Pain can be chronic or acute which is caused by mental disease, injury, or illness and can hurt making one uncomfortable. Pain is basically an unpleasant reaction. Pain management is generally a method consisting of medication, therapy and other psychological approaches to help reduce the pain. The strategy of this pain management is altered according to the severity of the pain. Medication plays a very important role in a pain management program. Medicines are given to patients with chronic pain. These medicines not only relieve people from the pain, the relief also helps them tackle problems like depression, sleeping difficulty and anxiety. Massage, acupuncture and ultrasound can also provide temporary relief. This kind of medication is generally risk free and can be done frequently. Exercise is also a vital part of the pain management program. Many of the symptoms of chronic ache are actually made worse by the mind. The way we react plays a very important role to the sensations as well. Mind and body techniques under pain management programs deal with hormones that are released when stressed, which increases the pain.

TOP 5 PAIN MANAGEMENT DRUGS

pain managementPain medications work best if they are used as the first signs of pain occur, not waiting until the pain has worsened. There is need to ask the doctor or pharmacist for safe usage of the drugs, especially with other drugs.

1. Hydrocodone-Acetaminophen (Lortab, Norco, Vicodin)

Uses

It is used to relieve moderate to severe pain as it contains an opioid (narcotic) pain reliever (hydrocodone) and a non-opioid pain reliever (acetaminophen). Hydrocodone works in the brain to change how the body feels and responds to pain. Acetaminophen reduces fever. This product is not recommended for use in children younger than 6 years due to an increased risk of serious side effects. The dosage is based on the medical condition and response to treatment. ln children, the dosage is also based on weight. Properly stop the medication when so directed by the doctor or pharmacist. This medication may cause withdrawal reactions, especially if it has been used regularly for a long time or in high doses. In such cases, withdrawal symptoms (such as restlessness, watering eyes, runny nose, nausea, sweating, muscle aches) may occur if one suddenly stops using this medication. When this medication is used for a long time, it may not work as well. Let your doctor be aware if this medication stops working well. Along with its benefits, this medication may rarely cause abnormal addiction. This risk may be increased if one abused alcohol or drugs in the past.

Side Effects

Nausea, vomiting, constipation, lightheadedness, dizziness or drowsiness may occur. Some of these side effects may decrease after one has been using this medication for a while. lf any of these effects persist or worsen, tell the doctor or pharmacist promptly.

Treatments

  • To prevent constipation, eat a diet adequate in fiber, drink plenty of water, and exercise.
  • Consult the pharmacist for help in selecting a laxative (such as a stimulant type with stool softener).
  • To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

Precaution

Before taking this drug, let the doctor or phamacist be aware if allergic to iU or to other opioids (such as hydromorphone, morphine, codeine); or if there are other allergies.

2. Lyrica (Pregabalin)

This drug is used to treat pain caused by nerve damage due to diabetes or to shingles infection, nerve pain caused by spinal cord injury and fibromyalygia. lt is also used with other medications to treat certain types of seizures such as partial onset seizures.

Side effects

These include drowsiness, dizziness, dry mouth, constipation, difficulty concentrating, swollen arms/legs, and weight gain may occur. lf any of these effects persist or worsen, let the doctor or pharmacist promptly.

Precautions

Let the doctor or pharmacist know if allergic to pregabalin before taking it; or if there are any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems.

3. Tramadol HCL (UItram)

pain managementUses

This drug is used to help relieve moderate to moderately severe pain, neuropathic pain, disorder characterized by stiff, tender and painful Muscles. Tramadol is similar to opioid (narcotic) analgesics. lt works in the brain to change how the body feels and responds to pain.

Side Effects

These include nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, or headache may occur. Some of these side effects may decrease afterthe drug has been used for a while. lf any of these effects persist or worsen, tell the doctor or pharmacist promptly.

Treatments

  • To prevent constipation, eat a diet adequate in fiber, drink plenty of water, and exercise. Ask the pharmacist for help in selecting a laxative (such as a stimulant type with stool softener).
  • To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

Precaution

This medication may increase serotonin and rarely cause a very serious condition called serotonin syndrome. The risk increases if also taking other drugs that increase serotonin, so tell the doctor or pharmacist of all the drugs been taken. Get medical help right away if one develops some of the following symptoms: fast heartbeat, hallucinations, loss of coordination, severe dizziness, severe nausea/vomiting/ diarrhea, twitching muscles, unexplained fever, and unusual agitation/restlessness.

Neurontin (Gabapentin)

Gabapentin is known as an anticonvulsant or antiepileptic drug.

Uses

Gebapentin is used with other medications to prevent and control seizures. lt is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. lt is also used to treat partial seizures, nerve pain after Herpes.

