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Important Medication Used in Pain Management


Managing pain can be confusing... people sometimes chart every analgesic they can think of and hope for the best..this leads to inadequate analgesia and use of inappropriate medication which can cause issues, such as increased oral opioid abuse in the community.

Assess and classify what type of pain you are dealing with first.

Duration        

Acute

Chronic (Persistent)

Acute on chronic       

Cause

Cancer

Non-cancer

Mechanism

Nociceptive (Physiological pain)

Neuropathic (Pathological pain)

Drug treatments

   

   Acute nociceptive mild 

   Acute nociceptive  severe   

    Acute neuropathic

     Chronic Non-cancer   

    Acute/ Chronic cancer

Paracetamol++++++++
NSAIDS++++++
-
+
-
Tramadol+++  +
-
Morphine

 

++++ +++

Tricyclic antidep

-

-++++++
Anticonvulsants--+++++

 

NB: Tricyclic anti-depressants/anti-convulsants are useful for neuropathic element of pain in patients with cancer - not effective in nociceptive pain



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