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Dr Ahmad
Dr Ahmad,
Category: Medical
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We are visiting from the USA my husband, Has a back problem,

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Hi, we are visiting from the USA my husband
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: Has a back problem, severe. He herniated a disc
JA: Is there anything else the Doctor should know before I connect you? Rest assured that they'll be able to help you.
Customer: There are a list of medications that the US surgeon has recommended but we are struggling to get prescribed in the UK. Note he is a British citizen originally and has an NHS number and is registered with a GP
JA: What medications do you take daily? Are you allergic to any medications?
Customer: LOSARTAN
Hi there welcome to JA.

How old is he? any other medical conditions? what exact symptoms is he experiencing? do you have the last MRI spine report?

Customer: replied 2 day ago.
Hello. He had surgery 4 years ago on L5-S1. He has severe pain that is radiating from back into right leg.
Customer: replied 2 day ago.
He is 52
Customer: replied 2 day ago.
We went to a GP here yesterday morning and he gave us Diazepram 5mg and Tremadol 50-100 mg but but is not working at all
Customer: replied 2 day ago.
We called his US spine surgeon who recommended 3 meds so that we can get him comfortable enough to fly back to US this week
Customer: replied 2 day ago.
The only other condition is mild hypertension and he on Losartan for that he is taking
Customer: replied 2 day ago.
Last MRI was done 4 years ago before the surgery and I might be able to email the scans to you

He will require another MRI scan but can be done when in US.

Is his bladder/bowel function normal. Any numbness around his private parts?

Customer: replied 2 day ago.
the surgeon thought this was disc related and he will do the MRI once we get back
Customer: replied 2 day ago.
Both normal and no numbness just limited due to the pain of walking and sitting down on the toilet
Customer: replied 2 day ago.
He walks few steps with a cane before the right leg gives out from severe pain

ok so diazepam and tramadol is reasonable but he could also try co-codamol

Customer: replied 2 day ago.
We need to ease the pain so he can travel.

also gabapentin which is a neuropathic med but normally takes a couple of days to kick in and needs to be titrated up.

both can be prescribed if you attend an urgent care centre locally to where you stay.

Customer: replied 2 day ago.
The US surgeon recommended the following: 1) Percocet (oxycodone with tylenol) 5/325, 1 tablet every six hours 2) Gebapentin 300mg, 3 times per day, 3) Diazepram 5 mg, 3 times a day
Customer: replied 2 day ago.
We do not have an urgent care center near here.
Customer: replied 2 day ago.
The doctor also said to get Oral steroid but I understand UK does not use that?

yes you are right we do not prescribe steroids for herniated lumbar discs

nor do we prescribe oxycodone outside of hospital

Customer: replied 2 day ago.
Are you able to prescribe the other 3
Customer: replied 2 day ago.
Anything similar to oxycodone?
Customer: replied 2 day ago.
That you can call in?

No unfortunately this website is for medical advice alone. We do not provide prescriptions however you can visit or where you will be able to get prescriptions of co-codamol and gabapentin.

Customer: replied 2 day ago.
What is co-codamol
Customer: replied 2 day ago.
How about Naproxen

combination of paracetamol and codeine

is what co-codamol is

well ibuprofen is similar to naproxen which can be bought over the counter and that too is a reasonable analgesic to try

Customer: replied 2 day ago.
He has been taking ibuprofen and paracetamol but both are too weak for this

so next steps in the uk would be co-codamol and gabapentin

Customer: replied 2 day ago.
Does coodamol require a script
Customer: replied 2 day ago.
Will one of the sites you recommended require another GP consult or can we just get meds from them?

there will be a GP consult again.

whereabouts are you based?

urgent care centres are dotted all around the uk

i can check your nearest one

Customer: replied 2 day ago.
Will they respond quickly since it’s late and pharmacies close?
Customer: replied 2 day ago.
We are in Witney
Customer: replied 2 day ago.
I appreciate if you can help, we are desperate at this point. Have been on the phone with 111 for hours and they said they will call back but it’s been 7 hrs and no call back

open until 10.30pm

you need to attend in person.

Customer: replied 2 day ago.
They don’t have anyone that can write a prescription
Customer: replied 2 day ago.
We tried that yesterday

have you called them?

Customer: replied 2 day ago.

that is very unusual. urgent care centres are normally run by gp doctors or nurse practitioners.

Customer: replied 2 day ago.
Unfortunately not this one

Abingdon community hospital?

Customer: replied 2 day ago.
he has to come in person

Did you manage to contact abingdon. Once you speak to them just clarify that someone is able to prescribe medication there or direct you to nearest urgent care centre or emergency department where they can prescribe. Otherwise you may need to resort to the websites I mentioned.

Hope you manage to get the prescriptions.

Dr Ahmad and 3 other Medical Specialists are ready to help you
Customer: replied 2 day ago.