Difference dafalgan efferalgan

Bonsoir,
Depuis plusieurs semaines, j'ai un mal de tête qui est placé derrière le crâne et qui revient jusqu'aux tempes. C'est une douleur incessante, quand je bouge ou quand je marche j'ai l'impression que mon cerveau cogne dans tous les côtés. J'ai aussi la nausée. J'ai déjà pris un Dafalgan et un Efferalgan (pas le même jour !) mais cela n'a eu aucun effet. Je prends mes gélules de fer tous les jours alors ce n'est pas à cause de mon anémie, enfin je ne crois pas.
Est-ce que vous avez une idée de ce que cela pourrait être ? Et comment je peux m'en débarrasser rapidement sans médicament (je n'ai rien chez moi) ?

J'entends souvent autours de moi des gens dire qu'ils prennent du paracétamol le lendemain d'une cuite pour soulager la gueule de bois. Donc, je me suis dit que j'allais le partager ici en espérant que ça se sache plus.
C'est vraiment à ne pas faire, car le paracétamol (Doliprane, Efferalgan ou Dafalgan) va surcharger votre foie alors qu'il est déjà bien attaqué par l'alcool de la veille. Du coup, manger trop gras est aussi à éviter pour les mêmes raisons.
Prenez soin de vous <3
EDIT: ce sont bien des médecins qui m'ont dit ça. Oui il n'ont pas dit "surcharger le foie", j'essaie juste de partager un truc utile prenez votre doliprane le lendemain cuite si ça vous change.

Hello! I am from the Swiss French part of Switzerland and I have family living in the German part. They asked me to give them the Dafalgan(paracetamol) because they don't have it there... is it true?
I'm pretty sure anyone in Switzerland can get the same meds and even so the German part must have a different famous brand of paracetamol that works just fine.
Thank you for your answers, I really don't want to start a family fight lol

My girlfriend (mid thirties) and I (mid thirties) are in a fight and who better to ask than reddit
I was feeling sick last week wednesday. We were supposed to visit a couple she knows (I know them too, through her) that evening but as I was sick, she canceled. She told me we could go the day after, to which i replied I already had different plans for the day after in case I would feel better .
The next day, she asked me 2 or 3 times if we could go, to which i replied "no", that i was still feeling sick and it's a 30 minute drive to go there. In the evening, I put on a show we were watching. After one episode she asked me again if we could go. When I said i felt sick, she got annoyed (like proper annoyed), made a scene and decided to go there by herself with public transport
I was asleep by the time she got back, the day after i went to see her (after work, she tried to talk to me before but i was stuck in meetings). She said she made it clear it was important to go for her, so I should have gone with her
Some things to keep in mind: she's having a hard time the last few months (stress and worse). The couple we were supposed to visit are good listeners for her, it helps her get through the tough moments. We are all vaccinated so covid is not an issue. Some time ago, we were going to visit my family. She didn't feel well but she took a dafalgan and came anyway
I kept the story as objective as I could, but it's still seen through my eyes. I also purposefully didn't put a question in here, so i don't steer in any direction. Any feedback is welcome

