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Doctor insights on: Pain Medication

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Dr. Mitchell Cohn
491 Doctors shared insights

Pain Medication (Overview)

Pain medications are used to control pain.


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What narcotic pain medication will not metabolize in the liver?

What narcotic pain medication will not metabolize in the liver?

None, at least partly: Most drugs are metabolized in the liver or kidney, but almost all a combination of both. It is the proportion metabolized in one or other that varies. Alsoimpish liver, it is key to know which enzyme system metabolizes which drug, to understand what interaction one drug will have on another. A most important example is Coumadin (warfarin). Narcotics, as a family of drugs-mostly liver. ...Read more

Dr. Mitchell Cohn
491 Doctors shared insights

Pain Medication (Overview)

Pain medications are used to control pain.


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Is there any treatment for keloid scars? Or medication to ease rhe pain, they are very painful, like electrical discharges. I have them on my back.

Is there any treatment for keloid scars? Or medication to ease rhe pain, they are very painful, like electrical discharges. I have them on my back.

See below: There are many possible treatments for keloids which range from medicine injections into the site to surgery to freezing them to radiation to laser treatments. Talk to your doctor about the possibilities. ...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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Why are so many doctors hesitant to prescribe pain medications for fibromyalgia?

Why are so many doctors hesitant to prescribe pain medications for fibromyalgia?

Fibromyalgia: The current feeling is avoid using opioids in fibromyalgia. This does not mean that in severe cases opioids should not be used. Docotrs have to justify their prescription - so if the exam shows no objective findings then there would be no indication to write for an opioid - just saying "i have pain" is not enough. ...Read more

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How safe are the commonly prescribed pain medications?

How safe are the commonly prescribed pain medications?

Relatively safe: If used as prescribed, most pain medications are relatively safe. The danger comes when they are misused or abused for recreation. ...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 you use pain medication when pregnant?

Can you use pain medication when pregnant?

It depends: Tylenol (acetaminophen) is safe during pregnancy. Ibuprofen is generally considered not safe during pregnancy. Narcotics should rarely, if ever, be used due to the risk to your baby. There is a significant risk that the baby would become dependent upon the narcotics and go through withdrawal after birth. ...Read more

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How can you prevent getting used to pain medication?

How can you prevent getting used to pain medication?

Short term use: Taking pain medications for a short period of time after surgery or trauma will be most probably safe. If you have to take medications on an ongoing basis, avoid long-acting opioids, take medications for pain only and not other symptoms (such as sleep disturbsnce) and reduce the amount as much as possible. ...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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What is the most effective pain medication for chronic long term dental pain?

What is the most effective pain medication for chronic long term dental pain?

Fix it: Chronic dental pain is not a good sign and should be treated. Once the root of the problem is fixed you won't have any pain. There are no good long term pain killers. Every pain killer has a side effect and harms other organs in your body long term. ...Read more

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Should I go back to work while still taking pain medication?

Generally No: Many narcotic pain medications can make you drowsy, so going back to work while taking them may be dangerous. However, if it is a non-narcotic pain reliever such as ibuprofen, you should have not limitations on work activities. ...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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Which pain medication works better?

No answer: The best drug is the one that works with the lowest side effect incidence. That will change between patients. ...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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How can I safely get off my pain medications? What are the effects of withdrawl? What can be done for chronic pain?

Detox: You will need to detox from the medicines. This is a slow but deliberate process. You'll need expertise to help you with this. ...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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Could heart flutter be a side effect of pain medication such as morphine?

Could heart flutter be a side effect of pain medication such as morphine?

Unlikely: Pain itself can cause elevated heart rate and palpitations, but opiated don't typically cause fluttering or palpitations. I would check further with your doctor to ensure there's not some other issue here. ...Read more

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Can proctalgia fugax be the reason for painful bowel movements? Pain is not severe and doesn't last long.

Can proctalgia fugax be the reason for painful bowel movements? Pain is not severe and doesn't last long.

Probably not: Proctalgia is a spasm of the muscles around the rectum. Generally it is like any muscle cramp (leg, foot) - spontaneous and without any precipitating reason. Pain with a bowel movement is more likely from anal irritation at the rectal orifice. Any more specifics requires a bit of detective work with a good history of when, what makes it better, worse, etc. ...Read more

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Can amyloidosis interact with certain pain medications?

Can amyloidosis interact with certain pain medications?

Unknown: Amyloid presents as primary and secondary forms. It has been linked in families and is related to abnormally folded proteins. It stands to reason that drugs, foods, environment that is pro-inflammatory may worsen the disease. As to specific medications, like narcotic analgesics or anti-epileptic drugs used to reduce nerve pain, I am unaware of any evidence of interactions. ...Read more

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Aricept (donepezil) interactions with pain or insomnia medication, what to do?

Aricept (donepezil) interactions with pain or insomnia medication, what to do?

Please provide: Specific medications for which you have concerns - so that drug interactions can be checked. You can re-ask this question. ...Read more

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Can abuse of too much pain medications lead to hepatitis c?

No: Hepatitis c is a viral infection that is spread by blood to blood contact such as sharing needles or from blood transfusions before they were screened for hep c. There is mounting evidence that hep c is also spread by sexual contact. Taking pain medications has nothing to do with hepatitis c spread. ...Read more

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I had an accident 8 years ago and was not injured but now I have a headache very painful at night. The pain is severe and happens like nerve attack?

I had an accident 8 years ago and was not injured but now I have a headache very painful at night. The pain is severe and happens like nerve attack?

Neurological: Chronic pain of headache years after an accident tends to rule out a cerebral process. Speculation arises for a chronic cervical soft tissue (ligament, tendon, muscle) injury. Increased pain when lying down supports this hypothesis; as certain muscles bear increased portion of head weight in this position. Neurologist or osteopath best specialists to consult. ...Read more

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What conditions definitely need pain medication?

What conditions definitely need pain medication?

It depends: Pain medication in general is given to help control a variety of pain types. Not all pain medication is narcotic. Specifically narcotics are indicated for severe pain before, during and after surgery and for cancer pain. The use of narcotics beyond that is a decision your doctor will need to make. Other types of pain medication include non steroidal anti inflammatory and mood stabilizers. ...Read more

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What is best pain medication?

There are none...: Even the strongest opiates only "take the edge off" for people in chronic pain. Meds are only one part of dealing with the pain. A useful tool, but pain is so necessary for survival that we are not "allowed" to monkey with it much. In acute pain, the transition from miserable to less miserable can be great. In chronic pain, it's just part of the plan. ...Read more