as well, but these anticonvulsants are used to treat neuropathic pain with modest success.

Pain provides detailed information on Pain, Back Pain, Pain Relief, Arthritis Pain and more. Pain is affiliated with Morphine Compared to Tramadol.

Sunday, June 22, 2008

Constipation from Arachnoiditis

Arachnoiditis may result in constipation since most drugs and medicines used to treat arachnoiditis can cause constipation. The basic causes of constipation are excess dehydration of feces, relaxed or reduced bowel muscle activity and obstructions in the bowel passage.

Arachnoiditis is an incurable and dangerous condition in which inflammation occurs inside or around the spinal cord. This can damage the nerve roots. Arachnoiditis in the lumbar spine is one of the major causes for constipation. The nerve roots from the conus medullaris of the lumbar region control the nerve supply to the lower legs, bowels and bladder. The damage of the nerves controlling bowel activities (especially S3 and S4 nerves) by arachnoiditis can result in reduced muscle contractions and feces movement. This can cause constipation.

Constipation as a result of arachnoiditis has all the same symptoms as normal constipation. As the symptoms are almost the same, it will take some serious test to detect the proper cause. There will be pain at the end of the bowels and weakness in completing bowel action. The persons with arachnoiditis usually also experience the problem of urinary retention as both are regulated by nerve branches arising from same region. Often the patients? lower body parts have poor reflexes and diminished pain sensing ability.

Almost all drugs used to treat arachnoiditis can cause decreased mobility of bowel muscles. The most widely used drugs are opiates (e.g. Morphine, Pethidine (Demerol, Methadone, and Tramadol), anti-inflammatory drugs (e.g. Brufen, Mobic, Naproxen, and Vioxx), antidepressant drugs (e.g. amitriptyline and Prozac), anticonvulsant drugs (e.g. Tegretol, Neurontin and Vigabatrin) and muscle relaxants (e.g. Baclofen Robaxin Dantrolene and Zanaflex). As most of these drugs are pain killers, and nerve depressants, they reduce the ability of the nerves to carry impulses to respective organs. Because of this many doctors prescribe drugs for constipation along with treatments for arachnoiditis.

To minimize constipation, patients are given a chemical stimulant which performs digital stimulation for evacuation when placed inside the rectum. This is practiced once in every two days.

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Saturday, June 21, 2008

Is Treating Fibromyalgia with Medication For You?

Joining a fibromyalgia support group can be excellent psychological and emotional therapy. However, talking and sharing your experiences with others is not likely to take away any of the painful physical symptoms or fatigue you feel. Therefore, many fibromyalgia sufferers need to turn to alternative and medical remedies to find relief from their symptoms.

There are different over-the-counter (OTC) and prescribed medications that a fibromyalgia sufferer may find beneficial to their condition. That being said, not every person with fibromyalgia will have the same response to medical treatment, and may require different treatment to address their specific symptoms.

Although there are a number of medications that can be prescribed for specific symptoms, or those currently being used in clinical trials, the following are the most common medical treatments prescribed:

Analgesics - Analgesics are drugs designed to relieve bodily aches and pains and are also known as painkillers. OTC analgesics include Acetaminophen and the nonsteroidal anti-inflammatory drugs (NSAIDs) aspirin, ibuprofen, and naproxen. Although NSAIDs are primarily used to reduce inflammation and inflammation is not a symptom of fibromyalgia, they offer effective pain relief. The problem with using NSAIDs for pain relief is that prolonged use of this medication can irritate the stomach lining, lead to digestive upset and cause stomach ulcers.

Aside from OTC analgesics, doctors may prescribe opioid analgesics such as Tramadol. Tramadol is a narcotic used to treat moderate to severe pain, and is typically used to treat surgical, arthritic and fibromyalgia pain. However, other stronger narcotics may be prescribed for sufferers with severe muscle pain.

The problem doctors have with prescribing narcotics is that although effective, there is a high risk that those who take them will become addicted and dependent on these drugs. Furthermore, narcotics can have many side effects including altering moods, behaviors and fatigue.


