This is for your information - many medical professionals do not know PPS exists. You need to tell them you are a Polio Survivor and show them this.
Check with your Doctor, Dentist and Pharmacist before changing any of your drugs.
Medications (drugs), may be by prescription (Rx), or Over-The-Counter (OTC). As a polio survivor you should become an informed user of drugs because:
You may have experienced a 'full recovery', Grade 5, Manual Muscle Test of involved muscles and were unaware of any involvement of your respiratory muscles, however, research has shown that these so-called 'normal' muscles are not necessarily normal and may be supplied by only 60% of the usual number of spinal nerve cells.
Alcohol:- is a drug. It may
Individuals with any respiratory weakness should avoid alcohol, especially before bedtime.
Laxatives:- before medications try
Firstly change your diet and drink more fluids. Get more exercise if advised by your PPS doctor.
May contain alcohol or a narcotic (e.g. codeine)
These suppress coughing or loosen secretions. They also cause drowsiness, decreased co-ordination, may give a feeling of chilliness.
E.g. Triludan, Dramamine, Piriton. These cause drowsiness and can increase fatigue.
These are the most abused class of drugs and long term use can cause addiction. There are two classes:
Non steroid anti-inflammatory drugs (NSAIDs) such as: (OTC) Aspirin, Advil; Rx only medicines Orudis, Motrin, Indocin, Feldene. NSAIDs can control inflammation and pain but may cause dizziness, muscle weakness, drowsiness.
Some anticholinesterase drugs, e.g. pyridostigmine (Mestinon, Rx only), may influence fatigue level.
Avoid over exertion, use a work-rest lifestyle.
Antidepressants, Anti-anxiety drugs.
One third to one half normal dosage may be adequate. Many of these drugs (benzodiazepines e.g. Rx only Valium, Librium, Lorozepam) are also muscle relaxants, sedatives and may increase fatigue, decrease strength. Barbiturates may be used for sedative, hypnotic or anticonvulsant activities.
This is only a brief review. Drugs taken for cardiopulmonary and other problems may have important interactions with polio related symptoms.
Only you can identify yourself as a polio survivor to your doctor, dentist and pharmacist - ensure they know what drugs you are taking, and become familiar with potential side effects.
Always remember, it is no solution to take medications and continue to abuse your joints and muscles; change your lifestyle and protect your joints and muscles FIRST.
ALWAYS CONSULT YOUR DOCTOR
BEFORE TAKING OR CHANGING DRUGS
J.M.Walker Ph.D., PT
School of Physiotherapy
AM Whelan, Phar. D
College of Pharmacy
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Created: 10th August 1997
Last modification: 16th September 1998