Wednesday, 14 January 2009

Banned drugs and a sore back, Isaan Thailand.

As I blogged I have hurt my back. I pulled or strained a muscle picking up a bloody t-shirt. I had Monday off work but went back today and managed to struggle through the day.

Standing on my feet and writing on the white board was a challenge and I couldn’t do it for a prolonged period of time. I thankfully introduced what we were studying, did some examples and students then completed.

Usually I would walk around and monitor and ask students questions or help students who were having difficulty. Today I had students come to me, to the teacher’s desk. There were times walking up the flights of stairs to the classroom where a pinch and then a shooting pain would go down my right leg, but I struggled on. Yes, what a trooper.

Anyway, I got through the day and my back doesn’t feel too bad now sitting and typing this. It is still sore and stiff but I am not crippled. The drugs do seem to be working, doing their magic.

Now, to the drugs. I like to look up drugs that I am prescribed. I Google stuff and se what is written about it. I was prescribed three drugs. Two of them turned out pretty uninteresting but one was a real eye opener.
Nimesulide
The company that makes the drug is called Nilide and comes under the name of Nidolon but it was the active ingredient that brought up red lights. The ingredient is called Nimesulide.

I read many articles about it being banned in many countries like USA, Australia, Britain, and Canada and so on. It is especially nasty to children from what I have read with the side effects.

And this An analysis of serious hepatotoxic side effects registered with World Health Organization indicates that Nimesulide has the highest rate of side effects amongst non-steroidal anti-inflammatory drugs.

I read plenty of information on the drug and am wondering if I should consume the remaining 10 tablets or go and get a different anti-inflammatory, a brand name I know. I am sure that taking the 14 tablets won’t give me any severe side effects.

I read case studies where doctors from the UK used rats as a target group and what the drug did to the rat’s liver, I am happy that my liver is a lot bigger than a rats.

Anyway, if there is a doctor out there reading this, what do you recommend?

Brunty

3 comments:

Anonymous said...

I am not a doctor. I would recommend that you bring up your concerns with your doctor. She will probably happily switch you to something else if you have concerns. She obviously doesn't or she would not have recommended it to you in the first place. If I had to guess the side effects are only serious with prolonged use. Some people take these medications for a long time. My doctor had given me 800 mg of ibuprofen for my back injury.
Mike

Gaeng Gary Guy said...

I work with IV drugs users, sex trade workers, the homeless, and youth at risk in a rough part of Vancouver. This 30 x 30 square block area actually has the highest HIV rate outside of the 3rd world. So I have seen wounds, self medicating, etc.

On my trips to LOS I have witnessed some of the craziest Rx dispensing and ingesting. Especially when it comes to plain old regular Thais who only go to the clinic when they really need to.

A classic example, was a fellow that I had met on Koh Chang, Ranong. A mozzie or flea bite, or something had started to get infected. Due to the fact that we were on an Ilsnad and he would have to leave work, he put it off. The infection spread until it was into his glands. He was very flu-like, hot, and the glands in his groin were causing him extreme discomfort.

I had been traveling with a decent fist aid kit(topped up with some extras from nurses I worked with)and I had been trying to at least keep everything clean, but it was starting to get beyond this.

I told him he needed to take the day off, go to the mainland, see a Dr. and follow extactly what the Dr. had told him to do with the anti-biotics. He said he would.

The next day, I found him opening capsules and pouring the powder into the wounds that seemed off. I asked him what he was doing, keep in mind I am using baby pigeon Thai and like wise for him with english, and I determine that he is using the left over antibiotics he had been prescribed for Chlamydia the year before. Breaking them open and pouring the ingredients on the affected areas.

In the end, we waited for his boss to leave the Island and sent Nai to the Dr while we all covered for him. He got his Rx. although I don't think it was the best one, I made him take it to the letter, and he got better rather quickly. Of course at that point he thought he should stop taking what he had left... Haha!

To Make a long story short, I have seen this more than once while traveling in Asia. Many people don't know how to take the meds properly, wrong meds prescribed, or meds that the West no longer prescribes are still available for use there.

Kind of like pesticides that are off the market here, can still be found in use in Thailand

Another classic, is chosing to use some crazy local black putty, rather than a band aid and cream or what have you. Have you ever seen this black putty?

Sorry for the long winded rant!

Love the blog!

Brunty said...

Hi Anon, the doctor obviously doesn't think it is dangerous, especially short term as you said.

It is a very cheap drug compared to others I have read.

Gary, no problem. It is good to hear from you. I read that this actual drug is used in the fight of HIV.

Thais only front up to the doctor as a last resort, as you said. Clinics diagnose and then give a cocktail of drugs to the victim "patient"

The guy on Koh Chang is lucky you helped him so much. He could have ended up with a really nasty infection and blood poisioning.

Thanks for commenting guys.