Akathisia, again!

schizaphonic

Bluelighter
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Dec 4, 2011
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Hi if you read my last thread concerning this http://www.bluelight.ru/vb/threads/600639-Anti-psychotic-induced-Akathisia you would see, that things have taken a turn for the better, the inner emotional restlessness has gone and my the pain in my legs have gone from agony to just bearable (purely from exhaustion) they still jitter, but less. Anyway, I'm off to see my GP today and i was wondering what is a medication a bit stronger than paracetamol, that i would need a prescription for, as the only pain killer you can get over the counter here are paracetamol (what I'm on at the moment, doesn't do much TBH), aspirin and ibuprofen, so please any suggestions?
(i just want something to ease the pain in the afternoon, not to be knocked out senseless by tramadol)
 
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You can buy paramol which is dhc and paracetamol, just under 8/500mg.

Sorry you're having a bad time, I am too if it makes you feel any better.

Hugs Hun <3 take it with drowsy antihistamines and it will potentiate the dhc. It is about 6 quid for 32 I think, been a while since I bought them. Or get a non brand form of cocodamol but it won't be as strong.

You can take 8 day, 2 every 4 hours.

Hope this helps.
 
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^All this information i found came because of your post, so *Hugs* 10 times back <3, hope they help darlin' (although virtual is never as good as the real thing :D )

Best equivalent i can get here (Australia) "Is "Nurofen Plus" which is dhc 12.8mg and ibuprofen 200mg. have no problem's with ibuprofen (other meds 8() so this could be the perfect solution, but I'll see what my doc says as i need to get a referral from him anyway.
 
That should be fine and you can also take it with paracetamol and with your psychiatric meds, which will probably make it work even better, what are you on if you don't mind me asking?

Why did I think you were from the uk? Glad to be of help, if you need any other advice, let me know. I am hoping to get a home visit from a dr I can't go on like this much longer without doing myself some serious damage. 10 hours sleep since sat 2nd December at 10am. It is now 4.20am 12th December... I can't even be arsed working out how many hours awake that is.

Do you have any meditation music like enigma, clannad, massive attack etc? I could give you a really good technique?
 
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Probably cause i drink tea :)
Ziprasidone, Venlafaxine and Clonazepam
my biggest problem is staying calm, if people irritate or anger me i just have these out bursts, (never with my family or my little doggie they are my angels sent from heaven), i try to be nice most my life cause i'm a big guy and it upsets me when i see fear in peoples eyes
that's 10 hours sleep in 240 hour of consciousness ;) my max was 72 hours 8( why cant you sleep, insomnia? or chronic pain?, bit of both?
err, i got a lot of classical i use to mediate to, what's your technique?
 
I cannot stay calm due to and over sensitised adrenal response system with my chronic pain and all comorbid mental health problems.

I should think you'll be ok, I have been on venlafaxine, diazepam, fentanyl, oxycode, naproxen, paracetamol, antihistamines, gabapentin, omeprazole and various other meds all at once at one stage so I cannot see it being a problem. It will all potentiate each other.

I found the venlafaxine made my condition worse so it could be that causing the problem, it did with me. Night terrors, night panic attacks when I finally slept, mania, psychosis, suicidal ideation and self harm, serious research into howi could kill myself etc.

I suggest you see if you can change meds or your mental health maybe exasperated even more.

Ah I thought you were from like southern England, think it was just your language and smoking b and h and liking tea lol.

I lie in the dark with a dim lamp on, burn lavender essential oils and then lay with my cat on my chest or in whatever position I can get put into (I cannot get myself into the position when the pain induced seizure adrenal reactiony thinks kick in, my entire body constantly jerks uncontrollably coz my sympathetic nervous system is fucked)

I have the music on as low as possible, then gently slowly stroke the cat until I manage to get my breathing into time with hers and eventually it will calm down and the screaming agony will stop. Smetimes it goes on for hours and hours. Today the longest has been nearly 3 hours, the shortest 1.5-2 hours.

Do you live with someone? I find if I get my other half to spoon me without touching me too much and gently stroke my back with the cat on my tummy side it works even better but he needs his rest too, he has been staying up with me as much as possible. We have had to send my son to my mums or his dads or my sisters as he has ADHD and it is traumatising him, he goes in for ancuddle and sets me off coz he is too boisterous.

