Search This Blog

Showing posts with label paracetamol. Show all posts
Showing posts with label paracetamol. Show all posts

Wednesday, 24 January 2018

Calpol. Is this REALLY a safe drug to give to young children?

Calpol is a pharmaceutical drug that has been marketed to young children for decades. Most parents will use Calpol believing that it is completely safe, and indeed here is little general information available to say that it might be harmful, particularly as it is such a readily available 'over-the-counter' medication aimed specifically at children.
Yet Calpol is really Paracetamol, a NSAID painkiller, perhaps the most common pain-killing drug that is known to cause, amongst many other side effects, acute liver failure. So although there are warnings on the packets, such as "keep out of reach and sight of children" and "do not give any other products that contain paracetomol" it continues to be widely used with young children. The paper insert in Calpol packets gives instructions about when not to give the medicine, when to speak to a doctor or pharmacist after giving the medicine, and a section on ‘side-effects’ mentioning the following:
  • Skin rashes and other signs of allergy.
  • Becoming unusually tired, unexpected bruising or bleeding, and getting more infections than usual.
Liver and kidney damage is mentioned on the leaflet - if people "use medicine containing paracetomol every day for a long time (several months or more)". This indication on timing is contrary to the most recent research about adults taking Paracetamol that indicates organ damage can arise in just a few days rather than months.
Still, a packet of Calpol I saw recently did say that it did not have any added sugar! 
Well, that's okay then!

Tuesday, 10 October 2017

Calpol - do you give it to your children?

Calpol is Paracetamol in syrup, and passed off as a safe medicine for children in Britain, and in many other countries. It is advertised to parents and children as being "tough on pain and fever, but gentle on delicate tummies"

Indeed, most parents will use Calpol believing that it is completely safe for their young children. There is little general information available to say that it might be harmful, particularly as it is such a readily available  'over-the-counter' medication, aimed specifically at children.

Yet as Calpol is Paracetamol it can cause the same serious and dangerous side effects of Paracetamol, especially in children   So although there are general warnings on the packets, such as "keep out of reach and sight of children" and "do not give any other products that contain paracetomol" the real dangers are not spelt out.

If they were, Calpol sales would plummet!

The paper insert in Calpol packets gives instructions about when not to give the medicine, when to speak to a doctor or pharmacist after giving the medicine, and a section on side-effects -which mentions the following:

     • Skin rashes and other signs of allergy.
     • Becoming unusually tired
     • Unexpected bruising or bleeding
     • Getting more infections than usual.

Yet the known side effects of paracetamol are more serious than this. They include liver damage, asthma, skin disease, cardiovascular problems and stroke, kidney failure, gastrointestinal bleeding, blood cancer - and death!

Liver and kidney damage is mentioned on the leaflet - if people "use medicine containing paracetomol every day for a long time (several months or more)".

Unfortunately, this indication about timing is contrary to the most recent research about adults taking Paracetamol, which indicates that organ damage can arise in just a few days rather than months!

Still, a packet of Calpol I saw recently did say that it did not have any added sugar! Well, that's all okay then! But I still think I would be looking for a safer, gentler, more effective, homeopathic alternative to dealing with a child in pain!

Wednesday, 13 April 2016

If you suffer chronic pain conventional doctors have nothing safe or effective to offer

New draft NICE guidelines for chronic back pain is discouraging the use of Paracetamol. Doctors are being told that they should review anyone taking this drug as it is not effective in treating the condition. No so evident in the guidance is another important reason for the guidance. Paracetamol is not safe, and certainly not the safe drug doctors told us it was until comparatively recently.

Frustrated doctors are saying this is putting them between 'a rock' and 'a hard place'!  As one doctor says,

          "Paracetamol is a no-no, apparently - though try telling that the the thousands who self-medicate".

So 'the rock' is paracetamol. The 'hard place' is the decades of conventional medical advice to take the drug, as it was considered both safe and effective. Indeed, so safe and effective were we told paracetamol was it is now readily and cheaply available without prescription. And patients know of nothing else.

