Medications for the treatment of chronic pain - Causes, Symptoms and Treatment .MF .
word pain comes from the Latin poena, which means "punishment" or "payment".Despite the fact that this is an unpleasant sensory experience is usually associated with illness or injury, it can also be of unknown etiology.International Association for the Study of Pain (The International Association for the Study of Pain) identifies three main types of pain: (1) acute pain, for example as a result of trauma or inflammation;(2) pain associated with cancer, and (3) not malignant chronic pain.Everyone is different moves and reacts to pain.
Pang lechetsya analgesics in combination with drugs that eliminate the cause of the pain (anti-inflammatory, antibiotics), by trauma combined with conservative treatment of the injured area.In this article we will focus more on medicines for the treatment of chronic pain of unknown etiology.
How to beat chronic pain?
Medications can help control chronic pain.For the treatment of chronic pain is used a lot of drugs, some of them are like the ones released by prescription
The choice of drugs for pain
Medicines used to treat chronic pain include the following:
Pain killers (analgesics) , such as acetaminophen or nonsteroidal anti-inflammatory drugs, such as aspirin or ibuprofen (eg,Advil), which can be administered for pain from mild to moderate to reduce inflammation.Always take these drugs in strict accordance with the doctor's appointment or the dosage on the package.Do not take nonprescription nonsteroidal anti-inflammatory drug for more than 10 days, if you are not previously agreed this with your doctor.Antidepressants
, such as tricyclic antidepressants (e.g., amitriptyline), which can be used to treat chronic pain, despite the fact that not all antidepressants are effective for pain relief.Duloxetine (Cymbalta) - is another type of antidepressant that is approved by the US Food and Drug Administration for the treatment of pain in peripheral neuropathy.
Corticosteroids , such as prednisone, which are used to reduce inflammation and pain.
Oral medications , such as Mexitil, which act as a local anesthetic in order to dampen the pain.
Anticonvulsants , which can relieve pain, which has its origin in the nerves (neuropathic pain).Examples are:
Gabapentin (Neurontin) for postherpetic neuralgia (nerve pain from shingles).
Pregabalin (Lyrica) for postherpetic neuralgia and diabetic neuropathy (nerve pain from diabetes).
Carbamazepine (Tegretol) to assist in the control of episodes of facial pain of trigeminal neuralgia.If you are taking carbamazepine daily, you should periodically check to go to a doctor in order to prevent the development of serious side effects (such as an allergic reaction or liver problems).Analgesic
that are applied directly to the skin (topical analgesics), such as EMLA cream or lidocaine patch (Lidoderm), and which lead to numbness of the skin and reduce pain.
Capsaicin - a natural substance that is in the chili, and is used to produce a local analgesic effect of certain creams.
Capsaicin changes the pain signals in the skin, blocking pain without blocking other sensations.Capsaicin is the first application can cause a burning sensation.Before applying capsaicin, always wear gloves and do not touch your eyes, and do not rub them before thoroughly will wash their hands with soap.
Opioid analgesics , which can weaken the moderate to severe pain.Examples of synthetic opioids include morphine, oxycodone (such as of OxyContin), hydrocodone with acetaminophen (such as Vicodin, Lortab or Norco), or acetaminophen with codeine (such as Tylenol with codeine).For the treatment of nerve pain synthetic narcotic analgesics are sometimes combined with other drugs, such as for example gabapentin.
other treatments that can be used in the treatment of chronic pain are:
Injection for nerve blocks. for pain relief in the damaged nerve is injected anesthetic.The anesthetic may ease the pain for a few days, but the pain usually returns.Despite the fact that the blockade of nerves usually do not cure chronic pain, they may allow you to start physical therapy and extend the range of motion that you can perform.
Epidural injections steroids (steroid injections around the spine).Despite the fact that these injections are used for many years and can bring relief from back pain or neck pain, the cause of which is a disease of the disc or nerve compression, this therapy does not help everyone.
Injection Triggers in point. They can relieve pain by anesthetic injection point Triggers (painful or specific areas) associated with chronic facial pain or fibromyalgia.Nerve blocks or other injections to help ease the pain of many people.However, until the end it is not clear how this type of treatment.These injections do not relieve chronic pain in each case.
use painkillers is necessary only after consulting your doctor. Some types of pain may indicate an acute disease that requires immediate surgical intervention, drowning the pain in this case, you are risking your life.
Drugs may work best if combined with other therapies, such as physiotherapy, in order to work on the various causes of chronic pain.
Medications can lessen or temporarily relieve chronic pain.First you will likely designate drugs that have the least side effects.Then, if necessary, you will gradually increase the dose or to appoint another drug.
encourage you to avoid alcohol while taking pain relievers, and avoid receiving doses higher than the dose prescribed by your doctor.
Medications taken daily, can be an effective part of a long-term treatment of chronic pain.However, sometimes the drug partly or completely loses its effectiveness if used for a long time as your body produces immunity to it.