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Neurodoc
Neurodoc, Board Certified MD
Category: Neurology
Satisfied Customers: 8165
Experience:  MD, Trained in Neurology with special reference to developmental & behavioral disorders
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I have a bulging disc in my neck causing mild myelopathy. I

Resolved Question:

I have a bulging disc in my neck causing mild myelopathy. I am waiting for an operation. I have aches and pains all over my body and severe headaches. I take paracetamol every day.I can't take NSAIDs as they caused a bleeding ulcer previously.I have also found codeine and dihydrocodeine to have no effect even at a dose of 60mg. I am taking duloxetine which I read can inhibit the enzyme needed to convert the codeine into morphine.Bearing this in mind and my GP hasn't got a clue, what alternative opiates or any other pain meds that could help me? I'm waiting to see a pain clinic but he wait here is 5 months!
Submitted: 2 months ago.
Category: Neurology
Expert:  Neurodoc replied 2 months ago.

Hi,

The safest option for case of bleeding gastric ulcer is paracetamol. But the pain caused by a bulging disc is less likely to be controlled by this. The other options are

Natural opiates . These are Codeine and hydrocodeine. These are not causing relief to your pain.

Semi-synthetic opioids. These are created from the natural opiates, such as hydromorphone, hydrocodone, oxycodone, oxymorphone, desomorphine, diacetylmorphine (heroin), nicomorphine, dipropanoylmorphine, benzylmorphine and ethylmorphine and buprenorphine;

Fully synthetic opioids. These are such fentanyl, pethidine, methadone, tramadol and dextropropoxyphene;
Tramadol and tapentadol are good options for pain relief.

Most of the above drugs are available on prescription. I would recommend you to discuss these options with your doctor.

Hope this information is helpful

Regards

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