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Doctor insights on: Analgesic

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Analgesic (Overview)

An analgesic is any member of the group of drugs used to relieve pain (achieve analgesia).


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What are analgesic tolerance and dependance?

What are analgesic tolerance and dependance?

Long term effects: Analgesic tolerance means decreased analgesic effect in long-term opioid treatment and the patient needs higher doses to experience the same effect. Physical dependence is actual change in physiologic response, i.e. If the patient stops the substance, the withdrawal signs will appear. Psychological dependence is some kind of perception which patient feels his well-being is from that substance. ...Read more

Analgesic (Overview)

An analgesic is any member of the group of drugs used to relieve pain (achieve analgesia).


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What exactly is analgesic nephropathy syndrome?

Phenacetin: Analgesic nephropathy is chronic kidney disease caused by long term use of phenacetin, Acetaminophen (tylenol) and certain nsaid's such as ibuprofen. The incidence of this disease is much lower nowadays due to less availability of phenacetin. ...Read more

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Managing Neck Pain (Checklist)

Use your pain medication as directed
once
Avoid fast movements
Once
See your doctor if your neck pain hasn't improved in 1 week
once
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My dad is having severe abdominal pain since past 3 days. .. Ultra sound showed 4mm widening of gall bladder thickness. Diagnosed with Acalculous Cholecystitis. Prescribed with antibiotic and analgesic for 5 days. Will cholecystectomy be necessary??

My dad is having severe abdominal pain since past 3 days. .. Ultra sound showed 4mm widening of gall bladder thickness. Diagnosed with Acalculous Cholecystitis. Prescribed with antibiotic and analgesic for 5 days. Will cholecystectomy be necessary??

Get a second opinion: Usually people who develop acalculous choelcystitis are very sick and elderly, like ICU patients. Typically they need to have their gallbladder removed right away if they are healthy enough to tolerate it. 4 mm of GB wall thickening is not very significant. If no stones were found and he is having severe pain, I would make sure something else isn't going on. See a different doctor. ...Read more

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When should one chose to use a narcotic analgesic or a non-narcotic analgesic?

When should one chose to use a narcotic analgesic or a non-narcotic analgesic?

Opioid or non opioid: Its not a choice on the menu. You physician makes the determination based on his evaluation and assessment. It's always a good idea to use a non opioid first. The best is to talk to your physician. ...Read more

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Managing Knee Pain (Checklist)

Try to determine the cause
Once
If swollen, ice the knee with a bag of ice, frozen peas, etc.
once
See a doctor
Once
Consider seeing a physical therapist
Once
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Can somebody tell me how can narcotic analgesics work to reduce pain?

Can somebody tell me how can narcotic analgesics work to reduce pain?

Receptors: This is a brief answer to a complicated? . But basically they block the receptors that elicit the pain. ...Read more

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Living with Ongoing Pain (Checklist)

Go to a physician who is trained to treat chronic pain
Once
Continue to look for more therapies that might be right for you
Once
Make sure to keep moving, as pain will only get worse
Once
Consider counseling for coping strategies
Once
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What specific cox2 inhibitors are safe anti-inflamatory & analgesics for patients with*favism* and gastritis?

What specific cox2 inhibitors are safe anti-inflamatory & analgesics for patients with*favism* and gastritis?

No Celebrex!: Celebrex (celecoxib) is contraindicated in somewhat with g6pd because it is a sulfa drug. I otherwise don't know the answer to your question, but wanted to make sure you knew about this, given the content of a previous answer. ...Read more

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Managing Back Pain (Checklist)

Lose weight
Daily
Reduce stress by moving gracefully with tai chi, yoga, or dance
Once
Increase flexibility with gentle exercises and/or physical therapy
Once
Gradually increase muscle tone and strength to support your back
Daily
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Does paracetamol have lower toxicity than other analgesic and how safe is it to take for headache?

Does paracetamol have lower toxicity than other analgesic and how safe is it to take for headache?

See below: Lower toxicity? No. Different. Tylenol (acetaminophen) toxicity is in the liver. Other nsaids tend to have more kidney effects. Tylenol (acetaminophen) is certainly safe for a headache. ...Read more

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Managing Chronic Pelvic Pain (Checklist)

See your doctor for an evaluation
once
Have a pelvic exam
once
Have an ultrasound
once
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Why do analgesic drugs have the same effect ad antipyretic agents? Why is it that some drugs produce both effects?

