EDIT; I can’t reply to everyone individually but thanks for all the suggestions! Opiates are out of the question, doctors here will only prescribe those in terms of absolutely extreme suffering or end of life care. I also don’t particularly feel interested in developing a hard drug habit. Diclofenac and such are available but also only on separate prescriptions, I’d have to visit another doctor for that. I’m well stocked on paracetamol & ibuprofen, and apart from that, lots of ice cream, pudding & soup :)

Also, since a fair few people seem to doubt the veracity of my story, here’s the 22 extracted teeth (the other 10 were already gone in previous extractions).

  • medgremlin
    13·
    4 months ago

    Alternating the paracetamol and ibuprofen on a schedule is the best recommendation I can give. Severe pain, especially post-operative pain, is best managed by taking the pain meds before the pain sets in. The ibuprofen is also an NSAID and the swelling and inflammation are big contributors to pain.

    The schedule that I always recommend is:

    • 0800: 650-1000mg paracetamol (acetaminophen)
    • 1200: 600-800mg ibuprofen
    • 1600: 650-1000mg paracetamol (acetaminophen)
    • 2000: 600-800mg ibuprofen
    • (and in the first day or two after surgery, set alarms to wake up and take pain meds at 0000 and 0400 on the same pattern if the pain is really bad.)

    This pattern keeps you covered on pain control, and you can shorten the intervals to every 3 hours if this isn’t enough without exceeding daily dose limits on either medication. If you are an American reading this and you’re also taking something like Norco, make sure to account for the acetaminophen/tylenol/paracetamol that’s in those because exceeding the recommended dose on that one is bad news for your liver.

    Like some other folks have said, warm saline (salt water) rinses and soft or liquid foods are going to help as well.

    • Pup Biru@aussie.zoneEnglish
      2·
      4 months ago

      to add to this, i’ve been told by doctors in the past that caffeine helps the effectiveness of ibuprofen - i’d guess though same usual rules with caffeine as always; it’ll keep you awake, so don’t take it too late

      i’m no doctor though - just my memory of what doctors and nurses here in australia have said

      • medgremlin
        2·
        4 months ago

        Yeah, caffeine is a good vasoconstrictor, so it can help with headaches that are not from something like high blood pressure. Paracetamol/acetaminophen is really good for headaches on its own because it gets into the brain better.