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General Health Issues Diet and appetite, sleep and fatigue, pain management, exercise, etc.

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Old Mon Jan 26, 2009, 04:59 PM
Margie Margie is offline
Join Date: Sep 2007
Location: Wylie, Texas
Posts: 42
Pain Medication

From time to time, I need some pain medication for headache, back pain, etc.
I have very low counts in all three lines. Therefore, I cannot take aspirin, Motrin, Advil. I am allergic to anything with Codeine in it or any derivitive thereof. I can't take Tramadol: makes me sick. The doctor has told me to take nothin but Tylenol or some other product with Acetaminophen. However, I recently read on a site that lists medications that negatively affect platelets - that Tylenol also has a negative effect on platelet production. What is left? Does anyone out there have another medication they use for moderate pain?

Age 69 with MDS for 5 1/2 years. Refractory Anemia, Multilinea, Blasts < 5%, No Chromosome Involvement. Platelets in 20s or below. White Count 1.1-1.5.
Transfusion Dependent.
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Old Tue Jan 27, 2009, 10:03 AM
Dick S Dick S is offline
Join Date: Jan 2008
Location: Florida
Posts: 189
I take Tylenol, the only one my doc will advise. I have had no problem with platelet count.
Dick S, diagnosed Feb. 2008 with MDS. Last BMB April 2016. New diagnosis is CMML stage 1.
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Old Tue Jan 27, 2009, 10:31 AM
Marlene Marlene is online now
Join Date: Oct 2006
Location: Springfield, VA
Posts: 1,341
Tylenol has not effected John's platelets either.

Marlene, wife to John DX w/SAA April 2002, Stable partial remission; Treated with High Dose Cytoxan, Johns Hopkins, June 2002. Final phlebotomy 11/2016. As of January 2017, FE is 233, HGB 11.7, WBC 5.1/ANC 4.0, Plts 146K.
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Old Wed Jan 28, 2009, 07:31 AM
Birgitta-A Birgitta-A is offline
Join Date: Oct 2007
Location: Stockholm, Sweden
Posts: 1,918

Hi Margie,
It is really very difficult to take drugs for pain if you will be sure to avoid all kinds of hematological advere reactions. I have looked at 17 drugs for mild to moderate pain but they all could affect the blood in a negative way. Here are the adverse effects of Tylenol according to one site: anemia, hemolysis, leukopenia, neutropenia and thrombocytopenia.

If you have used Tylenol without negative effects you probably could continue to use it.
Kind regards
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