Please excuse the typos cognitive functioning is severely reduced today. And I am dehydrated to death but can't keep drinking or I will seize again when I need the toilet.

I'm sorry you're hurting so bad, I know hownyou feel imreally do

Sendingout healing thoughts to you, I know it's far away like but I'm sure they'll gettonyou. <3

*gentle hugs from me and my fwuffy kitty*
 
I just went through 2 weeks of Klonopin withdrawal maybe a little more so I know how you feel.

RLS is a killer, the kpin should work fine for it. I'd talk to your doctor again and maybe find a different muscle relaxing agent, baclofen maybe? I don't know. It's important to seek out alternatives though.

I'm going to echo doom here because I found myself in a similar situation after taking the newer classes of neuroleptic medicines.

On and off SNRI's for 5 years. AGE 15 started on 75mg Effexor for god knows what reason. He Titrated me up to a whopping 475 mg per diem xr within 6 months. The man was phantasm. No redeeming social value. He also put me on zyprexa to "sleep" and when I questioned him about being put on an atypical antipsychotic when I wasn't schizophrenic he corrected my language: "Mood Stabilers, that's what their currently known as. Isn't that convenient.* Buried under jargon. It's a shame I wasn't confidant enough to mount a sophisticated argument on his "methods."

I now see another who's quite the opposite. Doesn't push anything on me, respects my choices and decisions, respects my intellect and abilitiy to gauge whats right for my body given the knowledge I've accumulated, etc.

I'm still feeling some protracted symptoms from the effexor WD and I've been off it one year. Takes about that long to feel ALMOST normal again, but realistically who can wait that long to function? Lyrica, Klonopin, Mirtazapine, wellbutrin. That's my regimen that I've found works best for me, SRI/SNRI's are just a bad idea. They help for a short period of time but then like all drugs they stop working and you're back at ground zero, with an expensive NONRECREATIONAL AD habit to boot. This was how I spent my formitive years. Not a fun generation, but ten years later I'm finally getting the hang of things. Takes quite a bit of reading and personal experience/experimentation, but its out there. I found it. Hope you feel better.





*
"You can't be afraid of words that speak the truth. I don't like words that hide
the truth. I don't like words that conceal reality. I don't like euphemisms or
euphemistic language. And American english is loaded with euphemisms. Because
Americans have a lot of trouble dealing with reality. Americans have trouble
facing the truth, so they invent a kind of a soft language to protect themselves
from it. And it gets worse with every generation. For some reason it just keeps
getting worse.
I'll give you an example of that. There's a condition in combat. Most people know
about it. It's when a fighting person's nervous system has been stressed to it's
absolute peak and maximum, can't take any more input. The nervous system has
either snapped or is about to snap. In the first world war that condition was
called shell shock. Simple, honest, direct language. Two syllables. Shell shock.
Almost sounds like the guns themselves. That was 70 years ago. Then a whole
generation went by. And the second world war came along and the very same combat
condition was called battle fatigue. Four syllables now. Takes a little longer to
say. Doesn't seem to be as hard to say. Fatigue is a nicer word than shock. Shell
shock...battle fatigue.
Then we had the war in Korea in 1950. Madison Avenue was riding high by that time.
And the very same combat condition was called Operational Exhaustion. Hey we're up
to 8 syllables now! And the humanity has been squeezed completely out of the
phrase now. It's totally sterile now. Operational Exhaustion: sounds like
something that might happen to your car. Then of course came the war in Vietnam,
which has only been over for about 16 or 17 years. And thanks to the lies and
deceit surrounding that war, I guess it's no surprise that the very same condition
was called Post-Traumatic Stress Disorder. Still 8 syllables, but we've added a
hyphen. And the pain is completely buried under jargon. Post-Traumatic Stress
Disorder.
I bet you, if we'd still been calling it shell shock, some of those Vietnam
veterans might have gotten the attention they needed at the time. I bet you that.
But it didn't happen. And one of the reasons is because we were using that soft
language, that language that takes out the life out of life. And it is a function
of time it does keep getting worse.
Give you another example. Sometime during my life toilet paper became bathroom
tissue. I wasn't notified of this. No one asked me if I agreed with it. It just
happened. Toilet paper became bathroom tissue. Sneakers became running shoes.
False teeth became dental appliances. Medicine became medication. Information
became directory assistance. The dump became the land fill. Car crashes became
automobile accidents. Partly cloudy became partly sunny. Motels became motor
lodges. House trailers became mobile homes. Used cars became previously owned
transportation. Room service became guest room dining. Constipation became
occasional irregularity.
When I was a little kid if I got sick they wanted me to go to a hospital and see
the doctor. Now they want me to go to a health maintenance organization. Or a
wellness center to consult a health care delivery professional. Poor people used
to live in slums. Now the economically disadvantaged occupy sub-standard housing
in the inner cities. And they're broke! They're broke. They don't have a negative
cash flow position. They're f--kin' broke! Because a lot of them were fired. You
know, fired. Management wanted to curtail redundancies in the human resources
area. So many people are no longer viable members of the work force.
Smug, greedy well-fed white people have invented a language to conceal their sins.
It's as simple as that. The CIA doesn't kill people anymore, they neutralize