Antidepressants are one of the most common medications prescribed for fibromyalgia sufferers. This is because antidepressants elevate the levels of specific brain chemicals such as norepinephrine and serotonin. Low levels of these and other brain chemicals can result in depression, pain and fatigue. By increasing chemical levels these symptoms can be improved.

Doctors provide different types of antidepressants to fibromyalgia sufferers based on how they feel. For instance, tricyclic antidepressants are provided to fibromyalgia patients who suffer from insomnia, as these meds help restore sleep. In addition, tricyclic antidepressants can help painful muscles relax and stimulate endorphins (body's natural painkillers). Different tricyclic antidepressants that may be prescribed include: amitriptyline, doxepin, cyclobenzaprine and nortriptyline.

Additional antidepressant that may be used to treat depression and other fibromyalgia syptoms are selective serotonin reuptake inhibitors (SSRIs). These include - fluoxetine, sertraline and paroxetine.

Antidepressants can be habit forming and may cause side effects such as dry mouth, weight gain, anxiety, gastrointestinal upset, loss of libido, insomnia, and fatigue. Note: each antidepressant will have different side effects.


Benzodiazepines are psychotropic drugs that have been known to help fibromyalgia sufferers relax tense and painful muscles, and with restless legs syndrome, and insomnia. Benzodiazepines have hypnotic and sedative effects, and like antidepressants, dependence and addiction can occur in some patients. Other side effects may include depression, memory impairment, slow motor skills, etc.

Benzodiazepines are usually prescribed to fibromyalgia sufferers who have not responded well to other treatments. Some Benzodiazepines meds prescribed include: diazepam, temazepman, clonazepam, and triazolam.

Despite what medication you may be interested in or your doctor may recommend, you need to make sure you ask your doctor important questions before taking any medication so you can receive the most effective treatment that is right for you.

6 important questions to ask your doctor

1. What are the medications you recommend for my specific symptoms?

2. What side effects can I expect and will this medication have negative interactions with other medications, foods or activities?

3. Should I continue taking medications even if I feel better?

4. What are the long-term effects this medication will have on my health?

5. Can I take any alternative therapies with this medication, or are there any alternative therapies I can try which might provide me with relief for my symptoms?

6. Are there any clinical trials I may be eligible for?

By Jane Thompson. Sign up for a free newsletter & discover proven natural methods to help you combat the pain and frustration of Fibromyalgia. On the site you'll also find more about the different fibromyalgia symptoms.

Friday, June 20, 2008

Medication for Restless Leg Syndrome

If you suffer from Restless Leg Syndrome then you know that it can affect every aspect of your life. Not only do you have the cramping feelings in your legs and sometimes other parts of your body, but you also experience some sleep deprivation. Sleep deprivation leaves you tired, irritable and can make you more susceptible to illness. You also know how it affects other members of your family as well. My sister-in-law used to refer to it as "our Restless Leg Syndrome" because my brother suffered from it for years before finding a successful natural remedy for RLS. She says she suffered right along with him! For these reasons, finding a medication for Restless Leg Syndrome is not just something that you want; it is something that you need.

While there is medication on the market for Restless Leg Syndrome, such as Tramadol, there are also natural ways to cure or alleviate Restless Leg Syndrome. Natural remedies have shown very promising results, prompting many to opt for natural treatment over medication for Restless Leg Syndrome. Since medication for Restless Leg Syndrome is relatively new, the long term affects are not known whereas natural remedies and treatments are typically comprised of items that are better known.

Instead of medication for Restless Leg Syndrome, natural remedies include herbs, vitamins, supplements and essential oils. Changes in habits, diets and lifestyle including increasing calcium and folate intake, juicing, yoga and massage have all been associated with natural ways to combat Restless Leg Syndrome. If you suffer from RLS but do not want to take medication for Restless Leg Syndrome, there are natural options that you can try that have helped cure hundreds of people of RLS.

