Tuesday, June 7, 2011

Pain Medications

Pain Medications

A pain medicine lessens the amount, duration, or sensation of pain.
What is the information for this topic?
Over-the-counter pain medicine
Many pain medicines are available over the counter, without a prescription. Common over-the-counter pain medicines include:
  • acetaminophen

  • nonsteroidal anti-inflammatory drugs, or NSAIDs. Aspirin, ibuprofen, and naproxen are all NSAIDs.

  • Prescription pain medicine
    Prescription pain medicines are available only with a prescription from a healthcare provider. Examples include:
  • anticonvulsants, which can relieve chronic nerve pain. Examples include phenytoin and carbamazepine.

  • antidepressants, which may relieve certain kinds of chronic pain. Common antidepressants include amitriptyline, trazodone, and imipramine.

  • capsaicin, a cream that can relieve skin pain caused by shingles, nerve problems, and other causes

  • corticosteroids, which can relieve pain from inflammation

  • narcotics, which are the most effective for moderate to severe pain. Common narcotics include morphine, codeine, meperidine, and oxycodone.

  • sumatriptan and naratriptan, which can relieve the pain of a migraine headache

  • tramadol, which is used mainly for chronic pain

  • Side effects
    All medicines have potential side effects, including allergic reactions. Other common side effects of pain medicines include:
  • diabetes and osteoporosis with long-term use of corticosteroids

  • dizziness, drowsiness, and nausea with tramadol

  • drowsiness and confusion with anticonvulsants

  • drowsiness, nausea, constipation, and potential addiction with narcotics

  • dry mouth, drowsiness, and constipation with antidepressants

  • increased blood sugar and increased risk of infection with corticosteroid use

  • liver damage with high doses of acetaminophen, especially when it's used for long periods of time

  • rarely, increased blood pressure with sumatriptan and naratriptan

  • stomach upset, diarrhea, and rarely bleeding and kidney problems with NSAIDs

  • Some people have severe pain that won't respond to over-the-counter pain medicines. These people should talk to their healthcare provider. Pain can be a sign of a serious problem. If it is not, a healthcare provider can prescribe stronger medicine or suggest a specialist who can help control chronic pain.