Some Doctors don't read

[justalurkr]

Public Service Announcement: the anti-inflammatory Mobic (generic meloxicam) should not be used by people with aspirin-sensitive asthma.

I did not know that I had aspirin-sensitive asthma, being new to the whole asthma thing (I didn't have it as a child;) but I did put asthma down as part of that endless medical history sheet which orthopedists are apparently excused from reading, because I've been on meloxicam for a month with a steady increase in the rate and severity of asthma attacks. I blush to disclose that I was actually looking up meloxicam/alcohol interactions, because I'm going on a Princess cruise in, like, a week, and those things exist for fun. I can't find all the links now, but there were some major mixed messages about alcohol use (either NONE OMG DEAD IF YOU DO  or meh, less than 3 drinks and you won't bleed out intestinally.)

If you have asthma and don't know what all it's sensitive to, I strongly suggest asking for the anti-inflammatory for asthma people. Had mine been a severe sensitivity, I could be very ill right now.

UPDATE: a google search on "asthma safe anti-inflammatories" brought me to an arthritis board where it seems that ALL NSAIDS (non-steroidal anti-inflammatory drugs) suppress lung function and the new, asmtha-friendly NSAID Etodolac just prescribed also shouldn't be taken by people with a history of asthma attacks. The suggestion on the board was to take the highest OTC NSAID dose one could without breathing difficulties and supplement with extra-strength acetaminophen. Ffffft. Welcome to the wonderful world of self-medication. I may just stick with acetaminophen on its own and ice down a lot.

edited to add link to Medsafe article

Comments

[lunachickk.livejournal.com]

That's true but you definitely cannot mix acetaminophen with alcohol. It is extremely toxic to your liver if you do even with small doses. :(

[justalurkr.livejournal.com]

And for this reason, I'm seriously considering sticking with the icepack and occupational therapy exercises. It's just considering, though; I'm not that hung up on booze. They're just likely to have some really good wine. (pout) (sulk)

[nialla]

My only saving grace with the meds I take is I don't drink alcohol; can't stand the taste. That's one less interaction I don't have to worry about.

Anti-inflammatories and alcohol really don't mix well. Variety of reactions are possible, from the immediate effect of it increasing the power of the drug and/or alcohol, to the slower liver toxicity.

Check with your general practitioner for their opinion. It's possible you might only need a few drinks and some ice (potentially for the drink too) for the cruise duration, with an occasional OTC if you get a little too vigorous with the dancing and whatnot. ;)

[justalurkr.livejournal.com]

Remember Al Gore's macarena? I get marginally more active. :D