Doctor's Prescription for Pain Relief: Your Medication Options - Pharmacology

Share to:

Prescription for Patients Unable to Sit for Extended Periods


I experience discomfort and pressure pain in my buttocks and inner thighs due to prolonged sitting, as well as headaches while sleeping.
I consulted a neurosurgeon and underwent X-rays and an MRI, both of which were normal.
The doctor prescribed the following three medications; are these appropriate? Thank you.

1.
Relax cap (Acetaminophen + Carisoprodol)
2.
Deanxit tab (Flupentixol and Melitracen)
3.
Potarlon 250mg cap (Mefenamic Acid)

Anson, 40~49 year old female. Ask Date: 2013/05/24

Dr. Liu Huiya reply Pharmacology


Hello: The discomfort of pressure-related pain on the inner thigh and headaches during sleep may have complex underlying causes.
Since the physician has found all objective examination results to be normal, it is possible that the pain is triggered by stress or tension.
Therefore, the physician's prescription for medication appears to be aimed at addressing these issues with the selection of three specific medications.
The first medication has muscle relaxant and pain relief properties, the second medication can alleviate tension or anxiety, and the third medication has anti-inflammatory and analgesic effects.
Thus, using these three medications as directed by the physician should initially provide relief from the symptoms.

Reply Date: 2013/05/24

More Info


When it comes to managing pain, particularly in cases like yours where you experience discomfort from prolonged sitting and headaches during sleep, understanding the medications prescribed is crucial. Let's break down the three medications you've been prescribed: Relax cap (Acetaminophen + Carisoprodol), Deanxit tab (Flupentixol and Melitracen), and Potarlon (Mefenamic Acid).

1. Relax cap (Acetaminophen + Carisoprodol): This combination medication serves two primary purposes. Acetaminophen is a widely used analgesic (pain reliever) and antipyretic (fever reducer). It works by inhibiting the production of prostaglandins in the brain, which are chemicals that promote inflammation, pain, and fever. Carisoprodol is a muscle relaxant that works by blocking pain sensations between the nerves and the brain. This combination can be particularly effective for muscle-related pain and discomfort, making it suitable for your symptoms related to prolonged sitting.

2. Deanxit tab (Flupentixol and Melitracen): This medication is a combination of a typical antipsychotic (Flupentixol) and an antidepressant (Melitracen). While primarily used for treating anxiety and depression, it can also help alleviate tension and improve mood, which may indirectly help with pain perception. In cases where pain is exacerbated by stress or anxiety, this medication can be beneficial. However, it is important to monitor for any side effects, as antipsychotics can sometimes lead to sedation or other neurological effects.

3. Potarlon (Mefenamic Acid): Mefenamic acid is a non-steroidal anti-inflammatory drug (NSAID) that is effective in reducing inflammation and alleviating pain. It works by inhibiting enzymes (COX-1 and COX-2) involved in the production of prostaglandins, which are responsible for pain and inflammation. This makes it a suitable option for managing pain associated with muscle strain or inflammation, which could be relevant given your symptoms.

In summary, the combination of these three medications addresses different aspects of your pain. The Relax cap targets muscle pain, Deanxit helps with any underlying anxiety or stress that may be contributing to your discomfort, and Potarlon provides anti-inflammatory effects.
However, it is essential to consider a few factors:
- Potential Side Effects: Each of these medications can have side effects. Acetaminophen can be harmful to the liver in high doses, Carisoprodol can cause drowsiness or dizziness, Deanxit may lead to sedation or other neurological effects, and Mefenamic acid can cause gastrointestinal issues. It's crucial to take these medications as prescribed and report any adverse effects to your doctor.

- Underlying Conditions: Since your X-rays and MRIs came back normal, it may be beneficial to explore other non-pharmacological treatments such as physical therapy, ergonomic adjustments to your sitting posture, or lifestyle changes that could alleviate your symptoms.

- Follow-Up: Regular follow-up with your healthcare provider is essential to monitor the effectiveness of the treatment and make any necessary adjustments. If your symptoms persist or worsen, further evaluation may be needed to rule out other underlying conditions.

In conclusion, while the medications prescribed appear appropriate for your symptoms, it is vital to maintain open communication with your healthcare provider about your progress and any concerns you may have. Additionally, consider integrating other therapeutic modalities to enhance your overall pain management strategy.

Similar Q&A

Concerns About Pain Management: Risks of Addiction to Controlled Medications

My wife is very sensitive to pain. Two years ago, she fell in the bathroom and fractured her rib. She underwent a nerve block procedure at National Taiwan University Hospital to reduce her pain, but it was not successful. Since then, her nightmare began, and she has undergone a s...


Dr. Liao Lingmei reply Pharmacology
Hello: In principle, it is not appropriate to provide further information about a medication when the name is uncertain. However, if the controlled pain medication referred to as "damoro" is possibly Demerol, then it is important to note that Demerol is a Schedule II co...

[Read More] Concerns About Pain Management: Risks of Addiction to Controlled Medications


Managing Insomnia Linked to Ankylosing Spondylitis: A Patient's Dilemma

Hello Dr. Ding, I have been suffering from insomnia for over 8 years since being diagnosed with ankylosing spondylitis. I have consulted a psychiatrist who mentioned that they can only prescribe sleep aids, and the main cause of my condition still relies on my primary care phys...


Dr. Ding Shuyan reply Psychiatry
Hello, my personal opinion is as follows: both physicians are correct in their statements. In recent months, due to certain reasons, the National Health Insurance Administration has implemented stricter regulations regarding the prescription of sleeping pills, which has made it c...

[Read More] Managing Insomnia Linked to Ankylosing Spondylitis: A Patient's Dilemma


Managing Chronic Headaches in Seniors: Medication Concerns and Alternatives

I'm sorry to hear about your grandmother's situation. It seems she has been taking headache medication prescribed by a local neurology clinic for many years, but due to a recent move, she now needs to obtain her medication from a provincial hospital in Taipei. However, ...


Dr. Huang Yicheng reply Pharmacology
Colsin-5, with the generic name diazepam, is a 5 mg medication belonging to the benzodiazepine class of sedatives. It can alleviate mental anxiety and tension, or relieve muscle spasms and stiffness. Taking this type of medication may cause drowsiness and dizziness, so caution is...

[Read More] Managing Chronic Headaches in Seniors: Medication Concerns and Alternatives


Managing Anxiety and Medication: A Guide for Patients in Crisis

Hello Doctor: Happy New Year!!! I apologize for bothering you again. Recently, I've been experiencing constant panic and anxiety, so you changed my medication to Inderal (as needed), Semi-Nax, Seroxat, and Lexotan (2 tablets at bedtime). After taking them last night, my hear...


Dr. Tang Xinbei reply Psychiatry
Dear A-Rong, I sincerely apologize for my delayed response over the past two months due to my busy work schedule. It seems you are facing numerous challenges, including discomfort from medication, work-related stress, financial pressures, and plans for marriage. I find it diffic...

[Read More] Managing Anxiety and Medication: A Guide for Patients in Crisis


Related FAQ

Medication Treatment

(Pharmacology)

Medication Consultation

(Pharmacology)

Health Products

(Pharmacology)

Medication

(Urology)

Contraceptive Pills

(Pharmacology)

Medication Consultation

(Orthopedics)

Medication

(Neurology)

Medication

(Internal Medicine)

Medication

(Family Medicine)

Other

(Pharmacology)