‘Be wary’: Aussie doctor exposes massive paracetamol ‘lie’

With more than 3 million Aussies experiencing chronic pain, a doctor has revealed a huge lie about painkillers that affects many of us.

Welcome to Ask Doctor Zac, a weekly column from news.com.au. This week, Dr Zac Turner explores the truth behind pain relief.

QUESTION: Hi Dr Zac, do any over-the-counter pain relievers work? I’m talking about paracetamol or ibuprofen. Is there such a thing as natural pain relievers? I’ve been diagnosed with chronic pain and I am worried about being prescribed opioids, I don’t want to become an addict. I’ve been watching a Netflix series recently about what happened to America with the opioid crisis, it’s all pretty scary – Shenae 49, Cronulla, NSW

ANSWER: Unfortunately Shenae, there is a booming business when it comes to pain.

In Australia, chronic pain affects 3.4 million Australians. Around 68 per cent of people living with chronic pain are of working age. This is why some companies pump millions into advertising every day to tell you their over-the-counter pill works best for your pain.

We should all say a collective thanks right now to the fact prescription medication cannot be advertised in Australia. Can you imagine an opioid commercial programmed during prime time television? That’s a reality in America.

Let’s get down to the basics. There are two types of pain: acute and chronic. The occurrence of these two increases with age, but women are more likely to experience it than men.

Acute pain is a normal response to injury or a medical condition. You prick yourself with something and feel a dull ache or sharp sting for a moment, but eventually it goes away. That is acute pain. Now imagine if that pain never went away. That’s chronic pain.

There are two types of pain: acute and chronic. Picture: iStock

Paracetamol is the go-to recommended treatment for acute pain. Mainly due to its accessibility and marketing, but there is some merit to its chemistry. It’s thought to reduce pain and fever by acting on the central nervous system. If you take too much of it, you run the risk of liver damage. I would never recommend a long term treatment plan of paracetamol.

Ibuprofen is a non-steroidal anti-inflammatory drug (NSAID) that reduces inflammation, pain and fever by inhibiting certain enzymes. It can cause stomach irritations, and could also affect kidneys. It’s generally not recommended for people with certain conditions, such as stomach ulcers, kidney problems or cardiovascular issues.

You may sometimes get your GP tell you to take these if you have a fever. They are correct in doing so, as it will help keep your fever down until it returns to normal. You should always be wary of any packaging that claims to target a specific type of pain. There is no paracetamol that fixes back pain only – that is a lie.

Paracetamol is the go-to recommended treatment for acute pain.

The Australian Therapeutic Guidelines state ibuprofen is the better choice for pain associated with osteo- and rheumatoid arthritis, period pain, some types of headache and for pain that comes from having an operation. Paracetamol does not reduce inflammation but it is a better choice when fever is associated with the pain, like when you have a cold or flu.

There are some natural pain relievers that you can try, but I would not recommend dropping all the medication you are prescribed without consulting your doctor.

There are several non-medication strategies and natural alternatives to manage pain. Many can complement or reduce the need for medication, especially for chronic pain. Plus, many of the below can be combined together with often huge reduction in cause and severity of pain:

• Physical therapies (eg physiotherapy, massage or chiropractic care): These methods target the source of pain, improving mobility, strengthening muscles and reducing inflammation. Techniques like heat/cold therapy and acupuncture can be effective for musculoskeletal pain.

• Mind-body techniques: Practices such as meditation, yoga and mindfulness help manage pain by reducing stress and improving pain tolerance. These are particularly useful for chronic pain conditions.

• Diet and supplements: Certain foods and supplements can have anti-inflammatory properties. These include:

Omega-3 fatty acids (found in fish oil) which may reduce joint pain.

Turmeric (curcumin) is widely known for its anti-inflammatory effects.

Ginger, which can alleviate muscle pain.

Magnesium supplements may help with migraines and muscle cramps.

Peppermint oil has a cooling effect and may help alleviate headaches and muscle pain. It can be diluted and applied topically or inhaled through aromatherapy.

• Exercise: Low-impact exercise like swimming, walking or cycling can help maintain joint function and reduce pain over time. Regular exercise helps increase endorphins, the body’s natural pain relievers.

Consider going for a swim. Picture: iStock

• Heat and cold therapy: Applying heat or cold to the affected area can help reduce inflammation and alleviate pain. Heat packs, cold packs or alternating between the two may be effective. Acupuncture involves the insertion of thin needles into specific points on the body. It is believed to stimulate the body’s natural pain-relieving mechanisms.

• Cognitive Behavioural Therapy (CBT): This is a structured form of psychological therapy that teaches coping strategies to deal with pain. CBT is often used for chronic pain, particularly in conditions like fibromyalgia or back pain.

If you have been prescribed opioids, it’s important to take the situation seriously and be aware of the potential risks associated with these medications. Opioids are powerful pain-relieving medications, but they also have a high potential for abuse, dependence and addiction.

If you are worried, you must communicate this with your doctor. Be honest that you fear you will become addicted, and your doctor will help. Remember, they are there to help you, and get no benefit out of prescribing you these drugs.

Pain management is a personalised process, and what works for one person may not work for another. The goal is to find a balance that provides effective pain relief while minimising potential risks and side effects. Always consult with healthcare professionals to determine the most suitable approach for your individual needs.

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Dr Zac Turner is a medical practitioner specialising in preventive health and wellness. He has four health/medical degrees – Bachelor of Medicine/Bachelor of Surgery at the University of Sydney, Bachelor of Nursing at Central Queensland University, and Bachelor of Biomedical Science at the University of the Sunshine Coast. He is a registrar for the Australian College of Rural and Remote Medicine, and is completing a PhD in Biomedical Engineering (UNSW). Dr Zac is the medical director for his own holistic wellness medical clinics throughout Australia, Concierge Doctors.

Originally published as ‘Be wary’: Aussie doctor exposes massive paracetamol ‘lie’