Overview of Pain Management |
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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