• blockheadjt@sh.itjust.works
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    4 days ago

    “Lol Americans are so funny, they can’t go to a doctor without going homeless, look at these coping mechanisms they use, hilarious”

  • MacN'Cheezus@lemmy.today
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    4 days ago

    Europeans be like: “I’m just gonna take a half tablet, don’t want to get dependent on this stuff”

    Meanwhile, Americans:

  • Maggoty@lemmy.world
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    4 days ago

    Americans just tell you it’s a slight headache. In reality their back is so screwed up it’s going to require surgery but they can’t afford that and complaining about actual pain is strictly forbidden in American men.

    So we take 200 400 800 1600 Motrin, with some bourbon, and ignore it as best as we can.

    • JusticeForPorygon@lemmy.world
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      4 days ago

      This is my mother for the last year or so because of rotoscoliosis, a bulging disc, and arthritis in her shoulders.

      She can’t really get any form of treatment because the only insurance she can afford is a high-deductable plan, which means she would have to pretty much pay for the entire treatment out of pocket.

      • uis@lemm.ee
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        3 days ago

        Would flying to Europe and getting healthcare there be cheaper? Look into it.

      • JasonDJ@lemmy.zip
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        3 days ago

        The good thing about the HDHPs is the availability to have an HSA.

        HSA money is collected pre-tax. Balances over a certain amount can be invested. But the good thing about it is that it’s yours to keep. Not like an FSA that disappears at the end of a year.

        So she could save up for the deductible for her surgery for her debilitating chronic pain over the course of several years. After she pays thousands in premiums and her employer pays thousands more. Like a good American.

    • Zess@lemmy.world
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      4 days ago

      But they’ll only recommend the surgery after trying muscle relaxers ten times over the course of a year.

  • Flying Squid@lemmy.worldM
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    3 days ago

    Hi. American here with atypical trigeminal neuralgia.

    I don’t even bother with analgesics for anything at this point. You hit 10 on the pain scale enough times and anything below 6 you mostly shrug off.

    Unless I stub my toe. That shit hurts like a motherfucker.

  • TheBluePillock@lemmy.world
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    3 days ago

    I’m kinda in this meme. I went through one of those big bottles roughly every 1-2 months for 20 years. Sometimes 12 pills in one day, with 4-8 acetaminophen on top (they do giant double packs of those too). Chronic migraines, but every doctor I asked for help just told me to lose weight so it went untreated and got worse and worse. Our health care suuuucks.

    I did lose the weight. It didn’t magically fix my migraines, or affect them at all. Insurance dicked me around for another year and a half while my neurologist tried to help every way she could, but we finally got it down to only one migraine a week. I’m truly glad for that, but I still think about the years of unnecessary suffering, and how much better it might be now if I’d been treated sooner.

      • TheBluePillock@lemmy.world
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        3 days ago

        Yup, it was the first thing we checked when I actually got treatment. I’m sure that didn’t help, but compared to the pain of the migraines it was negligible. Having to refrain from pain meds for a while to make sure was a hell of a ride though. I lasted about three months. The doctor was satisfied with 1-2 but I wanted to be damn sure.

        I give people the same warning nowadays. Don’t take that stuff more than once a week.

    • uis@lemm.ee
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      3 days ago

      …but it is amid, not amin, no? Why do americans call it acetaminophen instead of acetamidophen?

        • uis@lemm.ee
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          3 days ago

          Nope it’s amin according to Google.

          That’s why I ask. Americans call it “acetaminophen”, but compound doesn’t have amino-group and instead had amido-group.

          IUPAC calls it as what it is: N-(4-Hydroxyphenyl)acetamide

          Source

          EDIT: my guess is that america uses another nomenclature for organic chemistry. As usual. Do they have compound called “freedom eagle guns”? I’m so used to amine meaning specifically R-NH2 and nothing else.

          • JusticeForPorygon@lemmy.world
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            3 days ago

            Idk I’m not a chemist. I thought the whole point of scientific standards was that everyone used the same name/units but we don’t even spell meter right in the states.

    • oldfart@lemm.ee
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      2 days ago

      Yes, 100 mg being the standard, 200 mg “strong” ones and 400 mg “we have a good price on these, look how strong they are” said by a visibly excited pharmacy lady. Just behind your eastern border.

  • qyron@sopuli.xyz
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    3 days ago

    If those bottles are sold as a pair and each has 500 pills, 1000 pills is more than a hospital grade package in my country.

  • exu@feditown.com
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    4 days ago

    It’s always amusing how you can read Dutch with some difficulty by combining German and English.

  • Hannes@feddit.org
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    4 days ago

    My girlfriend always makes fun that in Germany chamomile tea is the go to painkiller and only if that doesn’t help the pills come out. It was one of her strongest culture-shocks she didn’t anticipate before coming to Europe

    • kayaven@lemmy.world
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      4 days ago

      Yes, it’s a thing. The idea behind it is that you don’t want to become dependent on the pills to the point that they have less effect or that you feel worse without them. Sincerely, a Dutch non-techno non-DJ.

