what medications in your opinion are the best for long term chronic pain?
That depends on a couple factors: (1) the source of the chronic pain, such as…
- Osteoarthritis/bone and joint pain: long-acting anti-inflammatories, and in certain cases marinol (particularly with cancer metastasized to the bones).
- Rheumatologic pains: depends on the diagnosis, possibly NSAIDS (anti-inflammatories), steroids, or specialized immune-system modifiers.
- Nerve pain (pinched nerves, damaged nerves from trauma or diabetes): medications that modify neuropathic pain, such as certain seizure meds and others. Also non-med options, such as spinal nerve stimulators.
- Fibromyalgia: there’s some terrific newer meds out with indications for FM (Lyrica, Cymbalta, others), I don’t know much about how they work; also anti-depressants. Also non-med options, including exercise, counseling, acupuncture, more.
- Migraines: prophylactic therapies include beta-blockers and seizure meds, and various “breakthrough” meds including the triptans.
And (2) the patient’s individual situation, such as…
- Cost of the meds
- Sedation and other side effects of the meds
- Potential effects of the meds on the patient’s other medical conditions
- Interactions with the patient’s other medications
- What other therapies (meds, non-meds, alternative treatments) have been tried
- History of drug abuse/addiction issues (A very important factor which must be evaluated and monitored closely in any patient on opioid-based meds such as Vicodin, Oxycontin, and other member of the Familia Morphia — since 25% of people who take an opioid medication will become dependent and/or addicted to it.)
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And this extra tip from an (unfortunate) expert in chronic pain:
chroniccurve replied to your photo: PAIN what medications in your opinion are the…
Seeing a pain management specialist (NOT a clinic. Try to get a referral from your doctor) can help you find multiple ways to combat chronic pain. Check out my chronic pain/illness blog, might be relevant and helpful. I hope you find some relief :(!!