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Doctor insights on: Pain Medication

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Dr. Mitchell Cohn
487 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
487 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 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
Write down severity, duration, location (front/back of knee, etc.)
Once
If swollen, ice the knee with a bag of ice, bag of frozen peas, etc.
once
See a doctor
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 oncologist to refer you to cancer pain specialist
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Ask pain specialist about both interventional and medication options
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If pancreatic cancer, ask about a celiac plexus block
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If neuropathy, request trial of ketamine-based topical creams
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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)

Be sure correct diagnosis is made
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Only go to a pain physician trained to treat chronic pain
Once
Continue to look for more therapies that might be right for you
Once
Keep moving. Do not let pain sideline you. Pain will only get worse.
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 Chronic Pelvic Pain (Checklist)

office evaluation
once
pelvic exam
once
ultrasound
once
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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 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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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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