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Osteoarthritis Symptoms and Treatment

Osteoarthritis is the most common form of arthritis. The breakdown of joint cartilage caused by osteoarthritis may affect any joint in your body. Joints affected may include:

- Fingers

- Hips

- Knees

- Lower back

- Feet

At first osteoarthritis may affect only one joint, but if your fingers are affected, multiple hand joints may become arthritic.

There are available treatments for osteoarthritis, but no cure. The available treatments can relieve pain and help you remain active.

Some people may not experience symptoms because the disease often develops slowly. Signs and symptoms of osteoarthritis may include:

- Pain in a joint during or after use, or after a period of inactivity

- Discomfort in a joint before or during a change in the weather

- Swelling and stiffness in a joint, particularly after using it

- Bony lumps on the middle or end joints of your fingers or the base of your thumb

- Loss of joint flexibility

Areas in which osteoarthritis typically affects include:

- Fingers: Bony knobs can enlarge your finger joints and create a gnarled appearance. Early in the disease, your joints may feel painful or stiff and numb. The pain eventually often subsides, but leaves bony nodes that affect the mobility of the joints at the end of your fingers. The nodes run in families and affect women more than men.

- Spine: As the disk slowly deteriorate between the bones along your spine, back and neck pain and stiffness may occur.

- Weight-bearing joints: The hips, knees and feet are more susceptible to osteoarthritis because they bear the majority of your body's weight. Over the years cartilage slowly deteriorates and chronic pain or varying amounts of discomfort when you stand and walk can occur. Swelling especially in the knees may also occur.

Treatment for osteoarthritis

Your doctor may recommend a combination of treatment that includes medication, self-care, physical therapy and occupational therapy. Surgical procedures may also be necessary in some cases.

Medications may include:

- Topical pain relievers such as Aspercreme or Sportscreme, Icy Hot and Ben-Gay.

- Acetaminophen like Tylenol and others can relieve pain but does not reduce inflammation

- NSAIDs: Nonsteroidal anti-inflammatory drugs work to relieve pain and fight inflammation. They range from OTC aspirin, ibuprofen like Advil, Motrin IB and others to prescription strength

- Cox-2inhibitors: Are considered as effective as other NSAIDs for managing pain and inflammation without the same stomach-damaging effects. Other side effects of Cox-2inhibitors may include fluid retention, exacerbating high blood pressure and links to increased risk of heart attack and stroke

- Tramadol: Available only by prescription, has no anti-inflammatory effect, but can provide effective pain relief with fewer side effects such as stomach ulcers and bleeding. Tramadol may cause nausea and constipation. It is generally used for short-term treatment of acute flare-ups.

- Antidepressants: Tricyclics especially can help reduce chronic pain. They can treat sleep disturbances that can accompany arthritis. Some antidepressants used for arthritis pain and nonrestorative sleep include amitriptyline and nortriptyline.

- Injections of pain relievers: Corticosteroid injections into a joint space can offer some pain relief and reduce inflammation.

Surgical or other procedures used to treat osteoarthritis include:

- Joint replacement

- Arthroscopic lavage and debridement

- Repositioning bones

- Fusing bones

Source: Mayo Foundation for Medical Education and Research

Disclaimer: *This article is not meant to diagnose, treat or cure any kind of a health problem. These statements have not been evaluated by the Food and Drug Administration. Always consult with your health care provider about any kind of a health problem and especially before beginning any kind of an exercise routine.

This article is FREE to publish with the resource box. Article written 4-2007.

Author: Connie Limon, Trilogy Field Representative. Visit and

Tuesday, June 17, 2008

Online Pharmacy -The Cutting Edge Alternative

Online Pharmacy is perhaps entering a new era of cost saving measure. A Study conducted by the National Institute for Health Care Management Research and Educational Foundation data analysis results concluded that retail sales and individual prescription drug spending rose 18.8% from 1999 and 2000 from $111.1 billion to $ 139.9 billion.

