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Topic # 100574 13-Apr-2012 18:45
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Over the last few days I had a somewhat bad tooth ache, it kept coming and going as they do, then last night it just blew up like crazy. Like, imagine rubbing sugar on a tooth with a cavity? Its like that but twice as bad. I know its not due to that because I haven't been able to eat for the last 2 days, tried coffee today and nearly cried because of this thing. Called yesterday and got an appointment for tomorrow at 11.30 but I need something to tide me over until then. I've tried pandol, 3 different types of Nurofen and they all do the same thing, gets rid of the pain after about an hour, then as soon as i do anything near the tooth it just starts hurting again. 

Whats a sure fire way to stop this before I get to the dentist tomorrow? Its looking at being about $500+ just to have this thing taken out >< and on top of all the other crap in my life going on right now, I can't deal with this so one less thing to cope with would be great.

-Sam 




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  Reply # 608909 13-Apr-2012 18:53
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Most pain relief like paracetamol needs to be taken regularly at the recommended times (every 6 or so hours), and has a cumulative effect, so just taking one dose won't have as significant effect.

The packet should tell you the size of the dose, and the frequency that it should be repeated.

If you're still in real pain, I'd suggest going to an after hours doctor to see if they can prescribe a stronger short term relief, or even a pharmacy may be able to offer some more advice.




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  Reply # 608910 13-Apr-2012 18:55
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I have some stuff called Voltarin I think. Do you know if its any good?




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  Reply # 608914 13-Apr-2012 18:56
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Clove oil, available at any chemist.  Apply directly to tooth (on a cotton swab).

Also generic Ibuprofen and Paracetamol taken in combination (exactly the same as "Nuramol"), if you stagger the dose, it works better.





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  Reply # 608920 13-Apr-2012 19:04
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tardtasticx: I have some stuff called Voltarin I think. Do you know if its any good?


I'm not a doctor, however, my understanding is that it is an anti-inflammatory generally used to help with tissue inflammation, not a general purpose pain relief.

Unless it has specifically been prescribed by a doctor who has been consulted about your specific symptoms, I'd avoid taking that, or any other prescription medication, as you don't know what other (possibly dangerous) side effects there may be.

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  Reply # 608922 13-Apr-2012 19:09
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Voltarin is an anti-inflammatory and is not designed to relieve pain from baterial infections.

We get ripped for dentistry (on top of so many other things) in this country. My wife and I were in Thailand a couple of years ago and she developed a really bad tooth infection: constant agony, couldn't eat etc. We went to a hospital near where we were staying in Bangkok - 450baht later (about $23.70 with the exchange rate at the time) the tooth was gone.

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  Reply # 608929 13-Apr-2012 19:13
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Voltaren is fine to take Sam, what dosage is it? 25mg or 50mg? It is an anti inflammatory but it also acts as a pain blocker.. however it needs to be taken on a regular basis to work at its best. You can safely take it with panadol as sleeman mentioned.

Its sounds like you have an abscess and the quickest (and only short term) way to get rid of that pain is to have it drained. Nothing else will work for more than an hr.

Your best bet is to ring the Health Line, tell them what you have and they will advise you.

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  Reply # 608940 13-Apr-2012 19:21
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Mate, best you'll find legally is panadiene from the 24hour chemist.
There is an extra strength version and it's the only way to buy codeine without a doctors visit.
Speaking of which that would be plan C, visit a doctor....

Good luck man!

gzt

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  Reply # 608951 13-Apr-2012 19:34
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Go to the doctor and get the right stuff for the job.

Either that or head to the hospital before all the Friday night drunks and car accidents start piling up in there.

Voltaren (http://en.m.wikipedia.org/wiki/Diclofenac) will probably work (warning: it is strong as imho) but it is 'prescription only' for good reasons - so pick one of the above options instead.

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  Reply # 608957 13-Apr-2012 19:45
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for severe pain panadeine and neurofen together. They work together in different ways so no overdose.  Just dont exceed the recommended dose for either.




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  Reply # 608978 13-Apr-2012 19:56
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I took 50mg of Voltaren just about half an hour or so ago, still feeling pain so ill give it another half hour then ill take some fast dissolving panadol capsules I guess. I don't know of any chemists around my area that are open this late for safety reasons lol.

And I thought it might be infected but I cant see any abscess at all. It feels normal around the gum unlike in the past as a kid I remember having some nasty infections, ew.

I have another 50mg of Voltaren so I'll take that probably before bed to last me until tomorrow, and then tomorrow I'll wake up as late as possible because it was fine for about 2 hours this morning after I got up then it started acting up again which was odd. Hopefully it repeats tomorrow so I dont have to take anything before seeing dentist.

I guess I'm more looking for ways at the moment to immediately sooth the pain until the painkillers kick in properly. Ice on the tooth sends shooting pains, warm water just feels real sore and mouth wash is the same but then fades away quicker.




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  Reply # 608988 13-Apr-2012 20:06
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+1 for Clove oil.... tastes horrible but seems to work




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  Reply # 608989 13-Apr-2012 20:08
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Does the clove oil have to be on a cavity or what? Because I don't know of any cavity on this tooth.




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Sam, Auckland 


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  Reply # 608995 13-Apr-2012 20:17

I'd take paracetamol regularly (1g every 6 hours) and continue with the voltaren (50mg every 8 hours).  You may be able to get some panadeine from the supermarket, although the over-the-counter version doesn't have a massive amount of codeine in it (better than nothing, though).  You need to be a little bit careful about not doubling up on similar medications (e.g. panadeine has paracetamol in it, so it counts towards the 1g every 6 hour maximum dose; neurofen and voltaren are both non-steroidal anti-inflammatories so you should be taking one or the other, not both at the same time).

Bottom line is you need to see the dentist.  Doctors generally won't have much further advice, although they may be able to prescribe something a bit stronger and/or antibiotics if there is evidence of a dental abscess (sounds a bit like you might need a root canal, though).

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  Reply # 608996 13-Apr-2012 20:18
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I tend to just dip a cotton bud in it and dab it around the pain area..... seems to act as a numbing agent. Or maybe just the taste takes your mind off the pain. :)





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  Reply # 608997 13-Apr-2012 20:21
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Voltarin/Sodium Diclofenac is typically for inflamation situations, so honestly if it's not working, seek out some codeine via panadeine extra. You can't have panadeine if you've had paracetamol via panadol or other.

You can technically mix Voltarin with panadeine, but don't start throwing aspirin in the mix etc, as it's all very similar and you start talking overdose. ASK a pharmacist!

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