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Advil/Motrin/Aleve and Long Rides(17 posts)

Advil/Motrin/Aleve and Long RidesBike Bum
Feb 4, 2003 5:33 PM
A couple of months back on this board I was given some good advice about taking Advil/Motrin/Aleve packets on hard long rides (I had just ridden my first Century with 11,000 ft of climb) for sore joint and cramped muscles.
I'm getting ready to do the Solvang Century here in CA come March.....I was wondering how much and how often should you take Advil/Motrin/Aleve during a ride......and what too much.
During Solvang 2001 ...Humma Hah
Feb 4, 2003 5:48 PM
... I injured my left knee at 60-something miles, stopped for a pack of Advil at about 70 miles, wound up taking 3 by the finish, and got NO relief that I could tell. After the ride (which I finished, against all common sense, on the singlespeed cruiser that PROVES I have no common sense), I was nearly crippled with knee pain, and it was all I could do to drive the stick-shift truck back over to Lompac, the nearest place I could find a room to recover a little for the drive home. (Evidently, I wasn't the ONLY person suffering.)

I bought a hot-pad and wrapped it around my leg for the night, the only thing that actually seemed to help.

One effect you'll notice, most pain killers are diuretics, and they'll make you wanna pee.

Normally, when I start a ride a little sore or with other pain, by about 2 miles I notice the pain is gone. The warmup process, once you're trained, tends to release endorphins that are usually all the painkiller you need. On my Solvang ordeal, as long as I kept moving, the pain was not too bad. If I stopped, the leg stiffened up, and half an hour after the finish was miserable. I'm sure the endorphins wore off quickly.

As for cramps, they're most usually the fault of dehydration and/or electrolyte imbalance. Drink, drink, drink!
Medical adviceNoahD
Feb 4, 2003 7:42 PM
NSAIDS are strongly anti-diuretetic. Ignoring your knees long-term is a good way to ensure that your knees will be ruined down the road. A good bike shop can help get your cleats, pedals, and saddle adjusted to minimize stress to your knees.
Never learned how to float gears, did you??Rusty McNasty
Feb 5, 2003 5:36 AM
Geez-who needs a clutch? Once you get going, only those who don't know how a transmission works actually need to use a clutch. Thousands of truckers do it everyday, all day long-why can't you figure it out?
Bit difficult when it comes ot stopping and starting. nmcamp fellow
Feb 5, 2003 5:40 AM
what gears??cyclopathic
Feb 5, 2003 7:28 AM
he did it on singlespeed ;)
NSAID AdviceNoahD
Feb 4, 2003 7:30 PM
Both Ibuprofen (Advil/Motrin) and Naproxen Sodium (Alleve, Naprosyn) work exactly the same way -- by inhibiting the formation of prostoglandins that promtote inflammation and pain in response to injury. Contrary to the previous posting, one of the side effects is actually water retention, especially with Naproxen sodium (as the name implies,it has sodium, and quite a bit at that). The other main side effect is to decrease the mucous secretion of the stomach - this can give you an upset stomach, especially with acidic foods and coffee. For sore muscles and joints, start with 400-600 mg ibuprofen the night before. Take the same dosage in the morning before the ride. You can take this dosage every six hours, but as with any drug, don't take more than you need - only if you are sore. Always take NSAIDS (Ibuprofen, Naproxen sodium) with food to avoid an upset stomach. Alleve lasts longer, but will really stress your kidneys with the salt and decreased urinary output from the drug action and from long-duration of the event. Other pain killers like Tylenol (Acetaminophen) are not as appropriate for joint/muscle pain. If you have any serious medical conditions, do not take these meds without consulting your physician. Hope this helps.
Noah
I agree with Noah..Raven1911
Feb 4, 2003 9:45 PM
Start with 600 mg's the night before and take more in the morning before the ride. Do not take acetaminophen as this has to anti-inflammatory in it at all. Above all remember to drink lots of gatoraide, water, or some other electrolyte mix. Also keep some calories in you for that long of a ride. I would eat every 2-3 hours, maybe a bar or a gel or something like that.

Raven
Any reason to/not to take aspirin? (nm)Galibier
Feb 5, 2003 5:46 AM
Any reason to/not to take aspirin? (nm)NoahD
Feb 5, 2003 11:29 AM
Yes. Aspirin is especially hard on the stomach and may decrease the ability of the blood to form clots (bad if you crash).
AleveDougSloan
Feb 4, 2003 8:19 PM
I took 2 Aleve during the 508 at half way. It helped with those points of contact issues inherent in something that long.

Doug
re: Advil/Motrin/Aleve and Long Ridesripper
Feb 5, 2003 6:10 AM
ibuprophen (advil, motrin) has always worked best for my musculoskeletal pain, however, i was taking a lot of it and drinking too much coffee during my snowboard learning years....hello ulcer. now i have gut trouble every time i take any dose of it. the anti-inflamatory effect does not occur at doses less than 400 miligrams (usually 2 pills). the max dose per day is 3200 milligrams or 4 pills 4 times a day...but i wouldn't suggest it without consulting your doc. i have read that people that do races like RAAM and other ultra-endurance race are taking mega-doses of NSAID's during the race, cant imagine its good for you.
re: Advil/Motrin/Aleve and Long RidesBike Bum
Feb 5, 2003 6:26 AM
Thanks for the input....
This gives me the info I needed.......
not a great idea to do all the timeColnagoFE
Feb 5, 2003 7:46 AM
i've used them on occasion for longer rides but it's not a good habit to get into. pain is your body's way of saying you are overdoing it and you are eventually gonna get injured if you mask the pain with nsaids. that said, ibuprofen is great for relieving muscle soreness and joint pain. be sure you remain hydrated if you use em. they are really bad news if you are dehydrated. and also watch your alcohol consumption when using them. they are not great for your liver--especially combined with alcohol.
not a great idea to do all the timeNoahD
Feb 5, 2003 11:32 AM
Advil will actually help keep you hydrated (though drinking fluids is always good on a ride). Not bad for your liver either -- that is acetaminophen (Tylenol) -- but can do a number on the kidneys long term.
combined with alcohol though?ColnagoFE
Feb 5, 2003 1:11 PM
noticed ibuprofen and advil both caution against taking if you regularly drink alcohol. i knew tylenol was bad news, but if you have a post ride brew or two and then pop ibuprofen are you risking additional liver damage?
combined with alcohol though?NoahD
Feb 5, 2003 8:21 PM
Most drugs are cautioned if used with alcohol, probably as a liability statement. However, alcohol can upset the the GI tract and can this can be potentiated with NSAIDS. Increase in liver enzymes (a sign of liver damage) with NSAIDS is very rare. Not aware of any literature that suggests that NSAIDS and alcohol cause any more liver damage than alcohol alone.