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What about Pain?

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Pain is an unpleasant sensation. Pain can be sharp or dull, burning or numbing, minor or major, acute or chronic. It can be a minor inconvenience or completely disabling.

Both the area of the injury and how the brain deals with signals from the area of pain affect the sensation. Generally, medications try either to stop the transmission of pain from the site of injury or to affect the brain directly.

The effects of pain medication are different for different people. Also, the tolerance of pain varies greatly from one person to another.

For this reason, one medication will not be right for everyone with the same injury. For example, some people are quite happy with an over-the-counter medication for an ankle sprain, while others will need a more powerful prescription pain reliever. The right pain medication depends on the person experiencing the pain, not on the condition that is causing the pain.

Acetaminophen

Acetaminophen is just as effective as NSAIDs for noninflammatory types of pain if used in proper doses. Acetaminophen has few side effects and does not interact with other medications in any significant way. The only people who should avoid it are those with chronic liver problems. Even in this group, a day or two of use is probably quite safe. It is available in the following brand names:

For adults, the dose of acetaminophen is up to a gram (two extra strength [500 mg] or three regular strength [325 mg]) every four hours. Do not take more than four doses per day. Acetaminophen is contained in many over-the-counter products (such as cold or sinus medication), and if these products are taken in addition to acetaminophen, it is possible to take overall doses that are higher than the recommended maximum dose.

For stronger pain relief, acetaminophen is combined with narcotic type drugs. These drugs can be obtained only with a prescription.

Acetaminophen Combinations

For moderately severe pain, a doctor may prescribe a combination pill with acetaminophen and a narcotic.

Acetaminophen with codeine (Tylenol with Codeine, Capital and Codeine, Phenaphen with Codeine)

Acetaminophen with hydrocodone (Vicodin, Anexsia, Anodynos-DHC, Bancap HC, Co-Gesic, Dolacet, Lortab, Margesic H, Medipain 5, Norcet, Stagesic, T-Gesic, Zydone)

Acetaminophen with oxycodone (Percocet, Roxicet, Endocet, Roxilox, Tylox)

Pain Drug treatments including Paracetamol (Acetaminophen), NSDIDs, Weak Opioids, Strong Opioids, and other pain medications. For more information, please check Pain Relief.

Pain Keywords

analgesics, NSAIDs, opiates, COX-2 inhibitor, narcotics, acetaminophen, ibuprofen, aspirin, pain medications, nonsteroidal anti-inflammatory drugs, pain medicine, opiate, opiates, morphine, pain management, pain medication, pain medications, pain drug, drugs for pain, severe pain, moderate pain, mild pain, acute pain, chronic pain, nonsteroidal antiinflammatory medications, naproxen, Aleve, Ibuprofen, aspirin, fenoprofen (Nalfon) flurbiprofen (Ansaid) ketoprofen (Oruvail) oxaprozin (Daypro) diclofenac sodium (Voltaren, Voltaren-XR, Cataflam) etodolac (Lodine) indomethacin (Indocin, Indocin-SR) ketorolac (Toradol) sulindac (Clinoril) tolmetin (Tolectin) meclofenamate (Meclomen) mefenamic acid (Ponstel) nabumetone (Relafen) piroxicam (Feldene), Acetaminophen with codeine (Tylenol with Codeine, Capital and Codeine, Phenaphen with Codeine) Acetaminophen with hydrocodone (Vicodin, Anexsia, Anodynos-DHC, Bancap HC, Co-Gesic, Dolacet, Lortab, Margesic H, Medipain 5, Norcet, Stagesic, T-Gesic, Zydone) Acetaminophen with oxycodone (Percocet, Roxicet, Endocet, Roxilox, Tylox) morphine (MS Contin, Avinza, Kadain, Oramorph) oxycodone (OxyContin, Roxicodone, M-oxy, ETH-Oxydose, Oxyfast, OxylR) fentanyl (Duragesic, Fentanyl Patch) oxymorphone (Opana) methadone (Methadose), addiction, pentazocine (Talwin) propoxyphene (Darvon, Darvocet). For more information, please check Tramadol Pain relief resources

Tramadol can be considered an atypical opioid analgesic that has a dual action. It is a weak mu opioid agonist that also inhibits the reuptake of norepinephrine and serotonin. It is believed that both mechanisms work synergistically to provide analgesic benefit with a potency that is approximately one-tenth that of morphine and approximately equivalent to codeine. Tramadol is generic name of ultram. Ultracet Tablets combines tramadol 37.5 mg and acetaminophen 325 mg. from Tramadol-Ultracet

Fioricet is a barbiturate sedative mixed with a non-aspirin pain medication and caffeine. This non-narcotic pain medication and relaxant is often prescribed for tension headaches caused by contractions of the muscles in the neck and shoulder area, and migraine. From Fioricet Store

Carisoprodol is generic name of Soma, Soma is a muscle relaxant used to relieve the pain and stiffness of muscle spasms and discomfort due to strain and sprain. from Fioricet soma

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Headache

Headaches can be caused by many illnesses. There are several types of headaches, including migraine, tension, and cluster headaches. Headaches can also result from sinusitis, trigeminal neuralgia, giant cell arteritis, or brain tumors. The treatment of the various kinds of headaches varies depending on the kind of headache and the severity of the pain. Often, non-opioid medicines are used. But, in some cases, opioid therapy is needed.

Migraines are often on one side of the head. They can be associated with nausea and vomiting, photophobia (light hurting the eyes), phonophobia (sound hurting the ears), and scintillating scotomata (parallel lines that vibrate at the edges of objects, especially at the borders between light and dark places). Sometimes these auras appear before the headache starts and alert you that a migraine is coming. Migraine pain can vary in intensity from mild to severe. There are many specific medications for migraine. Sumatriptan (Imitrex) is particularly useful for some, but not all, migraine sufferers.

Cluster headaches come in groups, sometimes several times a day, lasting for days to weeks. Many cluster headaches are severely painful. Oxygen therapy may be helpful for some cluster headaches.

Sinusitis can cause facial pain and is frequently worse in the morning. Sinus pain may respond to antibiotic treatment along with decongestants. Sometimes sinus surgery is needed.

Trigeminal neuralgia is actually a peripheral neuropathy (nerve pain) that is severe. It occurs on one side of the head and face and has a "trigger point," usually on the side of the face, which causes intense pain if it is touched. Anticonvulsants (antiseizure medicine) are often helpful for this type of pain.

Measuring Pain

Mild pain: Mild pain is self-limited. It goes away either with no therapy at all or with the use of nonprescription medication such as acetaminophen (Tylenol), aspirin, or other nonsteroidal anti-inflammatory drugs (NSAIDs).

Moderate pain: Moderate pain is worse than mild pain. It interferes with function. You may be unable to ignore the pain and go on with all of the activities of daily living, but it goes away after a while and doesn't come back after it has been treated. Moderate pain may need stronger medications than acetaminophen or nonprescription NSAIDs. Most NSAIDs, including ibuprofen (Motrin), have been found to be as effective at relieving pain as codeine.

Severe pain: Severe pain is defined as pain that interferes with some or all of the activities of daily living. You may be confined to bed or chair rest because of the severity of the pain. Often, it doesn't go away, and treatment needs to be continuous for days, weeks, months, or years. For severe pain, the World Health Organization recommends strong opioids, such as morphine, oxycodone, hydrocodone, hydromorphone, methadone, or fentanyl, as well as other medications (called adjuvant therapies) as needed for the particular kind of pain.

Online Pain Resources