people, or they depopulate the area. The government doesn't lie, it engages in
disinformation. The pentagon actually measures radiation in something they call
sunshine units. Israeli murderers are called commandos. Arab commandos are called
terrorists. Contra killers are called freedom fighters. Well if crime fighters
fight crime and fire fighters fight fire what do freedom fighters fight? They
never mention that part of it to us, do they?
And some of this stuff is just silly. We know that. Like when the airlines tell us
to pre-board. What the hell is pre-board? What does that mean? To get on before
you get on?
They say they're going to pre-board those passengers in need of special assistance
...cripples! Simple honest direct language. There's no shame attached to the word
cripple I can find in any dictionary. In fact it's a word used in Bible
translations. "Jesus healed the cripples." Doesn't take seven words to describe
that condition. But we don't have cripples in this country anymore. We have the
physically challenged. Is that a grotesque enough evasion for you? How about
differently-abled? I've heard them called that. Differently-abled! You can't even
call these people handicapped anymore. They say: "We're not handicapped, we're
handy capable!" These poor people have been bullsh-tted by the system into
believing that if you change the name of the condition somehow you'll change the
condition. Well hey cousin ... doesn't happen!
We have no more deaf people in this country. Hearing impaired. No more blind
people. Partially sighted or visually impaired. No more stupid people, everyone
has a learning disorder. Or he's minimally exceptional. How would you like to told
that about your child? 'He's minimally exceptional.' Psychologists have actually
started calling ugly people those with severe appearance deficits. It's getting so
bad that any day now I expect to hear a rape victim referred to as an unwilling
sperm recipient!
And we have no more old people in this country. No more old people. We shipped
them all away and we brought in these senior citizens. Isn't that a typically
American twentieth century phrase? Bloodless. Lifeless. No pulse in one of them. A
senior citizen. But I've accepted that one. I've come to terms with it. I know
it's here to stay. We'll never get rid of it. But the one I do resist, the one I
keep resisting, is when they look at an old guy and say, "Look at him Dan, he's
ninety years young." Imagine the fear of aging that reveals. To not even be able
to use the word old to describe someone. To have to use an antonym.
And fear of aging is natural. It's universal, isn't it? We all have that. No one
wants to get old. No one wants to die. But we do. So we con ourselves. I started
conning myself when I got in my forties. I'd look in the mirror and say, "Well...I
guess I'm getting ...older." Older sounds a little better than old, doesn't it?
Sounds like it might even last a little longer. I'm getting old. And it's okay.
Because thanks to our fear of death in this country I won't have to die. I'll pass
away. Or I'll expire, like a magazine subscription. If it happens in the hospital
they'll call it a terminal episode. The insurance company will refer to it as
negative patient care outcome. And if it's the result of malpractice they'll say
it was a therapeutic misadventure.
 
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^ I'm quite content with my current prescriptions, i totally agree with venlafaxine, it's been effective, but it massively exacerbated what was a minor and tolerable problem i only really have minor depressive symptoms and my psych put me on 300mg, took thing into my own hands and went down to 75mg, a good compromise, negative symptoms are my bane but what can ya do?

Doomed2pain said:
Sendingout healing thoughts to you, I know it's far away like but I'm sure they'll gettonyou
Ah, distance means nothing in the ethereal world those thought's will get here :)

unfortunately, I'm single and live with my mother, she doesn't really understand but always gives me a big old 'mum hug' bless her, i pray she never understands. i do have a little 14 month year old puppy and she helps :)

edit: @Doomed2pain: what's that? enigma, clannad, massive attack? any other suggestions?..... I'm of to pirate bay ;)
 
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^^^ couldn't read all of that in one go yet, buti have crps which was known as causalgia from as far back as the civil war, PTSD, panic disorder, agoraphobia, severe adjustment disorder with depression and anxiety to name but a few.

