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Suggest Remedies For Toothache And Headache Post Root Canal Treatment

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Posted on Wed, 24 Aug 2016
Question: I have been prescribed co-amoxiclav 55/125mg, Tramadol 50mg and diclofenac 50mg following a root canal filling. My mouth is still painful and I have a terrible headache. Can I take a pain killer, is so what please?
doctor
Answered by Dr. Michelle Gibson James (22 minutes later)
Brief Answer:
tramadol dose can increase, nsaid can change, add paracetamol

Detailed Answer:
HI, thanks for using healthcare magic

Currently you are using an opiate (the tramadol) and an NSAID ( the diclofenac).

The tramadol dose can be increased unless there is a medical reason that you cannot take the maximum dose. The maximum dose is 400mg a day which is 100mg every 6 hours ( 4 times daily)
This would be associated with increased drowsiness.

If diclofenac 50mg three times a day is not enough then you can switch to celebrex 400mg which is reported to be stronger or add another medication.

In terms of additions- paracetamol/tylenol can be added since it is not in the drug families mentioned (opiate like tramadol or nsaid)
This can be taken 1000 mg every 6 hours.

If the increase in tramadol and addition of paracetamol is not enough then as suggested, the medications would need to be changed.

You would need a different opiate (codeine, hydrocodone etc) or different NSAID eg ketoprofen or celebrex.

Should not take 2 nsaids together eg diclofenac added to ibuprofen or naproxen, need to switch

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (1 hour later)
Thank you. I took paracetamol and feel better.
doctor
Answered by Dr. Michelle Gibson James (4 hours later)
Brief Answer:
great

Detailed Answer:
Hi

Glad to hear

If you have any other queries, can let me know
Note: Find out which dental treatment will work best for your teeth. Ask here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Suggest Remedies For Toothache And Headache Post Root Canal Treatment

Brief Answer: tramadol dose can increase, nsaid can change, add paracetamol Detailed Answer: HI, thanks for using healthcare magic Currently you are using an opiate (the tramadol) and an NSAID ( the diclofenac). The tramadol dose can be increased unless there is a medical reason that you cannot take the maximum dose. The maximum dose is 400mg a day which is 100mg every 6 hours ( 4 times daily) This would be associated with increased drowsiness. If diclofenac 50mg three times a day is not enough then you can switch to celebrex 400mg which is reported to be stronger or add another medication. In terms of additions- paracetamol/tylenol can be added since it is not in the drug families mentioned (opiate like tramadol or nsaid) This can be taken 1000 mg every 6 hours. If the increase in tramadol and addition of paracetamol is not enough then as suggested, the medications would need to be changed. You would need a different opiate (codeine, hydrocodone etc) or different NSAID eg ketoprofen or celebrex. Should not take 2 nsaids together eg diclofenac added to ibuprofen or naproxen, need to switch I hope this helps, feel free to ask any other questions