DEAR DR. GOTT: The woman you wrote about who is getting hives and knows that they were previously caused by aspirin might now be taking ibuprofen (Advil, Motrin, Midol) which is causing the allergic reaction.
I had a similar problem 30 years ago (and for some strange reason it seemed to mostly happen during the night just like this woman). I went to an allergist and was told that these two drugs are cross-reactive, meaning they have very similar actions and side effects even though they have different chemical compositions. Now I am left with only being able to take acetaminophen (Tylenol) which is not nearly as effective and which has dangerous side effects such as liver toxicity that can result in death! Needless to say, I usually just suffer with the aches and pains and look for natural remedies and exercise.
DEAR READER: Thank you for sharing your experience. I have printed it in the hopes that it may also help others. Generally speaking, it depends on the type of reaction whether one should stay away from aspirin or all non-steroidal anti-inflammatory drugs (NSAIDs).
In my experience, many people who cannot take aspirin do well with ibuprofen and other similar medications. However, with the recent issues with so many over-the-counter pain relievers, many people have chosen to stop using them and instead try home remedies and alternative medicines.
Pain relief options depend on the cause but can include physical or occupational therapy, castor oil rubs, purple grape juice with liquid pectin, apple pectin capsules, over-the-counter Castiva, water aerobics, massage, acupressure, acupuncture, and much, much more. Most are safe and inexpensive but I always urge interested individuals to discuss any home or alternative remedies with their physicians, as some may not be safe in conjunction with certain medical conditions or medication.
Readers who are interested in learning more can order my Health Reports “Compelling Home Remedies” and “More Compelling Home Remedies” by sending a self-addressed, stamped number 10 envelope and a $2 (for each report) US check or money order to Dr. Peter Gott, PO Box 433, Lakeville, CT 06039. Be sure to mention the title when writing or print an order form from my website, www.AskDrGottMD.com.