French person here, my mom and I have been living some kind of hellish nightmare for over a year, she has been in terrible pain for months, coming from various places on her body : knee, leg, arm, teeth, face, shoulder, back, probably a lot that I've forgotten. She has gone and seen about 20 doctors, first of all they all had a different opinion about the matters (the main matter being her knee atm so I'll focus on that), some say it's arthrosis, some say it's due to inactivity because of a prior surgery, some say it's due to a trauma and whatnot, I've been nursing her for more than a year now, bringing her food to bed, helping her holding her arm on mine to go to wash, to the bathroom, enduring her mental and physical pain on a daily basis, hearing multiple times a day "I'm gonna die, it hurts" and various other stuff like that, while doctors couldn't give any more fucks, and simply say "oh, just have an Efferalgan (Paracetamol), because nobody knows what she has, from the radios, nothing is broken so theoretically speaking she's A-okay, still she cries every morning, every lunch and every night from her pain.
Today was the last straw, she was in even more pain than usual so we went to the emergencies, only for the doctor in charge there to tell her (I wasn't able to be there) that... there's nothing wrong about her and she's cluttering up the emergencies and should have more paracetamol. My mom had to insist for more than an hour to get a single more radio, which is clearly not what she needs right now, she needs personal care and a personalized follow up.
To all non-French people who think French healthcare is awesome, no, it is not. There are people here getting paid 5k+ € a month for literally saying "have an efferalgan" to a million people. Is this what medicine is supposed to be nowadays? She visibly has something nobody is able to tell what it is, so I thought, by the logic of medicine, there would be a lot of people willing to study her case as she's apparently an unique case of "lot of pain yet nothing apparently broken", instead of simply let her die little by little? Is this what doctors do? Getting paid thousands for saying "take this medicine"? If there are French doctors reading this, how can you sleep at night knowing you're letting people die without an ounce of remorse, honnestly?

Dear Community,
I began recently being often on reddit and saw how great this community is and just told her, that she also should join. Now, as she has another migraine today I wanted to know what your experiences are in this kind of matter and if you have some personal advice for her.
Since her childhood she has those complaints and sometimes she has em more than less. She told me, that she has about roughly a headache/migraine at least every week. In her childchood she just could puke and the migraine started to fade away but nowadays it just goes on for a few days and she really suffers then. In the last time, the migraines get a little less but the headaches are still there.
She has a twin sister, who also suffers the same, but not that extreme like her.
She went to a few places to look for the cause but nothing seemed to work for her. She went to a doctor, who tried to look for it within the food. She got recommended to avoid dairy, wheat and gluctose. Since then she trys to avoid those as good as she can but it doesnt seem to help her to mitigate the cause.
Her blood-statics looks also fine as the bloodpressures. She doesn't drink basically alcohol, smoke or ony other stuff of this kind. She does go jogging regularly and has in my opinion a very healthy lifestyle.
Additionally she went to try different massages without sucess as acupuncture, back-massages. If she has the complaints, she also as tensions on her back upto her neck.
What she already has is while she's sleeping, that she gnashes her teeth. She guesses that it could be also one of the reason to get those headaches and migraines.
When she has an headache/migraine she lies down, takes a wet towel on her forehead. When she takes medicinie, it is mostly saridon, panadol, dafalgan or algifor. When worse the bigger the dose. But she only takes one of a kind at once.
I hope to get a feedback on your experiences and ideas, what could help on this matter. She is suffering so hard, once she has them and it keeps pushing her mood down.
If you miss any important question, please ask and I will get them. She's right now having those complaints :(
She's very thankful for your help!
best wishes from switzerland

https://www.academia.edu/39873996/Code-Source_de_programme_pour_détecter_Association_médicamenteuse_cumulative
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Le cumul d’une substance revêt plusieurs aspects dont :
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1. Une substance peut avoir un indice d’élimination très faible, de sorte que des prises répétées même à de petites doses peuvent conduire à la longue (voire sur plusieurs décennies) à un cumul entraînant une intoxication. C’est le cas des éléments plomb, arsenic, mercure (souvent les métaux lourds), les substances liposolubles (vitamine A, vitamine D)…

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1. Le cumul peut aussi être dû à la prise simultanée de différents médicaments dans lesquels une même substance se retrouve. Par exemple tous les médicaments suivants contiennent du paracétamol (acétaminophène) : Doliprane, Dafalgan, Efferalgan, Actifed, Humex, Fervex, Prontalgine, Tylénol… ; c’est ce genre de cumul qui fait l’objet de notre travail-ci.

