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Doctor insights on: Analgesia Medication

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Do you develop drug tolerance to analgesia?

Do you develop drug tolerance to analgesia?

Narcotics, yes: It's easy to develop tolerance to narcotic medications (morphine, demerol, dilaudid, vicodin, etc.) if they are taken for more than a few days. This means that it will take more and more drug to produce the same level of pain relief. Other types of analgesia, or pain relief, do not produce tolerance. These include local anesthetics, tylenol, (acetaminophen) or nsaids such as Ibuprofen or naprosyn. ...Read more

Analgesia (Definition)

Analgesia is the decrease or absence of pain sensibility without a loss of consciousness. Experiencing pain relief may happen without a person ...Read more


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Are all NSAID drugs equal in analgesia effect for pain?

Are all NSAID drugs equal in analgesia effect for pain?

NSAIDS: Most NSAIDS have equal effects. Toradol may be slightly stronger. All of them can worsen kidney function or cause stomach irritation. Be careful. ...Read more

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While on pain management and i take my pain medication less than prescribed will i still pass their drug test?

While on pain management and i  take my pain medication less  than prescribed will i still pass their drug test?

Possibly not: Drug testing can detect even minute amounts of painkillers and other drugs. If your job requires drug testing, you need to find out which pain medications are ok: tylenol (acetaminophen) or advil probably are, but vicodin or other narcotics even in small amounts probably are not. Consult your pain management doctor for more advice, and help in cutting down on any medications that could cause you problems. ...Read more

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I'm 24yr old female with fibromyalgia and many headaches, why do the pain management drs. Say i'm to young for pain medication?

I'm 24yr old female with fibromyalgia and many headaches, why do the pain management drs. Say i'm to young for pain medication?

Because you are: Once you start you are on them for life with all of the medical and psychiatric problems associated with long-term narcotics use. Also, you need to exhale all of the standard treatment options which include, gabapentin, lyrica, savella (milnacipran) and cymbalta. ...Read more

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Why is my pain management spine specialist refusing to prescibe medication?

Medication : There could be multiple reasons 1 government rules and regs 2 is not a true chronic pain specialist 3 problem with the individual patient. 4 just doesn't want to based on individual backround ...Read more

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Do most people need pain management medication in labor?

Personal Preference: In theory most do not require it but the vast majority opt for it in some fashion for their comfort level. It is personal preference and is your choice as to which option you chose. ...Read more

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What type of medication does a pain management doctor give?

What type of medication does a pain management doctor give?

All Kinds: Pain management specialists can provide most all kinds of medications for treating your pain. I would suggest speaking with your doctor to see what they can do for you. ...Read more

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Can a pain management doctor specialize in medication or what?

Can a pain management doctor specialize in medication or what?

Pain management: Pain management doctor utilizes different approaches for pain. It might include accupunture, physical therapy, medication, injections ....
Interventional pain management doctor has additional training in interventions such as nerve blocks, epidural steroid injections, spinal cord stimulation ..... ...Read more

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What are the rules for driving while taking long term pain medication under the care of a pain management specialist? Many thanks.

What are the rules for driving while taking long term pain medication under the care of a pain management specialist? Many thanks.

Variable: Depending on your state laws, it may be illegal to drive at all when taking certain medications, so this is not the place to ask. You need to contact a local attorney and get the correct information. If your work depends on interstate driving, the federal rules are far more stringent, and you need to be aware of them. ...Read more

Dr. Brian Le Dr. Le
3 doctors agreed:
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Does a pain management doctor specialize in opiate medication or what else?

Dr. Brian Le Dr. Le
3 doctors agreed:
Does a pain management doctor specialize in opiate medication or what else?

More than just meds: Pain management doctor utilizes different approaches for pain. It might include accupunture, physical therapy, medication, injections ....
Interventional pain management doctor has additional training in interventions such as nerve blocks, epidural steroid injections, spinal cord stimulation ..... ...Read more

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I have prescriptions for level two medications for chronic pain. I am having difficulties locating a pain management doctors. What are your thoughts?

Unfortunately: The current climate of the profession is making it difficult to find doctor's that are willing to treat chronic pain. Even if you find a pain management doctor, he or she may be unwilling to prescribe your medications. Try finding a localgeneral practice or internal medicine doctor. Have your medical records with you. If your condition warrents the meds, you should be ok. ...Read more

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What kind of pain management is out there medication wise for someone dealing with chronic stomach pains?

What kind of pain management is out there medication wise for someone dealing with chronic stomach pains?

What the pains ?: The first thing would be to establish the cause of the stomach pain symptoms because different types of pain symptoms may require different and specific treatment options if one is to attain the best pain control possible. Medication use is not always the answer. Be well. ...Read more

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What is an effective and safe pain management medication and/or regimen for erupting wisdom teeth? What dosage?

Sadly no: Appropriate medication regimen. Best to see a dentist to have them removed sooner rather than later if symptomatic. Palliative treatment includes warm salt water rinses, tylenol (acetaminophen) or ibuprofen. Hope this helps. ...Read more

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I take other medications for other medical issues as well. Gralise is what the pain management doctor prescribed on my first visit. It's not doing muc?

