Drug treatments for chronic pain
Analgesics (pain relievers):
The use of pain relievers is the most common method for treating
chronic pain. These drugs do not work in all cases, however.
Non-narcotic pain relievers:
Nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin, ibuprofen, naproxen, or
COX-2 inhibitors may be useful when the pain is mild or moderate.
Opioids, opioid-like agents, or combinations
of opioids and non-narcotic analgesics:
Any of these may be prescribed to reduce pain. Opioids work in
the brain, central nervous system, and other areas of the body to block the
sensation of pain.
Topical products:
Over-the-counter creams and ointments containing capsaicin (a
substance generating heat) may be applied directly to the skin three to four
times per day.
Antidepressants:
Many chronic pain patients may benefit from taking
anti-depressant drugs. This is because the same chemicals linked to depression
also play a role in chronic pain.
Anticonvulsants (anti-epileptics):
These drugs may be used to treat various neuropathic
pain conditions. Such conditions include nerve injuries and diabetic nerve
pain.
Sedatives/anti-anxiety agents:
These may be prescribed for short-term treatment of sleep
problems including insomnia (sleeplessness).
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