Every part of my body is affected, because the sympathetic nervous system controls everything, it carries all of the messages from and to the brain, things you do without thinking, heart, breathing, adrenaline production, hair and nail growth, circulation, digestion, renal issues, temperature regulation the list is never ending. Is started in my foot. I am house bound but now I am bed bound it is the worstpain relapse I have had in my life.

You are very knowledgeable, it is good to find people that actually understand. Taking me ages to reply, one handed messages with my none dominant hand are just impossibly slow lol I feel like a tortoise that's 250 years old.


I hope my meditation technique helps schiz, I really really do. My friend was in the British paratroop regiment and he has PTSD and bipolar 1 with psychosis because of what he witnessed, he is 6 5" 22 stone of muscle and when he was firstbsectioned he was in the intensive secure psychiatric unit because of his size and strength but you could never wish to meet a kinder man, such a gentle spirit. I am blessed to have him as a friend. He is coming to see me, or me go up to see him in Edinburgh when we are both well enough, he said he will get a wheelchair and push me around all the art galleries. I miss my fine art degree so much. I still do all of my theory I just cannot get my visions down anymore due to my hand and shaking, pain it causes etc.

I really hope you get some rest soon <3
 
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Download the enigma album mcxmx a.d., massive attack collected albumn, and clannad is Gaelic relaxation stuff, like Sarah mcglaughlin or enya type stuff


^ I'm quite content with my current prescriptions, i totally agree with venlafaxine, it's been effective, but it massively exacerbated what was a minor and tolerable problem i only really have minor depressive symptoms and my psych put me on 300mg, took thing into my own hands and went down to 75mg, a good compromise, negative symptoms are my bane but what can ya do?


Ah, distance means nothing in the ethereal world those thought's will get here :)

unfortunately, I'm single and live with my mother, she doesn't really understand but always gives me a big old 'mum hug' bless her, i pray she never understands. i do have a little 14 month year old puppy and she helps :)

edit: @Doomed2pain: what's that? enigma, clannad, massive attack? any other suggestions?..... I'm of to pirate bay ;)
 
I have PTSD as well, that quote was from George Carlin. I'm just a big fan of his.

Carbon Based Lifeforms - Exquisite way to find your ethereal pillow plane and snooze and fly and zam.

It's morning.

:)



Entheogenic is good too. Or Chopin, can't go wrong with chopin.
 
I liked what i could takein, will have a bash in a bit once I have got less posting going on lol


I am a musician and played a lot of classical, beethovens moonlight sonata works a treat, gives me goose bumps when I am calm

Oh and nine inch nails- and all that could have been (still album)

I'm sorrynto hear that, what caused it? God awful condition. I used to work with kids, drunk adults, football fans, was a door person in a club, worked on box office in the club and gone from all that to someone who can cry at horror films, comedies, Disney films anything that is slightly emotive in any sense it is pure messed up lol

I am well spesh haha. I have to type as I can't get words out a lot of the time at the minute, never had a stutter before in my life, I can't think of even the basic word at times and lose my train of thought constantly, repeat myself without remembering I have said it.

Ah well, at least I make people laugh with my messed up brain :) thank the omni-gods for humour.
 
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It's not horrible but I have night terrors and nightmares/sweats every night, unless I have my meds. Its all childhood memories that manifest themselves as dreams for some reason I've yet to be able to put my finger on. Often times the dreams consist of my father (angry drunk) and me in a shall we say unfortunately combative/hostile situation, well for the former party that is. I'm terrified of people. I see them as selfish, opportunistic predators sizing you up as thy cram their carts with a large bit of unhealthy food, half of which you know they're going to throw out or waste in some other way, but I suppose thats an irrelevant digression. :\

Thing is, there's no guarantee for health insurance here so after I turned 19 I lost my insurance. I went like 8 years without it then the government raised the maximum age to still receive benefits under your parents to 25. I had been working on my own and paying for my own insurance with ridiculous copays and meds and quite a bit of meds I was getting from overseas because they were cheaper.

