Type 1 Wisdom tooth extraction post operative pain T1 help!

Hi,

Welcome to the forum.

Pain may cause stress. Stress can sometimes raise BGs... Do you know what your correction dose is to lower BGs with bolus??
IT met just help recovery with carful monitoring..

Claire.hw93 said:

Hi all,

Last Wednesday I had my right lower wisdom tooth surgically extracted under local anaesthesia at my usually private dentist. They gave me metronidazole, and I got ibuprofen 200mg-codeine 12.5mg mix tablets over the counter (strongest they’d give me without a prescription). I take two of them with one or two paracetamol 500mg 3-4 times every day. Saturday I managed two hours at work but the pain still hadn’t subsided.

Went back to the dentist and they gave me more Amoxycillin to use on top of the metronidazole (both are taken 3 x daily). Even after taking the pain meds and antibiotics, cleaning my mouth with salt water and Corsodyl, only having a soup diet.... nothing is stopping the pain!! I’ve been managing my sugar levels well over the past week. Highest being 14mmol and lowest being 6mmol. I’ve slept a lot. But I can’t shake it. Any advice from anyone please. TIA

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Hi there Claire - Wisdom tooth removal can be very painful indeed for lots of reasons I'll spare you.

If your paid isn't easing, it could be time for a chat with your dentist, just in case you have developed an infection or dry socket. Dry sockets can be excruciating, and may need a little intervention to get things on-track with your healing.

Obviously, I'm not diagnosing you with a dry socket or anything else, just making the sensible suggestion of at least a conversation with your dentist, in the first instance.

It also looks like you are taking your Ibuprofen and Paracetamol at the same times? I hate taking medications, but when I have had acute pain, treated with that same combo, the advice I received from both my Doc and Pharmacist was to interleave them meds. In other words, take the Ibuprofen, the mid way through to the next due does, take the Paracetamol, and continue.

Of course, it felt like I was continually pill-popping, but allegedly, it just keeps the pain relief nicely topped up. If you are taking a combined tablet, please do not take additional paracetamol (or Ibuprofen, for that matter). That can get tricky.

Personally, I don't like Paracetamol, but it is an effective painkiller. I try hard not to take it more than a day or two, where at all possible.

Finally, if your over the counter meds are not cutting it for pain relief, your dentist (or doctor) is able to prescribe something stronger, if necessary.

I do hope you find things more comfortable soon. I can't imagine you're managing too much sleep.

JohnEGreen said:

That is strange my dentist and doctor both say the opposite the point about taking them both is the synergistic effect where both combined have a greater effect than either individually added at different times.

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The rationale I was given was the spread dosing helped top up the emptying bucket more regularly, than a bigger hit less often, when clock-watching comes into play.

Of course, they can be taken together, or the likes of Ibuprofen Max, which contains both, could not be marketed.

For me, personally, with my near paranoia about Paracetamol, it's important to ditch the paracetamol at the first opportunity. Paracetamol is a great drug, but not in my world.