♪ Bob and Brad the two most famous ♪
♪ Physical therapists on the internet ♪
- Hi, folks, I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- Together, we're the most famous physical therapists
on the internet.
- In our opinion, of course, Bob.
- And we are honored today to have with
us a pharmacist, Chris. - Right.
- Can we call you pharmacist, Chris?
- Sounds good to me. - Chris--
Oh, this is a great honor.
I mean-- - Oh, it is.
- It's great that we can do some videos
on pharmacy to help educate people.
- Exactly.
And Chris and I have known each other a long time.
We work out every Saturday that were available
and we always are injuring ourselves
because we break the rules that we talk about
in our videos. - Sure.
- But you know him being a pharmacist,
me being a therapist, we never--
- That's a good combination. - Right.
We just ask each other's questions on how to get rid
of this ache or that pain and things work out quite well.
Don't they, Chris? - Absolutely.
Snatched me up many a time.
- So today we're gonna talk about trying to help you heal
or promote healing. - Great.
- Drugs that are gonna help promote healing.
Am I saying it right?
- Right. - And these are drugs
that are over-the-counter.
- Over-the-counter. Right.
- You know if you wanna avoid seeing the doctor
and a lot of times you can, but you need to be educated
on what's available over-the-counter.
And, Chris why don't you talk a little bit about yourself?
You're a pharmacist, you graduated from,
you did graduate? - Oh yes, I did graduate.
They don't gimme a license without that, so that's for sure.
Yeah, I went to Butler University.
Graduated in 1995. - Nice.
- So I've been doing this for 21 years.
- Okay, so he's got experience
and he does a nice job at the counter.
He talks nice to the people, helps inform them
of what they need.
And before we go any farther, Bob, there's a lot
of people out there have not seen our videos yet.
- Yeah, new to our channel, please take just a second.
There's a subscribe button on the screen that you can hit.
We provide videos how to stay healthy, fit, pain free,
and we upload every day. - You bet.
- Seven days a week. - Okay, so let's talk about
just four of the common over-the-counter drugs.
And actually one of them is not so common,
but we'll get to that.
But let's hit the big one right here.
I think ibuprofen, Chris,
would you say that is the most common?
- I think ibuprofen, for a lot of cases,
probably the most common recommendation
that we're gonna use.
And the one thing that's always kind of a deciding factor,
we always check with the patient to make sure
there's no allergies to medication
and/or any health conditions
or any current medications that they take
'cause all these can have certain interactions with drugs.
You always wanna be real careful with that.
Check with your pharmacist
or your doctor before you take something.
- Sure. So in the big picture, what is ibuprofen?
- Ibuprofen's an anti-inflammatory.
Often-- - Which means?
- The big picture. - Big picture,
it's gonna help reduce inflammation.
So when you get an acute injury or even a chronic injury
or like osteoarthritis, it's just something that's
gonna help the calm down the swelling and inflammation.
It also has analgesic or pain-relieving properties
that work very effectively to help people
get more comfortable. - Sure.
So example, if you sprained your ankle, be a good product?
- Absolutely.
Yeah, between ice and elevation, ibuprofen
is certainly gonna help to take some
of the inflammation down so we wanna
be real careful with that.
Couple of things with this.
Just when you're taking ibuprofen
and you're not on any medications that would interact,
we do like people to take with food
because one of the biggest things with any
of the anti-inflammatories in particular,
is it can upset the stomach even to the extent
of causing stomach ulceration with chronic
or long-term use. Oh really?
- So it's something that we always want to check
on with the patient.
Make sure they don't have a prior history, ulcers,
what they call GERD, gastroesophageal reflux disease.
- That's a mouthful. - It's a mouthful,
but basically heartburn.
So that's kind of what we're looking
for to make sure we don't aggravate something.
- So yeah, on the ibuprofen, you wanna take the food first?
- Yep, I would eat something, food or milk,
but food is ideal.
And then basically, it's one or two tablets
every four to six hours apart.
It's one of those things you don't wanna take more
than eight tablets in a day.
That's kind of your daily max.
And it's something that really we don't want you
to use longer than more than seven consecutive days.