Why do analgesic drugs have the same effect ad antipyretic agents? Why is it that some drugs produce both effects?

Prostaglandins: A very good & interesting question. Fevers and pain are commonly due to the release of inflammatory chemicals in the body called prostaglandins. The drugs that can both reduce fevers and lessen pain work by suppressing the body's production of these chemicals. By comparison, opiate pain relievers work via a different mechanism. They do not affect prostaglandins, and so will not reduce a fever. ...Read more

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Are analgesics and antibiotics considered systemic? I am being asked what body systems are involved with certain medications for my homework and I cannot find these categories in my body-systems material. Can you help?

Are analgesics and antibiotics considered systemic? I am being asked what body systems are involved with certain medications for my homework and I cannot find these categories in my body-systems material. Can you help?

Yes,: Yes, if you take them by mouth they are. Antibiotics and analgesics can also get into the blood stream when given intravenously or rectally. Analgesics and antibiotics that are not systemic might include certain eye drops or ointments, topical medications that go on your skin, spray in your nose or something that is swished in the mouth and spit out. ...Read more

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Managing Pain from Cancer (Checklist)

Ask an oncologist to refer you to a cancer pain specialist
Once
Ask a pain specialist about both interventional and medication options
Once
If you have pancreatic cancer, ask about a celiac plexus block
Once
If you have neuropathy, request a trial of ketamine-based topical creams
Once
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Temp 37.7 during menses, polyuria and severe cramps with severe migraine not responding to analgesics. This happens first or last day of menstruation.

Temp 37.7 during menses, polyuria and severe cramps with severe migraine not responding to analgesics. This happens first or last day of menstruation.

Menstrual migraine: Most women experience an increased frequency of migraine attacks around the time of menses. Managing menstrual migraine is difficult; most patients with menstrual migraine will not respond to traditional migraine therapy. See an orofacial pain or headache specialist for a professional treatment. ...Read more

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I am alergic to morphine and many other analgesics. Is it safe to use a lidoderm pain patch. Does it contain any form of morphine?

I am alergic to morphine and many other analgesics. Is it safe to use a lidoderm pain patch. Does it contain any form of morphine?

Lidocaine: Lidoderm contains Lidocaine which has no cross-reaction with morphine, so it should be safe for you to use it unless you are also allergic to lidocaine. ...Read more

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What is the definition or description of: analgesic?

What is the definition or description of: analgesic?

Pain reliever: An analgesic is any member of the group of drugs used to relieve pain (achieve analgesia). ...Read more

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What are analgesic tolerance and dependance?

Long term effects: Analgesic tolerance means decreased analgesic effect in long-term opioid treatment and the patient needs higher doses to experience the same effect. Physical dependence is actual change in physiologic response, i.e. If the patient stops the substance, the withdrawal signs will appear. Psychological dependence is some kind of perception which patient feels his well-being is from that substance. ...Read more

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Why analgesics can lead to internal haemorrhage?

Why analgesics can lead to internal haemorrhage?

Internal bleed: Nsaid's and salicylic acid derivative analgesics are the most common ones. Unlikely if used as prescribed and if no predisposition. "internal hemorrhage" can mean many things which depends on the context. Do inform your doctor if you are experiencing this problem. ...Read more

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Please tell me if analgesic nephrology is reversible?

Please tell me if analgesic nephrology is reversible?

Analgesic nephropath: Hi dalton1, if you mean analgesic nephropathy then it depends on how damaged your kidneys were and whether you are still taking analgesic medications. Ibuprofen itself can cause kidney injury but when mixed with codeine, tylenol, (acetaminophen) aspirin, etc, you can have severe injury. If your kidneys are working fine and you no longer take analgesia, then there is a good chance no further injury will occur. ...Read more

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What are the new narcotic analgesics?

What are the new narcotic analgesics?

New opioids for pain: Most of the new products coming out have abuse deterrence or resistance built into the product. Embed (morphine), HysinglaER (hydrocodone), Zohydro (hydrocodone), Exalgo (hydromorphone), Opana ER-Crush resistant, ...Read more

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What is the strongest painkiller (analgesic)?

What is the strongest painkiller (analgesic)?

Fentanyl: Is the most potent of the readily available opioids. Available in a oral preparation and a transdermal patch. ...Read more

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Analgesics for pain always needed in labor?

Analgesics for pain always needed in labor?

No: My sister had two ten pound babies and didn't even take a Tylenol (acetaminophen). ...Read more