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1. Bien entendu, le cumul ne concerne pas seulement un principe actif précis, mais les classes de médicaments : Paracétamol, Aspirine, Ibuprofène, Diclofénac, Kétoprofene, Naproxène, Piroxicam, Profénide, Bi-Profénide, Acéclofénac, acide Méfénamique, Acide Niflumique, Acide Tiaprofénique, Alminoprofène, Célécoxib, Dexkétoprofène, Étodolac, Étoricoxib, Fénoprofène, Flurbiprofène, Indométacine, Méloxicam, Nabumétone, Piroxicam, Sulindac, Ténoxicam, et les inhibiteurs sélectifs de la cyclooxygénase 2 (cox-2 cfr célécoxib)… ont tous les mêmes risques et effets secondaires (allergie ou d’asthme, saignement/perforation digestifs, ulcère de l’estomac ou du duodénum, maladie grave du foie, insuffisance cardiaque ou insuffisance rénale grave, femme enceinte)…

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1. De plus, 1gr d’un produit en un seul comprimé n’est pas identique à 2cés de 500 mg du même produit. On risque d’absorber le double des conservateurs et ingrédients dits non actifs. Mais sont-ils toujours vraiment inactifs ? Ils peuvent provoquer irritation, intolérance, sensibilité et sensibilisation, allergie, malabsorption…

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La plupart des intoxications médicamenteuses est donc due à une association cumulative (cumul) de médicaments comportant le même principe actif se retrouvant dans plusieurs médicaments qui sont associés dans la même prescription ou dans l’ensemble de la cure.
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Certaines substances comme la vitamine C ont une marge de toxicité quasi illimitée, tandis que d’autres comme les tonicardiaques ont une marge thérapeutique très serrée.
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Par contre, certains principes actifs ont une toxicité avérée, mais souvent ignorée, comme les quinolones et les AINS qui ont une toxicité rénale individuelle avérée. Leur association est d’autant plus dangereuse.
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Les macrolides (comme l’érythromycine), le paracétamol et d’autres AINS, la gentamycine… ont une toxicité hépatique et ne doivent eux non plus pas se retrouver dans une même cure ou prescription.
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Certains principes actifs se retrouvent dans beaucoup de médicaments pour le traitement d’une même affection ou pas.
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Par exemple le Dolaren® comporte du paracétamol et Dr Cold® en comporte aussi, l’Ibucap® aussi. Il faut donc faire attention quand on prescrit un traitement à un rhumatisant qui souffre aussi par exemple de la grippe.
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Dr Cold® comporte un antihistaminique, beaucoup d’antitussifs en contiennent aussi, un malade grippé sous traitement antiallergique parallèle pourrait facilement se retrouver en surdosage d’antihistaminiques.
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Ce programme, indéfiniment extensible, permet de mettre à nu ce cumul caché, de produits dans une même prescription ou l’ensemble de la cure (ordonnances / prescriptions en provenance de différents médecins).
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Ce programme permet aussi d’éviter une erreur d’orthographe qui pourrait être fatale pour le malade. Par exemple une fois j’ai prescrit la « Terneurine » (Vit B1, B6 & B12) à un patient, et le pharmacien lui a remis de la « tonormine » qui est un tonicardiaque. Heureusement que le patient est d’abord venu présenter le médicament pour confirmation, avant de l’utiliser.
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Voici un modèle de programme qui permet cette vérification.
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tmp+="+".repeat(5)+" SUBSTANCES COMMUNES :

