China
Africa
Explore chapters and articles related to this topic
When I Control the Pain, I Control My Life: Opioids and Opioid-Containing Analgesic Medication in the Management of Chronic Intractable Pain
Published in Michael S. Margoles, Richard Weiner, Chronic PAIN, 2019
In the preceding table, class 4 pain is the worst (graded 7.5–10 in intensity) and class 1 pain is the least bothersome (graded 0–2.5 in intensity). This table indicates some of the many ways to proceed when attempting to control pain symptoms. First the NSAIDs are used, then the weak analgesics such as Darvon®, Fioricet®, etc. Next, as one attempts to provide enhanced pain control, the intermediate analgesics (Tylenol with codeine #3®, Ultram®, Vicodin®, etc.) and moderate strength analgesics (Lorcet 10®, Percodan®, etc.) are utilized. If these fail to provide control of pain, the strong (morphine, methadone) and very strong (Dilaudid®, Duragesic®, etc.) analgesics are brought into the treatment program.
Specific Disease Conditions
Published in Harold G. Koenig, Chronic Pain, 2013
Drugs used in acute therapy must work quickly to stop the headache before it reaches its full severity. These drugs can be taken as a pill or as a nasal spray, or can be injected under the skin (subcutane-ously). Medications that can be taken orally in tablet form at the start of an attack include, from weakest to strongest: acetaminophen and aspirin (Excedrin Migraine), nonsteroidal anti-inflammatory drugs (Naprosyn), ergotamine-type medications (cafergot or Wigraine), drug combinations (Midrin, which is a combination of acetaminophen, a mild sedative, and blood vessel constrictor), sumatriptan (Imitrex) or zolmitriptan (Zomig), barbiturate combinations (Fioricet or Fiorinal), and narcotics (Percodan or Percocet).
Prevention of RSD
Published in Hooshang Hooshmand, Chronic Pain, 2018
Early diagnosis (thermography, bone scan)The magic word is diagnosis and treatment before 6 monthsEarly physiotherapyAvoid ice applicationAvoid bracesAvoid immobilizationAvoid alcoholAvoid litigationAvoid narcotics, barbiturates, BZs, (e.g., Fiorinal, Fioricet, Valium, Halcion, etc.)Avoid surgery Especially cutting around the scars on the dorsum of the footUnnecessary surgery for nerve roots contusion misdiagnosed as Tardy ulnar palsyDisc herniationUnnecessary arthroscopyAmputation (for Sudek’s atrophy and fractures)SympathectomyRSD involving foot is misdiagnosed by some podiatrists as “neuroma”; surgery on the foot results in intractable RSDNot applying preventive measures results in acceleration of Stages I through III; by stage IV, the patient’s life is in danger of suicide or heart attack
Incidence of nonmedical use of OxyContin and other prescription opioid pain relievers before and after the introduction of OxyContin with abuse deterrent properties
Published in Postgraduate Medicine, 2018
NSDUH questions were specific to prescription pain relievers and did not include ‘over-the-counter’ pain relievers that can be obtained without a doctor’s prescription. NSDUH participants were shown images and names of various prescription pain relievers. Specific prescription pain relievers listed in the NSDUH questions included the following brand name and generic products: OxyContin, Darvocet, Darvon, Tylenol with codeine, Percocet, Percodan, Tylox, Vicodin, Lortab, Lorcet, Codeine, Demerol, Dilaudid, Fioricet, Fiorinal, Hydrocodone, Methodone, Morphine, Phenaphen, Propoxyphene, SK65, Stadol, Talacen, Talwin, Talwin-NX, Tramadol, and Ultram.