Namely Neurontin and Pristiq.

That was when I lived up north on the Canada border, near Niagara Falls. Desolate. No sun for 8 months. Snow everyday. Bitter world cold bites you in the teeth soon's y' step off that front stoop. Very Rural. Not sure what I was thinking.

I'm great now that I have my meds but when I find a job I know they'll take my benefits away. Kind of fucked up way of working things, imo.

It's a moot point because I'll just be forced to pay for these expensive medicines myself and not deal with doctors at all. Getting your scripts from overseas is expensive, but it's cheaper than health insurance and its LEAGUES better for your peace of mind not having to worry about going to the same doctor every month and pay him the same fee even though nothing has changed and he's exuded no work towards you (subjective, my experiences here).

Just letting off a little steam.
 
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Eeeeeeeeep that weather would kill me for sure. I have no private insurance and the nhs are now stopping prescribing the meds I need, hence whyi am in such a state. The nhs is useless, they have caused me more harm than good. And the court battles are going to be going on for years. Ultimate stress. I am surviving on a pittance and owe out thousands over thepast 28 months of being ill, and I mean thousands.

It is a good job I cannot eat or I don't know how we would survive, I am not getting disability benefits and I have a medical on Thursday to see if I am disabled enough for call me dave's regime. If not theywill try and force me to work. It's funny if you have a dark sense of humour really.
 
^ Yeah love, Trent Reznor's work, don't have many physical issues typing but my chaotic thoughts (due to schizophreniform psychosis) lead me me to read over and over to make sure i have written something comprehensible (I'm quite articulate in person (tertiary education :) ) but when i post here it's a stream of consciousness and i do have to correct my posts before committing to them, i thnink the admins think im a wanker cause i post overly complicated pm's and reply's

This story is help to anyone(it's a bit of a read but well worth it):

Once upon a time in a small village in far-off China, there lived a Zen Master. The monk was very wise, compassionate, and well-respected in the community as being a wonderful spiritual role model. As was customary practice, the Master routinely had students living with him in his home, so that they might seek enlightenment through direct experience of living gently on the planet, meditation and philosophical discussion. The Master's students immersed themselves in interpersonal interaction and activities of daily living as important elements in their journey toward self-realization.
All was as it should be . . .
As fate (and biological impulse) would have it, one of the young women living in the Master's home became pregnant. The father was a young man who lived in the village and was not a member of the group who lived with the Master.
For several months, the young woman was able to conceal changes in her anatomy, since she was wearing traditional (and ample) Chinese robes. Her ever-increasing mid-riff was hidden under draping silk. She told no one of her condition, especially her parents, since she did not want to bring shame upon her family.
Toward the end of her pregnancy, she was no longer able to hide the fact that she was carrying a child. Her enlarged tummy was obvious. The young woman went to her parents and advised them of her condition. Her mother and father reacted with surprise, anger, and eventually outrage. They demanded to know who was the man who had impregnated their daughter! Frightened and overwhelmed, she refused to reveal his identity.
A healthy baby boy was born to the young woman. After the birth of the child, the parents increased their demands to know the identity of the boy's father. No longer willing to endure the pressure and self-perceived disgrace, and not wanting to implicate her lover, the young woman impulsively said . . . "The Zen Master . . . It was the Zen Master! The Zen Master is the father of my child!" The parents were beside themselves with grief. Wallowing in their own self-pity, they decided they no longer wanted the now six-week-old child in their presence. They felt since the Zen Master was the father, he should have the responsibility of caring for and raising the boy. Wrapping the baby in a blanket, and accompanied by their daughter, the parents made their way to the home of the monk. Walking through a gate and a small garden, the trio plus infant arrived at the large wooden door of the Zen Master's home. Forcefully, the young woman's father pounded on the door. Moments later, the Zen Master appeared, dressed in sandals and the simple orange robe identifying him as a monk with little interest in worldly possessions. Regarding his visitors with curiosity, the Zen Master asked, "Yes . . . How may I help you?" Both parents spontaneously launched into a verbal attack! "How could you . . .a supposed holy man . . . have seduced our daughter when she was in your care? How could you have used your position of power to take advantage of her vulnerability? How could you? . . . How could you? . . . How could you? . . ." They did not even give the Zen Master an opportunity to respond. They were not interested in dialogue, only in leveling their own accusations. Thrusting the infant into the Zen Master's arms, the father said, "Here . . .This baby is yours. We do not want it. Because of your despicable actions, he was brought into this world. It is now your responsibility to do the honorable thing by caring for and raising him." Obviously taken aback, the monk looked and the parents . . . at the young woman . . .and at the baby now cradled in his arms . . . and after a long pause said, barely audibly . . . "Ah-So . . . Ah-So . . ." With nothing more to say, the Zen Master turned and re-entered his home, since the parents and their daughter were already making their way back to theirs.