Their studies also indicates that about half (51.4%) of the $20.8 billion in retail drug spending in 2000 occurred among just eight categories of medicines-arthritis, treating cholesterol, chronic pain, depression, ulcers, high blood pressure, diabetes, predisposition to seizures and other stomach ailments.

The spending on prescription drug had a steady climb in recent years. It has played a big part on the health care cost and health insurance premiums. This trend continues up to this day and even if people, who already have a health plan as part of their health insurance, could still feel the impact of the raising cost on which is being passed onto them indirectly, through higher insurance premiums and co-pays.

There are a lot of factors that contributes to the soaring cost it could be the increase in the number of prescription drugs written, the used of more prohibitive drugs, price increase and the used of Advertising and Marketing campaigns.

You can still go to the traditional route of getting out patient prescription drug from drug stores, discount stores, pharmacies at food stores but come to think of it, it will save the you---the consumer a lot more you order your medicines online.

Why online? It saves you on prescription cost. It is more convenient as you can order it even if you are in a remote area as long it has internet connection. You can make price comparisons. You have the power to choose from generic drugs to brand named drugs, a choice of medications. You get the same assistance and you can also enjoy discounts.

It is best that you choose not just any online pharmacy, but a pharmacy with reputation such as Most pharmacies out there makes outrageous claims of instant fixed it or quick cure of all imaginable maladies. We have more butalbital Tramadol, generic fioricet and cheap online Soma medicines.

From brick-to-mortar setting, making the transition to online purchasing is safe. Like any E-commerce site complies with drug safety and demand to give consumers access to drugs in a faster and simpler way. This also contributes to patient care, getting the right medicines where ever you are.

Online Pharmacy is the latest in electronic prescription adoption. We give no complex medical information. Everything is as straightforward. Our technology is enough to satisfy our customers changing needs quality top selling drugs like prescription Tramadol.

You can save the money on car gas, time and energy from making a purchase at a drug store when all you have to do is order it online and the medicine can be delivered right at your doorstep. This is one convergence in online pharmacy that you can enjoy.

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Monday, June 16, 2008

Chronic Pain Shatters US Vets From Iraq

They are heroes in their own ways-risked their lives for the country. Yet after all the heroic acts, all they get are a few accolades, a few bucks and a handful of health problems.

Many reports have been made regarding the plight of US veterans coming from Iraq. Some received medication immediately and likewise cured yet some still bear the pain years after they have come home.

Military doctors say chronic pain is one of the top "veteran invaders". They warn pain specialists even as they hope that slowly improving battlefield pain control may stem the tide.

The idea is to block the agony faster so that the body's pain network may not go into the overdrive that sets up the injured for lingering trouble long after they're officially healed.

An acute pain specialist lamented that it will take the military to stop thinking of pain as a symptom, a consequence of war.

He said pain is really a disease and if left unmanaged, may lead to serious consequences.

Not only are the troops who suffered severe wounds such as loss of a limb who suffer but others with varying types of pain that goes untreated, or undertreated.

Reports said that troops with traumatic brain injuries, a signature of the war, may not be able to express pain adequately. More common is a tough-it-out mentality, a fear that admitting pain might block return to duty. This may also be an indication of hesitancy because they know wounds could have been worse.

The veterans who suffer the chronic pains are advised to always have pain relievers like Tramadol, handy. At the strike of pain, which more often are unexpected, Tramadol, a non-narcotic pain releiver will guarantee fast relief. The medication is also among the top selling pain relievers today, and is available online through

Doctors have long known that suppressing acute pain aids short-term recovery. But it's also a factor in whether patients develop a long-term misery, chronic pain.

Based on military casualty records, injured nerves send distress signals to the brain. If those signals go unabated, the brain can essentially memorize pain and become hypersensitive.

An infamous example is the phantom limb pain that often strikes amputees. But less severe injuries can spur chronic pain, too, which in turn is linked to post-traumatic stress disorder, other anxiety disorders, and disability.

