Archive for August 2010

Opiate Addiction and Painkillers

Patrick Meninga asked:




Opiate addiction can sneak up on just about anyone, and this can happen very unexpectedly due to a random illness or injury. No one is completely immune to the possibility of developing a dependency.

When someone has chronic pain in their life, this can become particularly difficult to treat with opiate painkillers, because the potential for addiction becomes so much greater. Because the person has to keep taking more medication over an extended period of time, the chance that they will develop tolerance becomes increasingly greater. Then they have a situation where they have to take more of their painkiller in order to get the same effect that they used to get with a lessor dose.

Most doctors do not necessarily help this situation because they are quick to prescribe these powerful narcotics and they do not generally assume that there is a real potential for abuse in their average patient. If dependence does develop, now you have 2 problems: opiate dependence and also unmanageable chronic pain. This makes for a devastating cycle that is tough to break out of.

Keep in mind that opiate painkillers do not actually treat pain itself. Instead, they basically dope the mind into not caring as much about the pain signals that are being sent to the brain. This is very different from how some other pain medicines work that actually reduce pain and swelling right at the source. As such, there are often good alternatives to opiates that more doctors and patients should consider looking into.

If you or someone you know is addicted to prescription painkillers, you should take action and do something about your problem before it gets even worse. There are things you can do to get your pain back under control and get off the narcotics.

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Chronic Pain – Natural Remedies For A Safe And Effective Pain Relief

Rajgopal Venkataraman asked:




Chronic pain is defined as pain that lasts for more than six months at a stretch and there is nothing more debilitating than chronic pain. Chronic pain affects millions of people the world over. It can affect an individual at any time in life and in most cases it often long outlives the actual cause of pain. In the long run chronic pain is destructive to the body. Over time not only does the pain worsen but also unleashes a cascade of hormones like Cortisol which in turn destroys the immune systems and kidneys.

Most people with chronic pain inevitably resort to a gamut of Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) like Ibuprofen, Aspirin, Piroxicam amongst others. These drugs have been implicated in causing serious gastrointestinal bleeding from ulcers, liver dysfunction and renal failure when taken for long duration (unfortunately most people with chronic pain do take them for long periods). The newer agents called as COX-II Inhibitors (Celecoxib, Rofecoxib, Valdecoxib) are marginally better in their gastrointestinal safety profile but have come under flak with some of them having been withdrawn from the markets due to serious cardiovascular morbidity and mortality. Thus the answer to chronic pain? Nothing safe though several are effective.

Chronic pain is very closely linked to depression because both conditions share the same neuronal circuits in the brain. Serotonin and Endorphins that regulate a healthy brain functioning also regulate depression. Chronic pain results in depletion of Serotonin from the neuronal cells leading to an aggravation of depression. In fact many physicians treat chronic pain with the same drugs used to treat depression. Chronic pain sufferers respond with increased pain to stressful stimuli.

Some common causes of Chronic Pain include: Osteoarthritis, rheumatoid arthritis, spondylitis, Fibromyalgia, Neuralgia, stiff joints, tendonitis, neck pains, low back pains, muscle and joint pains, carpal tunnel syndrome, shingles and pinched nerves and sprains. Cancer pain can be chronic but responds significantly only to Morphine-like drugs.

The pharmaceutical cupboard for the management of chronic pain is virtually threadbare and search is on for the ideal pain-killer. Is there anything natural that is not only effective but safe as well? Many herbs have the propensity to relieve pain while leaving the body intact! Some of these herbs include:

1. White Willow (Salix sp): The bark of this stately white willow has been used for centuries in China to relieve pain and lower fevers. The active ingredient is Salicin which the body converts to Salicylic acid. Thus the white willow is often called as the “herbal aspirin”. At a cellular level the white willow helps lower the levels of Prostaglandins (a powerful chemical released at sites of pain and inflammation) and thus reduces pain and inflammation. People with arthritis who have used the bark of white willow have reported dramatic changes in pain intensity and also improved mobility after few weeks of use.

2. Lobelia inflata: Lobelia is a very powerful muscle relaxant and is rich in Vitamin A, C and Manganese. Lobeline, an active ingredient, stimulates the nervous system. Lobelia has helped treat mild depression, calm frayed nerves, ease muscle tension and reduce pain and inflammation.

3. Boswellia serrata: Also known as Indian Frankincense, the gummy resin of its bark called as salaai guggal has been known from centuries to help fight pain and inflammation. Boswellia is known to block the entry of inflammatory cells to the sites of inflammation, improve blood flow to sites of inflammation and block the pre-inflammatory chemicals. Boswellia has proven its merits in the management of pain in conditions like arthritis, in reducing inflammatory process in Crohn’s disease and Ulcerative Colitis. Boswellia can be used both orally and also topically over the sites of pain and inflammation.

A combination of the white willow, Lobelia and Boswellia would be an ideal pain-killer that has the same efficacy (but without the potentially lethal side effects) as conventional pain-killers.

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What type of pain killers are usually prescribed for post operative pain relating to inguinal hernia repair?

Marcus asked:


What type of pain killers are usually prescribed for post operative pain relating to inguinal hernia repair? Also, what type of pain should a 23 year old otherwise healthy male expect from inguinal hernia repair surgery?

Thanks!

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