I have been taking 400 mg of ibuprofen a day to deal with neck pain. I just recently learned that could lead to long-term kidney damage. So I tried to find alternatives and all I could find were articles about opioids and articles explaining why daily ibuprofen is bad for you. None of them offered what I should take instead. Anyone out there have any suggestions? I'm becoming frustrated with the internet.
oil field trash2018-08-20T13:30:01Z
Chronic neck pain means there is something wrong. You should see an orthopedic doctor. It may be as simple as some exercises or it could mean a simple operation. Either is better than damaging your internal organs with pain killers
400mg is a low dose so kidney damage is highly unlikely. Ibuprofen gel, either otc or prescription strength, will provide localised pain relief with very little , approx 5%, working its way into the blood stream and through the kidneys and liver. Have you seen a specialist about your neck or seen an osteopath or chiropractor? Another oral medication that could help is Nefopam which acts like an opioid but isn't one and isn't habit forming. Anticonvulsants are used to treat chronic pain such as Pregabalin and Gabapentin as well as low dose tricyclic antidepressants such as Amitriptyline. If your neck pain is muscular then a muscle relaxant is a good option such as Tizanidine. There's also Ketamine and Lidocaine infusions, low anaesthetic patches, steroid injections the list goes on.