        • rtxn@lemmy.world
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          4 days ago

          Regular use also fucks up your organs. Paracetamol (Tylenol) kills your liver, and ibuprofen kills your kidneys.

            • rtxn@lemmy.world
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              4 days ago

              Others have answered, but I’ll say it anyway.

              The name paracetamol is used in most of the world, and by the WHO. Acetaminophen is the adopted name in the United States, Canada, and Japan. US pharmacies also use APAP. The most common trade names are Tylenol and Panadol. They all refer to the same stuff.

      • Hannes@feddit.org
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        4 days ago

        Also often the pain is telling you that something is wrong - you wouldn’t treat a broken ankle with strong painkillers and continue walking as if nothing was wrong just because it doesn’t hurt anymore - would you?

        Painkillers should make the pain bearable so you can still listen to your body and not take away the pain completely

        • Maggoty@lemmy.world
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          4 days ago

          Depends, how much is getting it seen going to cost me? And can I do my job with crutches I bought at the pharmacy? Cause if I miss a day I’ll get fired and the hospital will put me in jail if I don’t pay my bills.

          America is a shit hole country.

        • teije9@lemmy.blahaj.zone
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          4 days ago

          yes, but if i know i broke my finger, and it has a cast around it, why should it keep hurting???

          back in the ooga booga days there weren’t any casts, so it’s pretty logical that it shouldn’t keep hurting, but if I already know i broke my finger and can’t move it, I think it’s okay to use pain killers to stop the pain.

      • Eatspancakes84@lemmy.world
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        4 days ago

        I have never heard of this in the context of ibuprofen. I know it’s bad on the stomach which means you shouldn’t take it for long periods of time (unless prescribed by a doctor). However, when the source of the pain disappears it’s pretty easy to kick the habit. Very different from opioids that are addictive beyond their painkilling ability.

        Also between European countries the price of otc painkillers differs tremendously, and my impression is that European pharmacies generally only sell small packages in an effort to maximise profits.

        • teije9@lemmy.blahaj.zone
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          4 days ago

          that very much depends on your country. here in the Netherlands every supermarket/pharmacy sells them, and they usually have them at school/office administration desks for free.

          in France however, paracetamol isn’t even otc 😭😭

          • Eatspancakes84@lemmy.world
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            3 days ago

            How exactly do small packages limit use? There is no limit to the amount of packages you can buy. However, those small packages are severely overpriced. I think it’s safe to say that profit considerations played a role in their design.

            • bufalo1973@lemmy.ml
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              3 days ago

              Nobody buys 3 packages at once. If someone does that it raises some alarms. And they come in blisters, not as candy, so your first way of taking them is one by one.

              • Eatspancakes84@lemmy.world
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                2 days ago

                I do! I usually buy an annual supply in the Netherlands because it is much cheaper than in other European countries. No alarms were ever raised (obviously since otc pharmacies are entirely anonymous). Again, the price difference between countries gives a strong indication of the profit motive involved.

                The argument about blisters sounds ridiculous. Do you really believe you will stop an addict from his addiction because he has to push a bit harder.

      • ickplant@lemmy.world
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        4 days ago

        You can’t become dependent on ibuprofen, it’s not addictive. You shouldn’t be popping it like candy, but taking it when you are in pain is perfectly fine.

    • Björn Tantau@swg-empire.de
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      4 days ago

      To be fair we also have it much easier with our healthcare that doesn’t know the concept of sick-days. When you’re sick you just don’t go to work and your healthcare pays half your salary while your employer continues paying the other half.

      So we can actually afford to stay home in bed and let our bodies do the work while we rest.

      • GiddyGap@lemm.ee
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        4 days ago

        Screw your sick days! I’m gonna work myself into oblivion to be able to buy my big-ass coal-roller truck on credit and fill up my garage to the brim with crap that I’ll let someone else move when I die from a cheese and Ibuprofen overdose. 'Murica!!!

    • Berttheduck@lemmy.ml
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      4 days ago

      Yeah, in the UK they reduced the amount you can buy at once too, so drugs like paracetamol and ibuprofen only come in 16 tablet packs and you can only buy 2 packs at a shop., It’s helped lower suicides quite well.

      People here have a real aversion to taking tablets a lot of the time. I have to convince people to take regular paracetamol (which is non addictive and doesn’t have side effects so long as you don’t take more than the recommended amount) after they have had surgery semi-regularly.

      • Tar_Alcaran@sh.itjust.works
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        4 days ago

        Suicide by by paracetamol is such a fucking horrible way to go, mostly since it doesn’t kill you, it just completely destroys your liver.

        Just enough time to regret it, before you die slowly and in great pain

      • Maggoty@lemmy.world
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        4 days ago

        That’s… Ugh. That’s the worst way to go. You have an entire week of pain to regret your decision while doctors can do nothing to help you.

