Pain treatment Flashcards
best meds for nociceptive vs neuropathic pain (and acute vs persistent)
noiccep: NSAIDs opioids
Neuror: antidepressants anticonvulsants
topical agents
adjuvant
pain meds that are typically not used for pain but may be helpful
eg.
valium
Lyrica
carbemazepine
what part of system do these drugs work in
paracetamol
morphine near
morphine anti inflams
paracetamol
morphine near
morphine anti inflams
Panadol mode and what pain
prostaglandin production
mild to mod soft tissue and msk
NSAID
muscle aches
back pain
tissue sprain
opiods
agonists at receptor site in the brain
mod to severe pain, acute or persistent
cannabis
act on cannabinoid receptors of brain and suppress signals of pain, nausea and boost appetite and euphoria
anticonculsants
pregabalin
diminishes excessive neuronal activity
nuro pain
capsaicin
pain relief not instant takes a few weeks
WHO treatment
underlying cause should be treated
individual therapy
oral admin in persistent illness
limit side effects
WHO ladder
non opioid
weak opiod
strong opiod
muklti modal rationale
target multiple mechanisms
Lower doses of each means lower side effects
complementary alternative med
whole person treatment
whole: Chinese med
Mind body: meditation
biologically: herbs
Manip and body: Chiro massage