Yet this is not the only problem, as the same doctor tells us.

          "...if NSAIDs don't help, it's co-codamol, but that's only for three days, of course (says so on the box), so after that, you're on your own, mate."

So doctors have little else to offer chronic back pain sufferers. The doctor's magazine, Pulse, further explains the dilemma now faced by conventional medicine.

           "The draft guidelines, which are currently out for consultation, are set to dramatically shrink the drug options available to GPs in general - and will mean they can no longer prescribe paracetamol on its own. Instead they can consider cocodamol or another combination of paracetamol and ‘weak’ opioid as a second line option for acute episodes, if patients cannot take an NSAID or find they do not work."

The doctor who has written the draft guidelines, Dr Bernstein, is quoted as sayings that the urgency does not concern the safety of the drug itself. Yet the dangers of paracetamol are now well know by the conventional medical establishment (although not by patients), and if it were just a matter of the drug being 'ineffective' the new guidance would surely not have been put forward with such urgency.

So what are doctors doing? It would appear that they are prescribing 20% more 'strong opioids' drugs. As another Pulse article says, a new analysis has shown "that the number of strong opioid analgesics capsules prescribed by GPs , including buprenorphine, fentanyl, morphine and oxycodone, increased by 10% from 2014 to 2015, continuing a trend seen the year before when it rose by 12%".

The article goes on to say that "this increase comes after GPs were told they may soon be barred from prescribing strong opioids for low back pain under planned changes to NICE guidelines".

These are dark days for conventional medicine. Let's be clear, this is not just a problem for those with chronic back pain. The situation is similar for anyone who suffers long-term pain conditions. One doctor, who specialises in the treatment of pain, suggested in the article that there should still be room to prescribe paracetamol on a short-term basis, even though the evidence for it is weak. And he also suggests that there is an issue with the alternative suggestion for treatment contained in the guidelines because of the increasing pressure on .... doctors not to prescribe opioids. He continues,

          "It is difficult to know what GPs are able to prescribe..."!

Difficult indeed, as I said in an earlier blog, the drug cupboard is bare! Doctors are being told regularly that painkilling drugs are not safe. And doctors are having to come to terms with the fact that the drugs they have been giving patients for decades are dangerous. Something of the darkness  facing doctors can be seen from the comments made in response to the Pulse article.

          "Would be great if these suggested other options existed on the NHS. Patients are only going to ask for what is free. If you recommend yoga classes and no meds they will only see other GP or go to OOH of A&E and get paracetamol as well as NSAIDs, benzodiazepine and TCA to follow up with own gp to continue!!!"

          "NICE & Dr. Bernstein may well be right that there's no point in prescribing paracetamol for ANY moderate to severe chronic pain BUT, if the patient cannot tolerate NSAIDs, OR codeine then what else do they suggest since the withdrawal of coproxamol???"

          "I thought the latest current guidelines didn't recommend codiene, benzos, acupuncture or nsaids. Do we just refuse to see/treat backache? I could refer to physiotherapy but there is a more than 12 week wait".

          "Dear Dr Berstein - please get real- GPs have alot on their plate - unless u get NHSE to make it a DES, nobody will even think about it, just shut up as GPs have many many many other priorities."

          "mmmm sounds like good advice. The next 18 stone six foot six self employed brick layer I see with back pain I will advise to take up yoga rather than spend 25p on some painkillers from the supermarket.  I'm so glad NICE are making recommendations that are so applicable to the real World, because other wise we might think they were out of touch academics who hadn't seen a real patient since their last job as a houseman."

          "Of course - go straight to addictive opiates with massive side effects, why didn't I think if that! With a 3-4 month wait for Physio, no access to osteopaths/chiropractors, there should be plenty of time to establish addictions to occupy the time of local drug and alcohol services and of course GPs, as we have nothing to do. I frequently wonder why I completed a medical degree, I should just have read the Daily Mail and joined NICE."

