Medications and drugs include a progression: you never start out with the largest dose possible of the most powerful medicine. You begin to help control your pain and other symptoms. Alas, a number of chronic pain sufferers have found that over-the-counter drugs and medications aren’t sufficient for their chronic pain.
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While there are a variety of treatment options available to help manage and relieve symptoms of chronic pain, some patients may additionally ask for prescription medications and drugs. There’s many dosages and types of these which doctors can prescribe. The following and their effects are listed below.
Prescription medication, which is another step on the progression of drugs and medications is usually needed by chronic pain patients. What the doctor prescribes is dependent on your pain level, treatment goals, and general well-being. They will take into account other medications as well as herbal remedies and nutritional supplements, that you are taking. Be sure to tell your doctor about whatever you’re on because of potential drug interactions.
Whatever drug your doctor prescribes, you’ll start on the lowest possible dose. You have found the correct medication and dose if that works to relieve your chronic pain. If it doesn’t, then the doctor may consider upping your dose or trying another medication. Some general categories for medications used for pain are:
Anti-depressants: You don’t need to be miserable to be prescribed anti-depressants. They could block the mind from getting pain messages, so they’re a sensible option for chronic pain sufferers. Additionally, it is believed that anti-depressants might raise the number of endorphins in your body, and endorphins are a pure pain suppressant.
It’s correct that chronic pain often involves a psychological component, especially as the pain appears to take over a patient’s life. Anxiety can make it more difficult to do that, together with fatigue and other consequences of chronic pain, may lead to depression. Anti-depressants may be prescribed as part of a comprehensive treatment program which attempts to help you deal with all elements of pain.
Muscle relaxants: You may take a muscle relaxant, if your pain is caused by muscle sprain, strain, spasm, or anxiety. This medication may help supply you with the pain relief so that you can work on strengthening your muscles.
Neuropathic agents: For chronic pain caused by nerve problems (neuropathic pain), doctors may prescribe neuropathic agents. They especially target the nerves, and the way changes in which the brain receives and interprets pain messages.
Non-steroidal anti inflammatory medications (NSAIDS): NSAIDs combat inflammation, just as steroids do, but they get it done with no steroids. They work by blocking certain enzymes in the human body, the ones which help alleviate inflammation.
Opioids (Narcotics): In the most extreme cases, and only under careful supervision, your physician may also prescribe an opioid, such as morphine or codeine. Opioids are also known as narcotics. They work by attaching to opioid receptors on the surface of the brain, spinal cord, and cells. They then can block pain messages. Opioids alter the interpretation of pain of the brain by changing how pain signals are transmitted.
Pain relievers: Prescription-strength pain relievers referred to as pain killers or analgesics, do precisely what their name implies: they relieve pain. They do not reduce inflammation. Pain relievers work by preventing the mind from getting pain signals from your own nerves. Then your brain won’t know about the pain, if pain messages can’t be transmitted by the nerve cells as they do, and then you either won’t feel it or won’t sense it as severely. Most pain relievers belong to one of the above mentioned categories (opioids, NSAID, etc.).
Steroid medications: Steroids are medications that are strong. If you have tried prescription-strength non-steroidal anti-inflammatory medications (NSAIDs) and they have not reduced the pain, the doctor may have you try steroid drugs. They block the body from producing the compound that cause inflammation, so they’re used for chronic pain sufferers with an inflammatory condition.
Your body gets used to the medication, and that means that you can’t simply stop taking them. You have to give your body time to readjust by tapering your dosages. That is an important thing to bear in mind if you are considering taking steroid drugs or any form of medication listed above. Be sure to contact your healthcare professional and consult all your options before considering the use of strong medications and treatment alternatives.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
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Dr. Alex Jimenez DC, MSACP, RN*, CCST, IFMCP*, CIFM*, ATN*
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