Three years went by, and as the months and seasons melted away, the young woman felt a longing in her soul for her son. She experienced ever-deepening reservations about falsely accusing the Zen Master of fathering her child. No longer willing to live the lie, she confessed her transgressions to her parents. The young woman even identified the infant's true father. Her parents felt terrible at not only berating and humiliating the innocent monk, but of having deprived themselves of the company of their grandson due to their own implacable judgment. They decided they wanted the boy back. Well . . . the three year time frame had been a delightful time for the monk and his newly acquired ward. They laughed together as the investigated all manner of bugs in the garden, grew and devoured delicious vegetables, flopped down in the grass to watch the evening stars appear, sang silly little songs, and grew into a loving relationship. It was as though they were biological father and son. Once again, the parents and the young woman journeyed to the front door of the Zen Master. They knocked and waited . . .
The door opened, and there stood the monk, dressed as always in his sandals and simple orange robe. Alongside him, attired in an identical manner, also stood the now three-year-old boy. With his tiny hand, the little boy clasped the pinky of the monk. Once more curious, the Zen Master asked, "Yes . . . How may I help you?" The parents and young woman bowed deeply and expressed their sorrow at what they had done to ultimately lose their grandson. They pleaded with the monk for the boy's return so that they might love and raise the child as part their family. A long moment went by . . . and then the Zen Master released the boy's grip in his pinky, put his hand on the back of his son... gently moved him toward his biological mother and grandparents and said, barely audibly . . . "Ah-So . . . Ah-So . . ."

Ah-So . . . Ah-So
 
Which one lol? I have complex regional pain syndrome, PTSD, panic disorder, agoraphobia, severe adjustment disorder with depression and anxiety, possible fibromyalgia but am awaiting testing for that... They are all comorbid and exasperate each other.

Schiz, don't worry they problem get fed upmwith me, I do exactly the same. I am very articulate also just not at the minue. I could speak now but it would be slow and would have to really think about it, in an hour or so when I need the toilet will be another matter though.

Oh yeah I also have ADD and dyslexia was diagnosed at 17 but have high IQ so teachers wouldn't believe me, the gift was hiding the problem and vice versa. I have qualifications coming outnof ky ears so imagine where would be if I had actually be able to study at school, I did no revision and hardly ever went to class lol.

Yup my sense of humour is pretty messed up, happen a good job really or I would be screwed lol.



I'm sorry, what was your condition again?

(if you don't mind my asking.._)



Oh and...



I love gallows humor.

:)
 
It really has, hats the gods honest truth, next doorvscreaming and shouting, pain is starting to get highernow and cramps starting so may be outof action for a while. Not movedyet, need. Cig but making one may be a problem, run outof cigarettes.
 
^Dear god, all my compassion <3.............. my Austudy (disability pension plus study allowance) has run out and im chewing nicotine gum! (i keep some as a last resort) none of my precious B&H till tomorrow (approximately 21 hours)

You two want to share the reason for your conditions? if not, ignore :)

edit: One of the great things about living in Western Australia is i couldn't hear my neighbour's if I tried :p =D

schizaphonic said:
Anyway, I'm off to see my GP today and i was wondering what is a medication a bit stronger than paracetamol, that i would need a prescription for, as the only pain killer you can get over the counter here are paracetamol (what I'm on at the moment, doesn't do much TBH), aspirin and ibuprofen

Doctor told me about 'Nurofen Plus" which is available OTC and contains 12.8mg of codeine (as opposed to my previous statement that it was DHC) and 200mg of ibuprofen, question is can i safely combine them with paracetamol if Nurofen Plus is not enough on it's own and what would be an appropriate dose of this combination? (the pain comes and goes depending on the severity of the restlessness today wasn't too bad, but i want to be prepared, i have feeling tonight is going to be bad)
 
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