          "NICE lost the plot a long time ago."

It is not so much NICE that has lost the plot. These doctors appear distressed, and are blaming the messenger for the message, which is loud and clear. It is the conventional medical establishment that is losing the plot. The NICE guidance is given to protect the patient from dangerous drugs, yet doctors respond by prescribing even more dangerous drugs, and intent on disregarding the guidance.

But most important of all, it is a matter of concern that so many patients are not aware that there are safer and more effective alternatives to pharmaceutical drugs!



Saturday, 7 September 2013

Failure of Painkilling Drugs

Painkillers have been one of conventional medicine's most lauded triumphs over the last century and more. But alongside most of conventional medical treatment they are failing. Even our doctor's are now beginning to realise that painkilling drugs are failing!

In the GP e-magazine, Pulse, a doctor asked the question "...what GP's have been left with to treat patients with chronic pain?" The article states that

          "... GP options for managing persistent pain in their patients have declined markedly over the past decade, but it seems we may have finally reached crisis point".

The GP goes on to talk about the rise of fall of co-proxamol, selective Cox-2 inhibitors, and traditional NSAIDs. And now, she bemoaned "the safety of yet another analgesic called into question, especially the one most often prescribed". She refers, of course, to Paracetamol.

"So what exactly is left?" is the question asked. What can doctors recommend to patients with osteoarthritis, fibromyalgia, or back pain? It would appear that the conventional medical cupboard is, indeed, quite bear!

This blog looked at the dangers of Aspirin (August 2013) and found that it is not the safe painkiller it has been made out to be for over 100 years. But it is certainly not alone, and now Paracetamol (known as Tylonol in the USA), and lots of other NSAIDs, or 'Non-Steroidal Anti-Inflammatory Drugs', have come into sharp focus over their safety record.

I have also written here about the dangers of Diclofenac (July 2013), a NSAID painkiller introduced in 1993, and now banned (although only in the UK abd Europe) for people with heart problems.

I have also written about the banned painkiller, Darvon, or Co-Proxamol, a drug introduced in the 1950's, and although causing heart problems for decades, was not banned in the UK until 2006.

Ibuprofen is another 'popular' painkiller whose safety record needs to be seriously considered. This article outlines just some of the DIEs of this drug. And this article talks of Ibuprofen as a painkiller popular with athletes, and outlines the dangers they can cause - to even the fittest amongst us.

Many people believe that the dangers of these painkilling drugs is that they are overused, they are subject to overdose. So can these dangers be avoided by avoiding 'overdosing' on painkillers? Yet it is becoming clear that another problem arises here - that to 'overdose' on painkillers is far easier than had been realised (or admitted). This WDDTY article suggests that an overdose possible with just a couple of additional pills. And as outlined here, just a tiny 'overdose' of Paracetamol can become a killer

So what is becoming clear is that all painkillers, even a 'low' or 'recommended' doses are equally damaging to our health. 

If we look more closely at Paracetamol (Tylenol) it has long been admitted that this drug causes nausea, upper stomach pain, itching, loss of appetite, and jaundice, and that emergency medical help is recommended if hives, difficult breathing, face swelling occur. On a Patient Information Leaflet (PIL) I saw recently there are many reasons for NOT taking Paracetamol given:
* if the patient has a list of existing illnesses;
* if the patient is taking a long list of drugs that might interact with it;
* several reasons for 'informing your doctor' if and when a patient experiences certain side-effects;
* and a significant list of 'serious' and 'other' side effects are also mentioned.

Yet this PIL list, as usual, consists only of the the disease inducing effects (DIEs) admitted by Big Pharma, and the Conventional Medical Establishment.

These dangers of Paracetamol - which include liver damage, pancreatitis, even death have been known and accepted for many years.
http://www.telegraph.co.uk/health/healthnews/8907129/A-few-extra-tablets-can-cause-cumulative-paracetamol-overdose.html
Yet most people believe that Paracetamol is essentially a safe one, if taken properly.