If you're not seeing improvement
in that seven-day period of time, then it's time to move
to the pros and actually call and reach out to your doctor.
- Sure. - That's good.
All right, moving on. - Should we go
to the next one here? - So Aleve is
a chemical cousin to ibuprofen.
Advantages to Aleve over ibuprofen, it's longer lasting.
One of the things that we're finding out too is in so far
as the health condition aspects of it,
it seems to if somebody has to use
it a little bit longer,
it may have less cardiovascular risk.
Because sometimes when we're using anti-inflammatories
we found that there's gonna be some blood pressure problems.
So again, want to talk with your doctor about longterm use
for sure, but short term, it's generally really nice.
Maybe a little rougher on the stomach too,
so really more imperative.
This one you can get away with maybe some milk.
This one you probably should eat something first.
- And is the seven-day limit on this one,
the longstanding? - Yeah, we will consider that
to be something because again,
if you're still having problems after a week
or it's just not getting better,
I think it's time to see a doctor.
Then more importantly, probably see you guys.
- Sure.
With lifting weights for the first time,
I can hardly walk the next day.
Would it be an advantage should take one
of these two products?
- Yeah, I think they both work really well.
There's actually some studies that suggest
that Aleve might work better on soft tissue pain.
So if you're talking about muscle pain--
- Sure. - from a new workout,
I think it might both work.
- Would you recommend taking it for a new workout though?
I just feel wrong taking medication for,
you know, after the common soreness.
I mean, I--
- I agree with you full heartedly.
- It's not necessary but I think
a lot of people-- - Do it.
- are uncomfortable.
I mean, in runner circles I think they refer
to ibuprofen is vitamin I,
so it's kind a new nutrient to them.
But I mean, in reality, I mean, when you're working out
and pushing yourself you're gonna have boundaries
that it gets stretched. - Sure.
- And inflammation is certainly a product
of working out those muscles.
And so, if anything, we can promote healing, maybe get back
to training more quickly if you're a serious athlete.
But just for the average person that's just trying
to get better and a little bit more fit,
you know, you start out
you are gonna be a little uncomfortable so it's certainly
not gonna hurt to try these types of products.
- Sure. - Sure.
- All right, moving on, Brad.
- Now we've got something over-the-counter,
but you can get this over-the-counter in the spice aisle
of the grocery store and what do we have here?
- That's turmeric. - Turmeric?
So it's Asian spice often commonly associated
with Indian foods.
Makes everything taste really great.
It gives mustard its yellow color.
But it's a natural anti-inflammatory.
So basically it's gonna behave like ibuprofen or Aleve,
but at the same time for some people
they prefer a more natural alternative.
And there are lots of studies that show
that it does help to reduce inflammation.
- So what amount do you need to take
of this to before it starts having some effect?
- It's harder when you're actually using the cooking spice
'cause people are gonna use it to taste.
I think therapeutically, usually we'd recommend
probably a supplement.
And so, most studies suggest anywhere between four
and 600 milligrams up to three times a day
for at least osteoarthritis,
which I think you could loosely translate that
to working out, exercising, muscle soreness,
that type of thing. - Sure, sure.
- This tube does carry some warnings.
We do have to be careful with that.
If you were on a blood thinner
or if you're on a seizure medication called Dilantin
or phenytoin, it does have some pretty negative effects
with those as far as it can thin the blood.
So again, question to your pharmacist,
question to your doctor to make sure it's appropriate
for you to take.
- What about lengthwise with that?
I mean--
- Again, it's kind of interesting.
The things that we review, it looks like you can take it
for up to eight months in some cases.
But again, I think just if there's an acute injury
or something I would say if you're not feeling better
in seven days I always kind of go
to that hallmark to make sure you talk it over
with your doctor and see if there's any further
or more serious underlying problems.
- So to me, this seems almost like the better alternative,
at this point, because you can keep taking this.
I mean, if you-- - I think--
- if you have osteoarthritis and you're ...
- Yeah, I think that it's realistic to take.
I mean, from that standpoint
if you have osteoarthritis that's chronic.
