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Doctor insights on: What Is A Prescription Pain Medication For Severe Chronic Pain

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What is a prescription pain medication for severe chronic pain?

What is a prescription pain medication for severe chronic pain?

Narcotics/Neurologic: For several reasons some people have severe chronic pain who need narcotic pain meds and nerve stabilizing or neurologic meds like Neurontin and lyrica (pregabalin). For chronic pain issues your primary care physician will advise you and is a good practice if seen by a pain management specialist. Several types of meds taken orally including long acting, or patches transdermally as out patient. ...Read more

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Dr. Praveen Mambalam
374 doctors shared insights

Persistent Pain (Definition)

Persistent pain is pain that occurs most of the day, on most days. Pain that last for more than 4-6 months is called chronic pain. Persistent pain doesn't go away in an expected time frame for the injury. for example, your doctor says it'll be fine in a couple of weeks; if the pain is still present, more days than not, at 3-4 weeks out, its persistent. And, it should be ...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 are some non narcotic prescription medications that I suggest to my doctor for chronic pain control?

What are some non narcotic prescription medications that I suggest to my doctor for chronic pain control?

Not a good idea: The treatment for any medical conditions, including chronic pain, depends on doctor's clinical impression. Even though there are many non narcotic medications for chronic pain like nsaids, muscle relaxants, anti-seizure medications, it is not a good idea to suggest treatment to your doctor. Discuss your concern with your doctor and let he/she guide you. ...Read more

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What are effective prescription drugs for chronic pain?

What are effective prescription drugs for chronic pain?

Many options: Chronic pain can be difficult to treat. What works for one person might not work for someone else. If you have chronic pain it is best to see a pain specialist to go over the various options. Some would include nsaids and anti-depressants. Narcotics are usually a last resort due to the risk of dependence, tolerance, and addiction. ...Read more

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Spouse's prescription is 2x60mg Oxycontin + 6x10mg Oxycodone daily for chronic pain from severe wreck yrs ago. Worried its too much & addictive or is that ok?

Spouse's prescription is 2x60mg Oxycontin + 6x10mg Oxycodone daily for chronic pain from severe wreck yrs ago.  Worried its too much & addictive or is that ok?

You are correct: It is definitely addictive and if you stopped suddenly, you would have withdrawal. You likely have developed tolerance and require higher dosing, and this may become a more challenging issue in future. Would definitely suggest a pain specialist, and work with someone you trust. There are some newer approaches which may benefit you. ...Read more

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Not sure why BP severely elevated. Cont'd rising to 229/112. Went to ER given clonidine. Lisinopril added to prescription atenolol. Can chronic pain elevate bp?

Not sure why BP severely elevated. Cont'd rising to 229/112. Went to ER given clonidine. Lisinopril added to prescription atenolol. Can chronic pain elevate bp?

Get evaulated: Don't stop with your er evaluation. Take your meds, keep a BP diary and get in to see your doc. An ultrasound of your kidneys and the arteries going to your kidneys and several other tests need to be done. Your risk for cardiovascular events is high, however, you can lower your risk. Get help. Be well. ...Read more

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I have chronic pain with fibromyalgia and i have a really bad back. My back limits me in what i can do and i dont have any prescription meds for this ?

I have chronic pain with fibromyalgia and i have a really bad back. My back limits me in what i can do and i dont have any prescription meds for this ?

Problematic: 40's female bemoans FM pain w/o "prescription" meds. US doctors generally avoid opiates, but oft use Flexeril. Cymbalta, Savella, (milnacipran) & Lyrica approved for treatment of FM, & these are non-opiate pain meds. Alternative treatments for pain include trigger point injections. Some published studies report efficacy of cannabis. Concurrent sacroiliac joint disorders are helped by sacroiliac joint belts. ...Read more

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Why would a doctor treating chronic pain switch a patient using prescription oxycontin to fentanyl patch?

Depends!: It really depends on the effectiveness and side side effects of the medication (oxycontin in the this case). Both medications are considered long acting pain medicine. If Oxycontin caused intolerable side effects (e.g. Nausea/vomiting, sedation), then pain physicians should try other medications (or methods) to maximize effectiveness and minimize side effects. ...Read more

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Any dr.'s in my area that use methadone in tx of chronic pain.My options for prescription limited by gastric bypass & min. Help by oct/ other narcotic rx?