Tell Dr of ALL meds!: Be sure that ALL doctors you see know about ALL meds you take. They need to know and your telling/reminding can really help. Also, if any seem to be ineffective or causing any side effects, discuss it ASAP. That's a big part of treatment. ...Read more

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Are drugs prescribed for long-term pain management addictive? I was diagnosed with fibromyalgia and i'm a little worried that i'll end up addicted to whatever pain medication the doctor puts me on.

I agree with the : Previous answer. I would add that being dependant and being addicted are different. Addiction is consumption of drugs in a pattern that makes life worse. You can ge dependant on meds while they make life better. Insomnia improvement is key, do u clinch teeth at night? Tramadol is a partial opiod stimulator that builds up brain transmitters and decrease pain. You should b able 2 tx w/o ful opiod. ...Read more

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Where to find pain management doctors that prescribe narc and listen to their patients is there actually doctors out there that doesn't think every patient that is on narcotics arent druggies? Esp when they been on the same medication for years/

Trial and Error: Having a relationship with a doctor can take work. Not all doctor-patient relationship work. Ask to see one if your doctor's partners, or even ask for a referral to another practice if you can't get your doctor to listen to you. ...Read more

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Gbs diag3/11/13, MS symptoms, ascending pain from foot to hip, what causes ascending unilateral pain, pain medication not relieving pain.

Gbs diag3/11/13, MS symptoms, ascending pain from foot to hip, what causes ascending unilateral pain, pain medication not relieving pain.

Perhaps peripheral: The guillain-barre syndrome can cause nerves in the leg to be susceptible to local compression, and you may have a problem with nerve issues in foot or ankle but even more proximally, like hip or low back. Does not really fit ms. An EMG test might help. ...Read more

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Any alternative pain management suggestions once excrutiating migraine hits? No medication as i'm pregnant. Only taking tylenol (acetaminophen) and icing neck.

Any alternative pain management suggestions once excrutiating migraine hits? No medication as i'm pregnant. Only taking tylenol (acetaminophen) and icing neck.

Safe sedation: Sleep is often the best treatment for severe migraine. Your doctor can prescribe safe sedative medication as well as nausea medication. Later in pregnancy triptans and Aspirin may be safe. Be sure your blood pressure is well controlled. ...Read more

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Which pain medication is more affective in relieving pain following a back lower molar tooth extraction with bone graft and stitches?

Which pain medication is more affective in relieving pain following a back lower molar tooth extraction with bone graft and stitches?

Depends.: People have different responses to pain medications and that's probably why there are so many on the market. Usually a combination of an NSAID along with a narcotic for breakthrough pain. ...Read more

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Are there other pain management options than drugs that would work just as well?

Depends: Pain mgmt doesn't consist just of drugs. Drugs may be given to alleviate pain or treat the underlying problem. Depending on the particular problem anything from physical therapy and exercise to invasive procedures may be recommended. ...Read more

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Could pain management really help or is it where people can just go to get there drug fix?

It can help : Appropriate pain management is important and not all patients want a "drug fix"; if the patient has pain, the physician should try to find ways to decrease patient's pain. ...Read more

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What is the best pain management drug for surgical wound pain?

What is the best pain management drug for surgical wound pain?

Pain killers: The best pain killer for the surgical wound pain is the one that relieves your pain. It can be over the counter medication like Ibuprofen or tylenol, (acetaminophen) or prescription medication. ...Read more

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I have been in pain management for 10yrs and taking opiates I am starting to have drug seeking behavior what should I do?

I have been in pain management for 10yrs and taking opiates I am starting to have drug seeking behavior what should I do?

Talk to your doctor: Pain is real. There are many treatments other than opiates. Problem with opiates is your body develops tolerance over time and you need more to get the same effect for pain relief and the euphoria (good mood) you get. Actually people become more sensitive to pain with chronic opiate use. Talk to your doctor about alternative treatments and see if it is possible to reduce opiates over time. ...Read more

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I was given methadone almost 2 weeks ago and it was basically a one time thing and i just took a drug test at my pain management will it show up?

I was given methadone almost 2 weeks ago and it was basically a one time thing and i just took a drug test at my pain management will it show up?

Maybe: More likely to pick up the metabolite eddp. Why would you be concerned? If you are under the care of a pain management physician i would expect that they rxd the methadone. If it was not rxd for you then you using or trying the Methadone would be a warning sign for possible abuse and you should seek help. ...Read more

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Could a drug felon get accepted into pain management clinic?

It depends.: It all depends on what the pain diagnosis is and more importantly what the initial evaluation shows. If a legitimate diagnosis is present and the patient is compliant, i see no reason as to why he should be denied care. ...Read more

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Are pain management doctors held accountable if a patient becomes addicted to use of a drug?

Good question: Addiction is a psychological disorder and many patients who become addicted are predisposed to that state. Medications are take at their own risk. There should be an informed consent with a patient along with education prior to starting opioid therapy. Unfortunately many pain providers may not do this. No one has to take pain medications. These medications are taken electively. ...Read more

Dr. Satvinder Dhesi
1,459 doctors shared insights

Pain Management (Definition)

Pain management is the control of pain through medication, ...Read more


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