"Pierre Gabriel" is a Writer for http://www.DrugStoreTM.Com, for more information please visit Buy Tramadol Online

Saturday, June 14, 2008

Say Good-Bye to All Your Pains

A number of people across the world suffer from different sort of pain such as chronic pain, acute or severe pain. Each one of you may have realized pain in one form or the other. Sometimes you face back pain or migraine after a whole day stressful work; others may be having joint pains due to arthritis or pain due to undergoing surgery.

Most of the times, these pain become a part of one's routine life and health largely. It hinders the growth and living of a person and therefore it becomes necessary to cope up with such pains. Several approved medicines provide relief from day to day pain whether acute or severe.

1. Butalbital - Butalbital belongs to the group of medicines known as Barbiturates and has a composition that relieves pain and acts as a relaxant. It is commonly used for the treatment of migraine headaches.

2. Ultram - Ultram is the brand name for Tramadol hat is being used as a pain reliever for moderate to severe pain caused after any surgery or other types of pain.

3. Ultracet - UltraCet is the brand name for the combination of two drugs, Tramadol (Ultram) and Acetaminophen (Tylenol). It is an analgesic used for patients to relieve them of any sort of acute, moderate, or severe pain caused by any surgery or other types of pain.

In addition to these, other medicines are also available but one should contact their medical practitioner before carrying out any of the treatment because their might be certain side effects associated to these medicines in some circumstances.

These medicines serve purposes such as relieving pain and inflammation, increasing the quality of life, reduces the progress of the disease, controls co-morbidity, and minimizes the risks of therapy.

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Olivia Andrews, writing for is a freelance journalist and has written many reviews on subjects such as finance, education, health, entertainment, music, gifts, crafts, travel, apparels and mobile phones.

Friday, June 13, 2008

Stress Triggers Back Pain

Stress and other emotional factors are believed to play a major role in low back pain, particularly chronic low back pain. Many people unconsciously tighten their back muscles when they are under stress, studies revealed.

Low back pain is used to describe a range of symptoms. Depending on the cause, low back pain may be dull, burning, or sharp. It may be felt at a single point or over a broad area.

It can come on gradually or suddenly and may occur with muscle spasms or stiffness.

Back pain can either be acute or chronic. Acute lasts for less than three months and most people gain relief after about 4 to 6 weeks of home treatment.

Chronic on the other hand lasts longer than three months.

Experts said stress causes tense muscles which are tight and feel "hard" to the touch.

People who are stressed often have neck, shoulder, and low back pain. This may be caused by constant tension in the muscle because of stress. Stress also affects rheumatoid arthritis.

Easy remedies

For chronic back pains, simple home remedies will ease the pain. Applying ice for 5 to 15 minutes every two or three hours will do a lot of help. Taking a hot shower or using a heating pad or hot water bottle can do wonders for some.

Others opt the fast and easy relief from pain medicines like Tramadol. Taking Tramadol on a regular schedule usually works best instead of waiting until the pain is severe. A number of online pharmacies including carry Tramadol.

For the first day or two, rest in a comfortable position. Try lying on your side with a pillow between your knees. Or lie on your back on the floor with a pillow under your knees.

Medical experts advise patients to get back to their normal activities as soon as possible. Movement helps your muscles stay strong. Staying in bed for more than 1 or 2 days, they said, can actually make the problem worse.

Walking is the simplest and perhaps the best exercise for the lower back.

However, if symptoms are severe or pain does not stop even after two weeks of self care, it is best to consult a doctor. Stronger pain medicines and physical therapy may be necessary.

Strive to make your lives stress-free as stress is one of the main causes of back pains.

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Thursday, June 12, 2008

Common Medications for Dental Pain (Part 2)

In part 1, nonnarcotic pain medications for dental pain are discussed. Dentists use these medications for relieving mild to moderate oral pain. This article describes the narcotic medications. For moderate to severe dental pain, the typical medications are:

- Tramadol (Ultram), 50mg every 6 hours as needed for pain.