So these are things that you will all take more continually.
But again, you want to check with your doctor
make sure that the length of time is appropriate for you.
- I see. - Because again,
they all do carry the same types of side effects
and the biggest thing is GI or stomach bleeds.
These are the things. These three can cause those problems.
- So a doctor might say after seven days
you can continue with this on a regular basis,
but do they monitor you somehow then?
Or what are-- - I think a lot of it
is gonna be touch and go.
So again, if symptoms pop up where
there's something negative that happens
with the medication, reach out to your pharmacist,
reach out to your doctor.
Just let's make sure we're not causing a new problem.
Because again, even though these are over-the-counter,
they do carry their series of risks.
- Oh, sure. - Sure.
With the turmeric, I looked it up and they got
a name turmeric curcumin.
Is that the full? - That is the full, yeah.
So the basically turmeric, the business end of it
are the curcumins.
And so, from that standpoint
it's just the plant chemical itself.
That's the business end.
- And this comes from a root-- - Correct.
- my understanding is. - Yep.
- Now I'm wondering you can buy it in a pill form
and take it as far as for health and healing.
Can you take it and use it as a spice?
Like I put it on my eggs this morning
and use it-- - Absolutely.
- long term?
And you think that will give some faint effect of improving?
- I think that it probably could,
but I think to be exact, you'd probably want
to have it weighed out and have a precise regimen.
But as a pharmacist, you know?
- 'Cause we're in (indistinct) to the core.
So I mean, it's one of those things where
I think that realistically you could probably expect
a modest benefit. - Sure.
- I think it's just consistency is key
as far as truly reduce inflammation.
- Right, right.
- All right, Brad, we're to the last one here, Tylenol.
Everybody knows about Tylenol.
- Now we're talking and, Chris,
so we gotta put Tylenol over here because it's different.
We know it's different than this,
but it's different than these two,
and what's the big difference?
- Functional difference between Tylenol
is these three products
all contain anti-inflammatory properties.
Tylenol does not have
any anti-inflammatory properties whatsoever.
It's a good go-to choice because it's a good pain reliever
for a lot of folks.
But when you're on things that have,
if you have stomach acid problems
where you're on medication to prevent that
or if you're on blood thinners, this is the safe choice,
so it's certainly something that you could use.
So from that standpoint it gives us just another tool
in the shed to help people out.
Again, like if we pick on osteoarthritis,
it's gonna help with the pain
but it's not gonna help with the inflammation.
These guys help with the inflammation, which again,
from a longterm management strategy might be better.
But if you're taking medications
that could possibly create problems with these three items
this is your go-to choice.
- Okay. - I always get the sense
with Tylenol that it is almost no problems with it.
And I know that's not true.
There's obviously must be some issues where
you're not supposed to use it. - Very true, Bob.
Very true. But it seems like
it's always the go-to medication
for people who had other issues
and they're just like, "Well, we can give you Tylenol.
We can give you Tylenol."
- Exactly. - So you don't have to
have anything to eat with Tylenol?
- Nope. Tylenol, you can take straight.
I would still increase,
you know, probably have a glass of water
so you don't choke on anything.
But realistically speaking,
it's not necessary to take it with food.
The absolute daily max would be basically
six extra-strength tablets a day, which is 3,000 milligrams.
So you could take two tablets, three times a day,
in four to six-hour increments.
So beyond that, when people take,
you know, some people have the theory
of some is good, more is better.
Tylenol can actually become very dangerous
so we wanna be very careful
with our kidneys. - Sure.
So it's important to just stay to--
- There's an issue with Tylenol with the kidneys?
- Yep, so you definitely wanna stay
within the level. - Guidelines.
- Exactly. - All right.
Well, I think this is an excellent overview of some common--
- Yeah, awesome.
- Chris, I wanna thank you for coming in
and helping us out with that.
And do you got anything for a broken heart at the pharmacy?
- Well-- - We're trying to get
some hints on that. - What he's alluding to,
we can fix just about anything.
- Except for a broken heart. - Broken heart, yeah.
- I have not been able to fix that. I'm sorry.
- Take care. - Thanks for watching.