Yet there are many conditions that are now linked with Paracetamol that are not included in any PIL, or in any information given to us by the conventional medical establishment. These have not yet been acknowledge, recognised or admitted. For instance, in this article published in a national newspaper, the links between Paracetamol and Asthma in children is discussed.

This article goes further, and says that all NSAID painkillers, such as Paracetomol, are known to cause Asthma is children, and particularly in children who have been given the drug during the first year of their life.

This becomes extremely disturbing when we realise that, as parents, most of us have given our children the drug Calpol, the painkiller made especially for very young children, and that this drug mainly comprises of Paracetamol.

Then in this article, acetaminophen (that is, the active ingredient in Paracetamol, Tylenol) is associated with the risk of the rare, but serious skin condition, Stevens-Johnson Syndrome, which can apparently be fatal. Nor, as the article makes clear, is this the result of an overdose of the drug as "These reactions can occur with first-time use of acetaminophen, or at any time while it is being taken".

More recently, NICE (the National Institute for Clinical Excellence in the UK) has warned doctors against prescribing paracetamol for people suffering from osteoarthritis.

However, as usual, the conventional medical establishment are divided over this advice. There is always lengthy discussion when there is a suggestion that runs counter to Big Pharma's financial interests! So, the MHRA (the UK's drug regulator) has announced that it is not in agreement with, and is not supporting this advice!

So we patients, especially the millions of osteoarthritis sufferers who are taking these painkillers, and presumably their doctors too, are now left to guess who is right. The decision will eventually have to be made by the conventional medical establishment! And that may be many years ahead, during which time many more patients will suffer the DIEs of these painkillers.

What is also frightening is that Paracetamol (Tylenol), and many other painkillers, are drugs readily available as an OTC (over-the-counter) drug, so requires no doctor's prescription. Most families will have paracetamol or some other NSAID painkiller in their homes, and consider it to be a 'safe' drug. Few will read the Patient Information leaflets, albeit with its limited information. I found my copy in a thrown-away package; the drugs had been taken, the PIL was clearly left unopened, and unread.

The consequences of our doctor-induced love affair with painkilling drugs are many. The Guardian newspaper reported that 1 million Britains suffered constant and crippling headaches by the overuse of painkillers. And as the Daily Mail reported about the same evidence:

          "As many as one in 50 of the population regularly has headaches triggered by the very drugs meant to be numbing their pain".

High Blood Pressure has been linked to OTC painkillers. Evidence for this has been reported in this article by WDDTY, and of course, anyone with high blood pressure as a result of taking painkillers are then likely to be given Antihypotensive drugs, and thus subject to all the adverse effects of these drugs too.

Yet the problems identified with painkilling drugs continue.

This research linked popular painkillers to hearing loss in women.

This article links NSAID painkillers with 'wreaking havoc with the small intestine.

And for men, even our manhood is threatened by painkillers - they have been found to dramatically lower testosterone levels.

The painkilling 'crisis' could have been foreseen - but only if conventional medics had been willing to admit that a patient's pain was only temporarily relieved by painkillers, and that regular use of painkillers increased toxicity within the body, which in many cases merely further exacerbated the pain, and the condition that caused the pain.

Moreover, in isolating and dealing with just the pain these drugs were not addressing the origins or the cause of the pain.

Fortunately, alternative medical therapies have never fallen into this trap. They may not be able to offer a simple, single 'solution' to pain. CAM therapies, after all, recognised that pain has a complicated, and individual aetiology which needed to be understood. So amidst the gloom and despair, and the ultimate failure of the conventional medical establishment, I finish this article with three pieces I have come across recently - about pain management using alternative methods.

This article suggests that we forget conventional painkilling drugs, and instead look to natural remedies and herbs to ease our pain.

This articles suggests natural pain killers beat Big Pharma painkilling drugs - which of course they do - but much more safely.

And this article states that Homeopathy can reduce painkiller usage by over 50%.

And with the failure of painkilling drugs, it will probably have to do much better than that!