Taking painkillers with parkinson medication

Everyone on here is very helpful with any queries I have had in the past so here goes again. My BH is taking Madopar and Rasagline and is very well until this past week when he developed Sciatica! He has had this in the past, before PD and treated it with ice, heat and gentle exercise. This time he seems to be in greater pain so rang the doctor and explained I didn’t want to give him painkillers that would effect the drugs, they understood and gave me a prescription for Co-codamol. Also reassured by pharmacist but after only one he became practically incoherent, not sure what to do but it is bedtime and after no sleep because of the pain in previous nights he took another. He slept like a log and I spent the night worried sick. He seems better this morning but took a long time to come round and is saying no more painkillers. But the Sciatica pain is quite intense so any advice?

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Hi modian,

Very sorry to hear your husband is suffering. We’d recommend that you try contacting our Helpline, as they should be able to advise you on this. You can reach them via email at [email protected], or call free on 0808 800 0303. Lines are open Monday to Friday from 9am to 7pm, and on Saturday from 10am-2pm.

Hope this helps.

Best wishes,

Moderation Team

Hi Modian
Sciatica is horrible. I find that radiofrequency ablation helps. Mine works for about a year, then has to be redone. I’m due for another go next week. At least I don’t need to take all those horrible opioids - which didn’t didn’t work well and made me constipated. Here’s a link explaining what it is. My doctor uses a light general anaesthetic so I don’t remember any of the procedure. https://mayfieldclinic.com/pe-rf_ablation.htm

thanks for your input it was very interesting just one problem it is in USA and we live in backwoods of Lincolnshire UK!

It’s available in UK. Here’s a better link. https://www.bupa.co.uk/health-information/back-care/radiofrequency-denervation
As it says, it doesn’t work for everybody. Worth asking your doctor, though.

This is not medical advice, merely observation. But whenever my partner has had Co-Codamol, the PD meds have not really kicked in properly. This seemed very pronounced in hospital after a brain operation, and the neurologist said he would not be giving Co-Codamol and told the nurses only to administer paracetamol, at the usual dosage, which worked fine, perhaps surprisingly.

I have had sciatica and coped with te pain using Buprenorphine and Tramadol. Both are opiates and Tramadol s sleep indusing so that is good for overnight.

I have not noticed any interaction with my parkinsons meds ropinerole Amantadine and Stalevo.

I too was consifering nerve ablaton but decided agains it.