[Cold Heat]

I hope your doc knows about the frequency of your taking of Ibuprofen. You need to have your blood chemistry checked on a routine basis.

Yes, they do.........

I have a blood/liver function test done every three to four months.

I am aware of the interactions. Diphenhydramine(Benidryl) Is one of the buggers you need to watch out for. A little is ok, but too much and autonomic breathing can cease.

[neverdem]

The standard of care for patients with chronic pain requiring opioid drugs around the clock is to give a sustained release compound, such as a Duragesic(Fentanyl) patch, OxyContin or MS Contin, for "prolonged" coverage, and a fast and short acting opiate for "break through pain" such as Percocet or MSIR(Morphine Sulfate Immediate Release) for short term exacerbations on an as needed basis, i.e. PRN. Please inquire about Duragesic and MS Contin with the VA.