- Tramadol with Acetaminophen (Ultracet, containing 37.5 mg Tramadol hydrochloride and 325 mg Acetaminophen), one table every 6 hours as needed for pain.

- Acetaminophen (Tylenol#4, containing 60 mg Codeine Phosphate and 300 mg Acetaminophen), one table every 4-6 hours as needed for pain.

For severe pain, opioid combinations are advised. For example, one Vicodin ES (10 mg hydrocodone and 750 mg Acetaminophen), can be taken every 4-6 hours as needed for pain.

Opioids: Opioids are narcotic agents that act on the central nervous system. Side effects-including nausea, constipation, dizziness, sedation and respiratory depression-are common with opioid therapy. However, the relative risk of opioidlike side effects varies.

Although opioids as a class are effective dental pain reliever, some commonly used formulas show poor efficacy for dental pain. Other drugs with fewer severe side effects can have similar results. For examples, codeine alone has not been found as effective as other common analgesics (Acetaminophen and NSAIDs) for relief of dental pain. Oxycodone, hydrocodone and propoxyphene are about as effective as codeine. Dihydrocodeine, penta-zocine and meperidine show no advantages over codeine orally and can even be less effective. Their effectiveness in combination therapy (combining opiods with Acetaminophen and NSADs) is better than that in monotherapy.

Tramadol: Tramadol is a synthetic, centrally acting pain reliever. It is indicated for moderate to moderately severe oral pain. Its analgesic action affects both opioid receptor and serotonin uptake. This suggests that Tramadol's effect is not mainly through narcotic mechanism. Tramadol, thus, is a nonscheduled drug. The serious side effects typically associated with opioids-such as dependence, sedation, respiratory depression and constipation-occur less often with this medication. Tramadol also has a low rate of abuse, about one per 100,000 persons. The side effects commonly seen with Tramadol include nausea, dizziness, drowsiness and tiredness.

Tramadol's lack of sedation is particularly important for same-day dental surgery. Tramadol does not have the same side-effects like NSAIDs or traditional opioids. Adverse side effects generally are mild and transient. Importantly, Tramadol does not have the ceiling dose effect common to many other analgesics. Recent studies show that Tramadol is a good postsurgical and dental pain killer. They also show that Tramadol has a dose-response effect. For instance, in one study they reviewed, Tramadol 200 mg was more effective than 100 mg after third-molar extraction. Unlike aspirin and Acetaminophen with codeine, which have an analgesic duration of about four hours, Tramadol provides analgesia for five to six hours after dental surgery.

Benzodiazepines are increasingly being used to decrease patient's anxiety. Their sedative, "anxiety-reducing" and "forgetful" properties, along with their mild respiratory depression, are especially helpful for lowering the "view" of dental pain. By reducing the dental fear, the patient becomes less sensitive to painful stimuli.

Midazolam: Midazolam has the ability to decrease postoperative anxiety. It provides complete surgical amnesia (memory blockage) that lasts about 25 minutes. A multidrug combination of fentanyl, midazolam and metho-hexital (commonly used in intraveous sedation for wisdom teeth removals) gives better pain control but produced deeper sedation.

Treatment of anxiety related to dental procedures is most worthwhile for children. Extreme preoperative apprehension may need more anesthesia and lead to postoperative negative effects. Oral midazolam has been shown to produce significant amnesia in children when it is given10 minutes before a surgical procedure. Recent clinical trial of oral Tramadol mixed with midazolam provides effective pain relief during and after surgical procedures for kids.

Diazepam: Diazepam is another useful benzodiazepine that treats oral pain associated with muscle spasm. However, its use is limited by long-term sedation, abuse potential and dependence potential. Diazepam may have additive side effects with other central nervous system depressants. Combinations of benzodiazepine and opioids are used widely for conscious sedation but are associated with significant risks. These combinations may be safely used only under adequate cardiopulmonary monitoring.

For information, contact Dr. Nguyen at SoftDental ( is Houston's Premier Laser, Family and Cosmetic Dentistry.