Side Effects

These include drowsiness, dizziness, loss of coordination, tiredness, blurred vision, unusual eye movements, or shaking (tremor) may occur. lf any of these effects persist or worsen, let the doctor or pharmacist be aware promptly.

Precautions

A small number of people who take anticonvulsants for any condition (such as seizures, bipolar disorder, pain) may experience depression, suicidalthoughts or attempts, or other mental or mood problems. Let the doctor be aware if there is notice of any unusual or sudden changes in mood, thoughts, or behavior including signs of depression, suicidal thoughts or attempts, or thoughts about harming oneself.

5. Oxycodone Tablet, Oral ONLY (Oxecta) Uses

Oxycodone belongs to a class of drugs known as opioid analgesics. This drug is used to help relieve moderate to severe pain. lt works in the brain to change how the body feels and responds ao Orin. Severe Chronic Pain in Opioid-Tolerant Pediatric Patient (11- Years of Age and Older), Chronic Pain with Narcotic Drug Tolerance, Severe Pain with Opioid Tolerance, Severe Pain, Chronic Pain.

Side Effects

Nausea, vomiting, constipation, lightheadedness, dizziness or drowsiness may occur. Some of these side effects may decrease after using this medication for a while. If any of these effects persist or worsen, let the doctor or pharmacist be aware immediately.

Precautions

Before taking oxycodone, tell the doctor or pharmacist if allergic to it; or to other opioid pain relievers (such as oxymorphone) or if there are any other allergies.

PAIN MANAGEMENT ABUSE

“Doctor shopping” is a term used to describe a patient who acquires narcotic medication from one doctor, and then turns around to see another doctor or maybe even a few to acquire more narcotic medication. These medications are either taken because the patient is addicted to them or the patient is either selling them or maybe trading them for illicit drugs. Usually, the presribing physicians involved in this “doctor shopping” scam have no idea that the patient is acquiring narcotics from multiple doctors.

One way to potentially prevent narcotic abuse and pain management is through education. Over 20,000 fatal overdoses occur annually due to narcotics, and patients need to know this. Being on significantly high doses of opiate medications can lead to substantial complications along with making that individual a poor candidate for surgery.

Educating individuals on the reasons behind a drug test can make them more comfortable in knowing that it is not simply a method to catch those cheating. There is significant data now to show that even the best pain management doctors are often wrong almost a third of the time on which patients are abusing drugs.

WEANING OFF OF PAIN MANAGEMENT DRUGS

pain managementWhen people with severe drug dependencies first seek help, they are typically analyzed by doctors at special medical facilities. These treatment centers are often different from the actual rehab clinics where inpatients lir” ,nO receive addiction therapies. The main purpose of these initial assessments is to determine the amounts of toxic substances within patients’ bodies. Doctors can then decide how long detox willtake and what medications may be necessary. The next step in detox is simple but painful which is deprivation. Though addicts may arrive at detox clinics having used drugs just hours earlier, they are denied their addictive substances long enough for their bodies to adjust. Addiction causes the human body to rely on drugs for normal functioning, so the brain must adapt to living without them. This process usually takes one to two weeks.

ALTERNATIVES TO PAIN MANAGEMENT DRUGS

LED light therapy

This is a drug-free alternative for easing pain. Red and infrared LEDs (Light Emitting Diodes) have a unique ability to penetrate deep into the skin, tissue, joints, and bones. As the wavelengths travel through the body, they prompt healing and reparative responses along the way; responses that get the body to repair itself. Benefits include easing pain, reducing inflammation and swelling, blocking pain transmitting chemicals, activating the production of endorphins, increasing cellular energy, accelerating healing, repairing cellular damage, increasing circulation, soothing and comforting.

PhysicalTherapy

It is one common method in relieving pain. It can’t be performed alone but with a specialist because it involves physical manipulations in affected areas. If performed with a person who does not know how to do it, physical therapy can be very harmful. It also requires repeated session over a period of time.

Acupuncture

It is a traditional ancient Chinese method that uses very thin needles that are applied to specific points all over the body’s surface. These needles are used to regulate the circulation of vital energy in the body. There will be need to repeat session in order to achieve success.

Magnetic and electric therapy

This can also be effective pain relievers. These alternatives stimulate the blood circulation in the affected area and increase the production of endorphins. Endorphins are produces by pituitary gland and the hypothalamus in vertebrates during exercise. Magnetic and electric therapy uses both magnetic and electric currents in relieving pain. It can be very effective in most types of injuries and joint conditions such as arthritis.

Yoga

This is beneficial in relieving pain, if done on a daily basis. It is proven to relieve chronic pain especially if one has joint pain conditions. Performing yoga must also be consulted by doctors and yoga instructor.