      • Donkter@lemmy.world
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        4 days ago

        Yeah I just stick to hot railing fentanyl if I have a headache or something. Much less addictive.

        • FundMECFSResearch@lemmy.blahaj.zone
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          4 days ago

          Idk if you’re just saying this out of the blue or comparing what I’m saying to that.

          But NSAID’s like ibuprofen are quite strong and have lots of side effects. Regular usage can have quite some negative impacts on health. In comparison CBD oil is pretty gentle.

        • FundMECFSResearch@lemmy.blahaj.zone
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          4 days ago

          UK National Health Service Website:

          FAQ: Can I take [X] for long periods?

          [paracetamol]

          It’s safe to take paracetamol regularly for many years as long as you do not take more than the recommended dose.

          [ibuprofen]

          If you still need ibuprofen after taking it for 10 days (or for 3 days if you’re under 18) check with your doctor before continuing. If you need to take ibuprofen tablets, capsules, granules or liquid for a long time and you’re at risk of getting a stomach ulcer, your doctor may prescribe a medicine to help protect your stomach.

          • PeriodicallyPedantic@lemmy.ca
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            4 days ago

            It seems like you’ve mistaken what “strong” means.

            But I shouldn’t have said “long term”. The dangers of each are different.
            Ibuprofen is relatively safe to go a bit over the recommended dose, but not over the recommended duration.
            Paracetamol is relatively safe to go over the recommended duration, but not the recommended dose.

          • PeriodicallyPedantic@lemmy.ca
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            4 days ago

            Low doses of ibuprofen are better as an anti-inflammatory, and higher doses are better for pain relief, from what I’ve learned online (I’m not a doctor).
            I imagine the muscle pain you were dealing with was due to inflammation from overexertion or something?

    • teije9@lemmy.blahaj.zone
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      4 days ago

      yes. Pain killers (if you take way too many) can be incredibly bad for your liver, and (while almost impossible with paracetamol and ibuprofen) you can become ‘immune’ to them, making them work less/not at all.

    • SturgiesYrFase@lemmy.ml
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      4 days ago

      In the UK you’re limited to 32 pills of paracetamol(acetaminophen in NA) per purchase. Less if they’re high dose.

      • drake@lemmy.sdf.org
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        4 days ago

        Yeah I got sick of buying the little packets and just ended up buying a bottle of 500 from the US. Pain in the fucking ass

    • elidoz@lemmy.ml
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      4 days ago

      I just don’t think it’s a good idea to take pills without asking a doctor, I’m not a medical professional

  • untorquer@lemmy.world
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    4 days ago

    Is it common for ibuprofen to not really help? With physical pain it does nothing for me. It kind of helps with head aches sometimes. I use it maybe a couple times a year, so it’s not tolerance.

    • jagungal@lemmy.world
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      4 days ago

      Ibuprofen is a non-steroidal anti-inflammatory (NSAID). It will reduce inflammation and the associated pain. If your pain is not caused by inflammation then you should talk to a pharmacist about what the best analgesic is for you.

    • RubberDuck@lemmy.world
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      4 days ago

      There are several families of painmeds some more harmless than others. Anecdotally I know people that only seem to get relief from ibuprofen, and others that swear only paracetamol (Tylenol) helps, while again others sweat to asperin. Like the other person said… talk to a pharmacist about options, and see if others work for you.

      Some like paracetamol can me taken over the course of a day for multiple days for example post operation… and they build a level that causes them to work even stronger. But paracetamol can cause lover damage if taken too much.

      Like with all drugs, read the darn pamphlet. Opiates are not your friend and should only be taken very sparingly under proper supervision, if at all… sure they dull pain but are highly addictive.

      Source, not a medical professional, so take what I wrote with a grain of salt and consult a professional.

      • ✺roguetrick✺@lemmy.world
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        4 days ago

        Main benefit for acetaminophen(the American name for paracetamol) is that you can use it on top of an NSAID. That’s something you can’t do with aspirin. It’s good to stagger the dosage for something like a toothache or take both at once for a headache (this is what most OTC migraine medications are, an NSAID[usually aspirin], acetaminophen, and caffeine in one pill).

      • Rekorse@sh.itjust.works
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        3 days ago

        Noones talking about opiates though?

        Can you post a source about acetaminophen building up over time the way you describe? It seems unlikely with such a short half life but I could be wrong.

    • ✺roguetrick✺@lemmy.world
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      4 days ago

      Try taking it with a dose of acetaminophen. Those two have a synergistic effect that is better than either alone and is often used post surgery for that reason.

    • doggle@lemmy.dbzer0.com
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      4 days ago

      It helps marginally better than placebo for me. Hence why Americans use it for fairly trivial aches and pains.

      I can’t imagine it would do anything for pain I’d consider ‘serious’.

    • TheEmpireStrikesDak@thelemmy.club
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      3 days ago

      Depends, I guess. It does nothing for period pains with me, but when I burst my ear drum last month, it took the pain from excruciating to manageable.