Wednesday, June 11, 2008

Take Away The Pain With Medication

We can experience pain as a result of a wide range of situations. Perhaps you can hardly get through the day as a result of the pain you suffer after an automobile accident, or maybe your arthritis is causing you unbearable pain. Whatever the reason, your pain can probably be eased with painkillers, which is used to relieve pain that is moderate to moderately severe. End your pain with Pain Medications!

A Terrific Trick

Tramadol is part of a group of medications known as opiate agonists, which are similar to narcotics. It is a prescription drug, and it can be found under the names of Ultram and Ultram ER. The drug works by altering the way the body senses pain.

Use As Prescribed

Taking analgesics to relieve your pain is easy-simply follow the instructions of your doctor. Typically, Tramadol is taken every 4-6 hours as needed, and it can be taken either with or without food. This pain reliever comes only in the tablet form.

In order to relieve your pain with painkillers, it is important to take the tablets as directed. Instead of being chewed, crushed, or split. Snorting or injecting Tramadol could result in death.

A Daily Dosage

Pain relief depends on taking a daily dosage. Your doctor will prescribe a dosage of Tramadol that is right for your circumstances. Usually, your physician will begin your medication period on a low dose of the drug, and will gradually increase your dosage.

Regardless of your dosage, it is important to follow your doctor's instructions when taking this medication. Taking a larger dose, taking it more frequently, or taking it for a longer period of time could result in serious side effects or even death. Likewise, if you want to stop taking painkillers, you should consult your doctor before gradually reducing the dosage.

Around The Clock Pain Relief

Do you need pain relief 24 hours a day? Well, the makers of Ultram have a solution for you! Ultram ER extended-release tablets are intended to begin relieving pain several hours after the tablets are first digested. These tablets are ideal for people who need pain relief overnight.

Don't Do It Alone

Tramadol is an excellent choice for pain relief in a variety of situations. However, to stay safe, it is very important to consult your doctor every step of the way. Only with the guidance of your physician-in selecting a dosage and schedule that are right for you-will you be able to live a safe and pain-free life.

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Tuesday, June 10, 2008

Medication That Is Used In The Treatment Of Moderate To Severe Pain

Tramadol, also sold under brand names Ultram and Ultram ER, is a narcotic pain reliever used in the treatment of moderate to severe pain The extended-release (ER) version is used to treat chronic pain that requires 24-hour maintenance. In addition, there may be other uses for this medication.

Before taking Tramadol, it is important to discuss with your doctor whether you have ever been addicted to drugs or alcohol. This is important because Tramadol should not be taken when one is intoxicated or by those who have recently used drugs such as alcohol, other narcotic pain medications, medication for the treatment of depression or anxiety, tranquilizers such as Valium, medicine for the treatment of mental illness such as schizophrenia, or street drugs.

Further, although the risk of seizure is present for all users of Tramadol, this risk may be significantly higher in those who have certain medical conditions. For that reason, it is important that you tell your doctor if you suffer from any of the following conditions: a history of drug abuse, epilepsy or seizure disorder, previous head injury, or a metabolic disorder.

Other disorders that may make Tramadol contraindicated include kidney disease, liver disease, any disorder of the stomach, or a history of depression or mental illness.

If you are pregnant and considering taking Tramadol, it is important to know that the drug is in pregnancy category C. This means that the medication may be harmful to an unborn baby, and it may also cause serious - or even fatal - side effects in a newborn if it is administered to the mother during pregnancy or labor. Note, too, that Tramadol can enter a mother's breast milk and can therefore be harmful to a nursing baby.

Age is a factor in a patient's suitability for Tramadol, too. It should not be given to anyone under 16 years of age, and for those over 65 a lower-than-usual dose may be recommended. Finally, take Tramadol exactly as it has been prescribed. Take it with a full glass of water and do not crush the tablet. You may take it with or without food, but whichever way you choose, be sure to take it the same way every time.

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