I’ve been on prescription co-codamol for some time now, for musculo-skeletal pain associated with MS. I also have neat codeine for use as an ad-hoc top-up, so that I can vary the dose when things get really bad.
This was all working rather well…or so I thought. Paracetamol on it’s own does nothing; neither does ibuprofen. So it’s definitely the codeine that does the trick.
But recently, I’ve started to have doubts. Lately, I’ve not been feeling very well. The sort of generalised “not well” that I assumed to be just MS. I’ve not been sleeping through the night, and I’ve been feeling generally a bit queasy and headachy, and had a rumbly tummy. A couple of weeks ago, I had an episode of severe vomiting, and was very poorly (off work). I wasn’t entirely convinced it was a bug, although I suppose it might have been.
Anyway, now we come to the point. Although I hadn’t made a direct connection between these symptoms and any medication, I think maybe subconsciously I had. Because lately, I found myself reluctant to take my co-codamol. Luckily, I’ve had a reasonable (not brilliant) few days pain-wise. So I decided to experiment with not taking them. I’ve taken no co-codamol at all for over 48 hours. Yes, the musculo-skeletal stuff is worse. But offset against that, the incipient headache is gone, and I no longer feel sick! And I’ve had two nights in a row of sleeping almost (not completely) straight through.
I do know that codeine can be associated with headaches and nausea. But it’s also damn good at fixing the pain (the non-headache pain, I mean).
So now I have a dilemma. Do I put up with the pain, or with the headache and feeling sick? Or is it all complete coincidence anyway, and nothing to do with codeine; just the natural ups-and-downs of MS?
I’m feeling between a rock and a hard place. :?