The presence of nausea during menstrual pain
leads to loss of appetite, which makes me advice that analgesics should be
taken with food to prevent stomach ulcer.
Some analgesics are just dangerous;
piroxicam (felvin®, feldene® etc) should be taking 20mg in 24 hours with food.
Many people overdose with this drug, some as high as 120mg daily. This is
dangerous and can cause very fatal side effects. This particular drug has been
removed from first and second line treatment in the UK. The maximum dose that
can reduce pain is 20mg; any extra mg increases the tendency of side effect.
Stomach ulcer is a major side effect of many
analgesics especially piroxicam and indomethacin (indocid®). There is a higher
population of women with stomach ulcer than men and apart from women being more
stressed and doing more fasting I feel this wrong use of analgesic has
contributed to this population tremendously.
Most analgesics are usually recommended for
menstrual pain but some work much better. My personal favourite is a
combination of paracetamol and orphenadrine citrate (orphesic®, Anorol®).
Celecoxib is good, so also is mefenamic acid. Orphenadrine is my personal
favourite because it reduces pain without affecting the normal movement
(peristatis) that helps the menstrual flow.
For severe pain especially associated with
fibroid I suggest drotaverine (Nospa®) + diclofenac potassium powder (voltfast®).
Always consult your physician for advice.
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