Hi Ruth, Personally I can't see the benefit. Codeine is notoriously hard on your stomach, the amount your talking about is miniscule and you would end up taking way more tylenol than you should to reach an effetive dose of codeine. It may help slow your bowels but I can't imagine it relieving more stomach pain than it can cause.
To give you an idea of just how weak 8mgs of codeine is ,a Tylenol# 2 contains 15mgs of codeine, a Tylenol# 3 contains 30 mgs and Tylenol#4 contains 60mgs.
Every pain med has a effective dose range measured in ngs of the drug per ml of blood. Not reaching a theraputic level of any med simply creates a plecebo effect. Plecebo effects are well documented and part of every clinical trial. Often you see folks with side effects, adverse effect and reported effectivenes of Plecebos in as much as 40% of the control population. The drug itself may have the same side effects, same reported effectiveness in as little as 10-15% more than the plecebo group. Many meds still make it to market with FDA aproval with nothing more than a 15% benefit over plecebos. :confused:
I haven't read the entire bill about bringing Canadan prescription meds across the border so I couldn't say if the same 50 count applies to OTC medications,
But I would certainly weigh the benefit vs the risk of detainment with meds that are not capable of reaching a theraputic level in an adult without overdoing the apap and caffeine.
1 gram of acetaminophen three times a day is equivalent to analgesia provided by NSAID's in osteoarthritis, for example. When coadministered with amitriptyline 50 mg twice a day, the combination is as effective as acetaminophen with codiene, but does not lose effectivness as an analgesic over time as does chronic administration of narcotics.
Ruth, If you have undiagnosed or untreated stomache pain, self DXing and managing pain with OTC medications cause over 17,000 deaths per year in the US acording to the NIH and CDC
Your time and money would be better spent at a doctor or GI doc, and taking the right medecine rather than simply masking stomach pain which may be from something as serious and lethal as a gastric bleed from a simple ulcer. Stomach pain is often confused with heart pain as they both use the same nerve pathway to relay the pain signal. I self DX myself with gerds and reflux, tok OTC stomach meds for 10 months through 3 bouts of chest pain I called Gerds, the 4th bout landed me in the ER while having a heart attack that I had been dismising for hours that day as reflux. I had angio plasty and stents placed in two arteries on my 36th bday after thinking I had heart burn from dinner and taking OTC pepcid and tums.
If the cost of expensive stomach meds is a problem, you may qualify for Patient asistance programs offered by every manaufacturer, if you meet the criteria of household income and lack of prescription benefits. Also don't be afraid to ask for samples before spending 200 bucks a months supply of meds before you even know if it's effective. Nexium does nothing for my reflux and gerds That I actually have had DX'd by a doc but Aciphex works great, unfortunately a months supply of Acicphex is 200+ dollars and I simply ask for samples when I go to the doc.
It does get old explainng you can't afford meds, but Pharma reps drop off cases of meds each month at many docs offices. Samples would at least allow you to find what works before purchasing a 30 day supply of a drug that you don't even know will work. You could go through 3 or 4 different meds spending hundreds on each before finding what actually helps the most with the least side effects.
Needymeds.com is a sight to check out programs for PAP's. Moderator 1 has provided the web adresses of several sites for patient asssitance programs under the thread need help in buying meds at the top of the page.
Good luck, Dave