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Friday, May 16, 2008

The Pain Hurts, Hopefully the Bill Won't Either



People have pain everyday, it just depends on how much. Arthritis, cancer, injuries, diabetes, taco bell, and heart attacks can be causes. If you are not in pain now, just wait a few days and you will be soon.





Cheapest Non-drug treatment:





ICE! It's localized, effective, and safe. [Cost is about 0.001% of your water bill.]





Rip-off Non-drug treatment:





Going to Urgent Care...





Rip-off drug treatments:



Darvocet:

Your dentist may hand this to you, send it back. It's actually cheap, but not very effective and has toxic metabolites that stick around in your body for weeks.

Celebrex:

$100-400/month
This is the "stomach-friendly" NSAID (non-steroidal anti-inflammatory) that is made by Pfizer. But instead it can cause a better chance of stroke or heart attack. Some would say you get what you pay for, I say rip-off.

Expensive, but maybe worth it:

Fentanyl Patch:
probably $100s-1000s
A patch you leave on for a few days at a time. It is the most potent pain-killer around. If you get prescribed this you probably have cancer, so I would hope you have insurance.

Lyrica:
$100-400/month
Better as a last ditch plan. See gabapentin below.

The Triptans (Imitrex, Max-alt, Frova, Zomig):
$100-300/month
The best thing on the planet if you have migraines.

Cheap Meds: There are so many drugs in this category, but many are DEA controlled because they have some addictive potential. You basically have to increase the dose until it works. The prices will depend on what you need but they all are affordable.

Vicoden, Percocet, etc.: Your basic opiate + Tylenol meds. Very common generally work well, prescribed in the millions.

Oxycodone, regular or Oxycontin: A little more potent, a little more expensive, a little less prescribed.

Gabapentin: Went generic (Neurontin) about a year ago, not as addictive and has a wide spectrum of use.

Tramadol: A misunderstood drug, similar to the other opiates. I've seen addicts using this. Very cheap though.





I hope many pain-free days upon you all.

Thursday, May 15, 2008

Done with school, back to business...

I'm all done with regular pharmacy school. I'll be doing rotations for the next year at varying locations...I'll have plenty of stories to tell.

1st stop the VA....