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Doctor insights on: Top Ten Most Addictive Painkillers

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Dr. Vasu Brown
612 doctors shared insights

Addiction (Definition)

Addiction is a primary, chronic disease of brain reward, motivation, memory, and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors. A person affected by addiction will be unable to consistently Abstain from use, will have Impaired Behavioral control, will have Craving or increased "hunger" for drugs or rewarding experiences, will have a Dysfunctional Emotional response, and will show diminished recognition of significant problems with their own ...Read more


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Dilaudid is not effective for my pain, but weaker opioids are. What's the deal?

Dilaudid is not effective for my pain, but weaker opioids are. What's the deal?

Hard to say: there are certain enzymes that metabolize opioids into the active ingredient, which ultimately is morphine. There are people who lack, for example, the enzyme that turns Codeine into morphine, and therefore Codeine doesn't work for them. You may have something similar where hydromorphone isn't metabolized into morphine, or isn't transported to the brain properly. ...Read more

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Dilaudid is not effective for my pain, but weaker opioids are, what's wrong?

May be genetic: Some people lack the specific enzymes that convert an opioid into the active molecule. This is well known with codeine, and may be the case in certain people with other semi-synthetic drugs, like hydromorphone, as well. ...Read more

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What other than benzos work in the same way to relax muscles. 5mg Valium relieves most of chronic pain for 1/2 days & no side effects. Robaxin (methocarbamol) horrid.

What other than benzos work in the same way to relax muscles. 5mg Valium relieves most of chronic pain for 1/2 days & no side effects. Robaxin (methocarbamol) horrid.

Cyclobenzaprine: is a muscle relaxant. It works by blocking nerve impulses and pain that are sent to your brain. Valium, an anxiolytic, is not classified as a skeletal muscle relaxant but is often used in the management of acute muscle pain for short period of time only. Benzodiazepines are very addictive. See your PCP for more information and options. ...Read more

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Why would drs.Perscribe methadone 4 drug addicts when they use it for chronic pain patients? Just another addiction 2 get addicted too!

Because it is : Long acting drug , people can achieve a higher degree of stability. Supposedly, they would not or could not be stable without some medicine added from the outside. However, you are right, the physical dependence is maintained. Is that really important if a person is functioning better? ...Read more

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Most effective OTC pain reliever for aching and feet because of physically demanding job?

Most effective OTC pain reliever for aching and feet because of physically demanding job?

See pedorthist: Nonsteroidal anti-inflammatory drugs (NSAIDS) can help with both pain relief and in reducing inflammation. Examples are ibuprofen (like Advil, Nuprin or Motrin), Naproxen sodium (like Aleve, (naproxen) Naprosyn, Anaprox) or Asprin (such as Bayer, Ecotrin, Ascriptin). Avoid NSAID's if pregnant or allergic to them. In that situation can consider acetaminophen. ...Read more

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Is tylenol (acetaminophen) #3 is better than percocet for my back pain?

Is tylenol (acetaminophen) #3 is better than percocet for my back pain?

Depends: Choice of pain meds in terms of efficaciousness as well as side effects is very much an individual thing i.E people react differently. ...Read more

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How long is it safe to use Norco (hydrocodone and acetaminophen) for pain relief? I've had excruciating pain from mouth ulcer on back of tongue for a while, doc prescribed Norco (hydrocodone and acetaminophen).

Pain: Norco (hydrocodone and acetaminophen) should only be used for short term pain relief. I would say 4 to 5 days max. How long have you had this pain? Was it an MD or DDS that looked at the sore and gave you the Norco (hydrocodone and acetaminophen)? Mouth ulcers should heal within 7 to 10 days and rarely are they painful enough to take strong narcotics. I would recommend that you see your dentist. ...Read more

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Is it safe to take percocet and Soma (carisoprodol) a few hours apart? I've been in serious pain the last few days.

Is it safe to take percocet and Soma (carisoprodol) a few hours apart? I've been in serious pain the last few days.

Pain meds: Soma (carisoprodol) is a muscle relaxant, Percocet is a pain killer, they are both sedating, you can take them one after another but don't drive or operate machinery and don't drink alcohol. ...Read more

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What is the most effective pain reliever for injured rotater cup?

What is the most effective pain reliever for injured rotater cup?

NSAIDs/Tylenol: Pain is subjective and all people respond differently to a pain generator. First line treatments to control pain are nsaids (motrin, aleve, (naproxen) etc), Acetaminophen (tylenol), and physical therapy. If these are ineffective then a referral to a musculoskeletal specialist may help. ...Read more

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I've had awful pain in the right side of my face (jaw, teeth, gums) for the past three days. Can this be TN although the pain is constant rather than sudden? 50 mg Tramadol did not help very much.

See your dentist: A complete exam and evaluation would need to be done to give you the best opinion. With that kind of pain you are describing, you may have an abscess. You may also have some TMJ dysfunction going on. See your dentist asap for an exam. Good luck. ...Read more

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I've had awful pain in the right side of my face (jaw, teeth, gums) for the past three days. Can this be TN although the pain is constant rather than sudden? 50 mg Tramadol did not help very much.

Unlikely TN: Constant pain and short duration is against TN. Most likely the pain is from jaw, teeth, sinus, gum or TMJ (the jaw joint in front of the ear). 50 mg Tramadol is very low dose. Go with anti inflammatory medications (NSAIDS) like Ibuprofen, Motrin, Advil, Aleve, (naproxen) and Naproxen. If no stomach issue, take up to max dose given by manufacturer. Get examined by your primary MD ...Read more

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Are there effective pain killers that don't cause addiction?

Are there effective pain killers that don't cause addiction?

Yes: There are meds that are not addictive, such as nsaid's, ex Ibuprofen or naprosyn (naproxen). There are other class of meds that are nonaddicting as well depending on the type of pain. This can include certain antidepressants or seizure medications. There are topical therapies as well as non traditional, acupuncture, physical treatments such as osteopathic or chiropractic. Injections, massage therapy, . ...Read more

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I've been on methadone for 13 years always took care of my teeth past 4 years they are rotting cavities in majority of my teeth is this from the meth?

I've been on methadone for 13 years always took care of my teeth past 4 years they are rotting cavities in majority of my teeth is this from the meth?

Nope: "Taking care of your teeth" involves more than brushing and flossing... it includes dental check ups and cleanings at least every six months and restoring your teeth as advised by your dentist. If you haven't been to a dentist in recent memory for routine care, you've got your answer. ...Read more

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Dr. Colin Sanner
974 doctors shared insights

Tens (Definition)

Is an acronym standing for transcutaneous electrical nerve stimulation. We've found that by over-stimulating certain nerves, it "short circuits" the ...Read more


Painkiller (Definition)

"painkiller" is a general term and not a medical term. Literally, it is something that "kills" the pain. That can include just about anything that ...Read more