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I'm currently 24, and my right eye was slowly drifting outwards, while I was normally only "seeing" with my left eye. I could however switch to the right one (so that one looked straight) instead.
If you're curious, that's how it looked. This started about 12 years ago, but it only got really noticable (and bothering me) in the past 3-4 years or so. This is also when I started noticing sometimes people were confused when talking to me, thinking I'd be looking at the person next to them.
My optician (at a Swiss Fielmann store, FWIW) was really interested in my condition, and told me that surgery was an option - I didn't know it was, I always assumed that's something you could only fix as a child!
So I started some research (including in this subreddit), and last Thursday (i.e., 4 days ago) I had my surgery! I couldn't be happier so far, so I figured I could give back to this subreddit by telling you how that went.
I did the surgery in the University Hospital of Zurich (which is less than an hour away from me).
I first visited them back in December to check if a surgery would make sense - there's a whole group of doctors there (including the head of the eye clinic) who all take a look at whether it makes sense to do a surgery or not. I brought in photos of me as a child, where it was clearly visible that I used to have normal vision until about 12. Given that, and that the angle was quite big, we all agreed it'd make sense to do a surgery. They couldn't say whether I'd gain back stereo vision, or if it was just a cosmetic thing - but since the risks are pretty small, and it's covered by health insurance, I figured I'd try.
We scheduled the surgery for last week because it's in my summer holidays, so it doesn't affect my studies. On Wednesday, I came in, and they did the same checks and measurements (checking the angle with prisms, etc.) they did back in December to make sure nothing significant changed. Then I stayed in the hospital overnight.
The next day, I wasn't allowed to drink (and eat) anything starting midnight, which was quite mean seeing that it's currently quite hot inside. The surgery was scheduled for 8am. Then I was told it'd be on 1:30pm (dang, I was thirsty and hungry by now!). In the end, I got notified I was coming up next at about 11.
After the surgery, I woke up with my eye under a bandage, but otherwise feeling quite well. I was really happy about getting something to eat and drink relatively quick. I mostly kept my eyes closed though, as looking around with my left eye (which wasn't touched in any way) still hurt quite a bit, as the right one joined when I moved it. It also was a quite interesting opportunity to watch how my brain controls my eyes - it's hard to describe, but it's like I felt them hurting because they were moving just before I consciously started to walk into some direction...
I got another Dafalgan (Paracetamol) for the first night, but other than that I haven't taken any medication anymore, and I don't feel too much pain.
The next day, the bandage came off, and before being sent home I did the same checks as before again. One of them was looking through polarized (I think?) glasses at a light, where you'd see an X-shaped cross when looking with both eyes. I could still "toggle" between seeing either \ or /, but never saw both of them at the same time.
Then they tried the same thing with a light closer to my face, and it clicked. I suddenly was seeing the cross, and the same thing happened for the far one! After that, I was given some of those cards with black/white images on them, where you should be able to make out some shapes when you have stereo vision (this thing, I think?). First I only was able to see some basic shapes (a star, a rectangle instead of what was a dog, etc.), but after a minute or so I was able to see them all.
Then I was handed a box of tissues (because my eye was watering), and my first reaction was "...WOAH!". With most objects, there really isn't much of a difference, but with things which are all the same color (like a tissue), I was able to see all those little cracks and wrinkles suddenly. Then I realized I should probably take one of those beautiful tissues instead of just staring at them like someone on drugs :D
I went home from the hospital shortly after that, and I couldn't be happier. My eye is still red and swollen, but it's like I'm watching my first 3D-movie, but in real life.
What I noticed so far:

• I kid you not, I love pouring water into a glass. I used to rest the top of the bottle on the rim of the glass to make sure I actually pour water into the glass (and there were times when I missed), and now I can just see where I'm pouring it, in 3D! Also, the water stream is actually round, and all those bubbles... I must sound like someone on drugs again, but I dare you, try doing this with one eye closed (if you have stereo vision). It's beautiful.
• The thing with the tissues. I swear to you I'm sober, but I had no idea tissues looked like this and aren't just flat. I mean, okay, maybe I had some 12 years ago, but I definitely forgot.
• Everything which reflects (cutlery, my phone screen, etc.) suddenly turned more shiny. I don't know why, I guess it's because I now see reflections hitting either of my eyes, and not just the one going to my left eye.
• I want to try out 3D movies and VR goggles and all that stuff, after my eye has healed a bit more.

That's all I have for now, I hope this wasn't too long. If you have questions, feel free to ask.
tl;dr: I had surgery. It went great, and I now have stereo vision. Tissues and streams of water are beautiful.