Any dr.'s in my area that use methadone in tx of chronic pain.My options for prescription limited by gastric bypass & min. Help by oct/ other narcotic rx?

Fentanyl: Fentanyl patches are an option. They diffused an opioid directly through your skin. Not affected by gastric bypass. In general, i frown on Methadone for chronic pain. It is approved to get people off of opioids, and not as a drug for "chronic pain", but i realize it is used "off label" for this. The labeling is for "restricted to authorized opioid addiction detox/maintenance tx facilities. ...Read more

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Alleviate chronic pain without prescription pain meds. Use Aleve (naproxen) now; self-employed. I do meditation. 57 yo, single. Fibro, bursitis etc. Beaten up!

Hmm: Perhaps a full check up by your doctor confirming the reasons why you have pain is suggested. From there they can table a nonprescription medicine based plan to fit your needs. Good luck ...Read more

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I have severe chronic pain however one of the medications does not offer any relief at all. My dr won't change the opana er. What can I do I need help?

Second opinion: There might be a reason behind the selection of the particular medication. You can have an open discussion with your physician and can always get a second opinion. ...Read more

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I need to talk with a compassionate physican about severe chronic pain and drug addiction and how to get the care i need i was in a car that was struck by a train 12 yrs ago and I have many problems with my back now. I didn't become addicted to pain meds

I need to talk with a compassionate physican about severe chronic pain and drug addiction and how to get the care i need i was in a car that was struck by a train 12 yrs ago and I have many problems with my back now.  I didn't become addicted to pain meds

Frustrating: Exhaust your non-narcotic options first, with nsaids, acetaminophen, topicals, neuroleptic, snri and a tca as appropriate. Most providers think an opioid meds will cause relapse, but truth is your under treated pain is much more dangerous. Cd history is often presumed drug seeking, but actually this means u r twice as likely to have chronic pain issue. Find someone trained in both cd&pain. ...Read more

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I need a list of as many chronic pain medications as possible?

Extened Release: When considering medication for chronic pain i prefer to use long acting or extended release medications over the short acting medications that can be used for acute pain. Extended release medications include morphine, opana, exalgo, nucyenta, fentanyl, oxycontin, methadone. ...Read more

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Can you please tell me about some great ways of coping with chronic pain other than medication?

No great options: That is a tough one. No alternatives have a lot of success. Aerobic activity can help is you are able. Meditation has potential for benefit as well. I assume that all meds are out, including supplements. ...Read more

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How addictive are pain medications for chronic pain?

How addictive are pain medications for chronic pain?

Addiction vs : Dependence. Chronic administration of narcotic analgesics will result in a physical dependence, meaning that the body accommodates to a number of the medication effects and if suddenly stopped the person will go through a withdrawal. Addiction is a pattern of maladative use leading to an inability to function normally. Chronic pain patients on appropriate medication can function well. ...Read more

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Do you trat chronic pain take insurance prescribe medications ?

Do you trat chronic pain take insurance prescribe medications
?

Not on HealhTap: Any chronic illness or pain should be managed by a face-to-face encounter with a provider that knows all about you. HealthTap only allows those that prescribe medications to do so to treat acute illness or manage problems until proper follow up is arranged. Further, only very mild, non-opioid pain meds can be prescribed by the system and only then for short periods of time. ...Read more

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How do I know if I am starting to get addicted to my chronic pain medications?

How do I know if I am starting to get addicted to my chronic pain medications?

Dependency: Addiction is a disease/ psychological and behavioral syndrome. Loss of control over drug, compulsive use, continued use despite harm to the user or others. On the other hand physical dependence is induced by opioids followed by withdrawl symproms when the medications are stopped abruptly. The later is more of side effect of the pain management and not a problem leading to discontinuation of meds. ...Read more

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Dr. Mitchell Cohn
486 doctors shared insights

Pain Medication (Definition)

Pain medications are ...Read more