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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Suitable Medication For Back Pain

I've been having back pain and have been taking hydrocodone. I didn't want to take any more of the "drug" so I took regular Tylenol on top of it. I took a total of 6g of tylenol for the past three days. I have also been taking 5-6 600mg of NAC. I have zero symptoms but now I'm worried.
Mon, 16 Feb 2015
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General & Family Physician,  's  Response
Hi,
It is good to know that you took the initiative to kick the habit of taking hydrocodone. I know the pain must have gotten severe after stopping and hence you are taking such a high dose of Tylenol. Even though you are taking NAC, 6 grams is a overdose. The daily approved maximum dosage is 4 gm provided liver functions are all good. You should discuss with your physician and cut down of the Tylenol dose and instead substitute it with injections or tablets like Ultram and Toradol provided there are no contraindications. Slowly the pain threshold will again go up and you can start working with a physical therapist using interferential therapy and ultrasonography. If it has been chronic fixing a consultation with a spine surgeon will surely help.
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Suggest Suitable Medication For Back Pain

Hi, It is good to know that you took the initiative to kick the habit of taking hydrocodone. I know the pain must have gotten severe after stopping and hence you are taking such a high dose of Tylenol. Even though you are taking NAC, 6 grams is a overdose. The daily approved maximum dosage is 4 gm provided liver functions are all good. You should discuss with your physician and cut down of the Tylenol dose and instead substitute it with injections or tablets like Ultram and Toradol provided there are no contraindications. Slowly the pain threshold will again go up and you can start working with a physical therapist using interferential therapy and ultrasonography. If it has been chronic fixing a consultation with a spine surgeon will surely help.