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How do I Choose an alternative treatment to opioids for pain management?
Are nonopioid and nonpharmacologic treatments better than opioids for chronic pain?
Are pain relievers opioids or non-opioid?
Apr 21, 2024 · Nonopioid alternatives include nonsteroidal anti-inflammatory drugs, antidepressants, physical therapy, and interventional procedures. Tailored, multimodal approaches are essential to avoiding the risks associated with opioids (eg, addiction and overdose) and are guided by the biopsychosocial model and patient-centered care.
- Saugat Dey, Bruce M. Vrooman
- 2024/04/21
- 2021
- Examples of Non-Opioid Analgesics
- Differences Among Non-Opioid Analgesics
- Are Non-Opioid Analgesics Appropriate For Severe Pain?
- Non-Opioid Analgesics in Clinical Settings
- Pain Treatment Strategies
Non-opioid analgesics include a variety of agents, indicated for a number of pain conditions, and carry related potential side effects and risks (see Figure 1). The most commonly used agents include: 1. Acetaminophen (paracetamol) 2. Anticonvulsants (including gabapentin and pregabalin) 3. Antidepressants (including amitriptyline and duloxetine) 4....
Acetaminophen.The analgesic and fever-reducing effects of acetaminophen are well-known, but its mechanism of action is not. Nevertheless, it is widely considered to be the safest analgesic available, although liver injury is a concern with overdose. Aspirin and other NSAIDs.Aspirin and other NSAIDs alleviate pain and reduce fever and inflammation b...
The short-term use of low-dose opioids may be necessary to treat the moderate-to-severe acute pain that occurs after surgery or traumatic injury. However, risks associated with opioid use, including the potential for dependence and overdose, have led prescribers to consider non-opioid analgesics — as well as non-pharmacologic alternativessuch as co...
Non-opioid analgesics can play an important role in the emergency department and intensive care unit (ICU). For example, a double-blind clinical trialfound that for emergency department patients with acute extremity pain, combinations of non-opioid analgesics may be as effective in reducing pain as opioids. And a meta-analysisof 12 randomized clini...
Today’s clinicians have a variety of pharmacological and non-pharmacological options for treating pain. For some patients with acute severe pain, a short course of opioids aids in healing and recovery. For other patients with chronic severe pain, opioids provide relief and allow patients to function in their daily lives. As the medical community in...
Nov 21, 2022 · A variety of alternative treatments are available for chronic pain, such as non-opioid medications, physical therapy, acupuncture, yoga, massage, exercise, and biofeedback. Psychotherapy also helps treat the mental challenges and stress that often occur with chronic pain.
- Acetaminophen. Acetaminophen, the active ingredient in Tylenol, is an over-the-counter (OTC) medication that’s good for relieving headaches, back pain, and arthritis pain.
- NSAID pills. NSAIDs (nonsteroidal anti-inflammatory drugs) are great for treating mild to moderate pain, such as pain from muscle injury, inflammation (swelling), arthritis, and back issues.
- Celebrex. A newer NSAID, celecoxib (Celebrex), is available by prescription only. Celebrex is a COX-2 inhibitor medication. It works well as a painkiller and an anti-inflammatory medication.
- NSAID gels, liquids, patches, and creams. NSAIDs are also available as topical products, like anti-inflammatory creams. These can help with some types of pain, particularly when the pain is centered around a joint or in a specific area of the body.
But there are many non-opioid treatments available for pain, including prescription and over-the-counter aspirin, ibuprofen, and acetaminophen; nondrug remedies such as massage and acupuncture; and high-tech treatments using radio waves and electrical signals.
May 2, 2024 · Clinicians can consider using nonopioid therapies to treat common types of acute pain including: Low back or neck pain. Dental pain. Kidney stone pain. Pain related to musculoskeletal injuries (such as sprains, strains, tendonitis, and bursitis)
Jun 19, 2019 · For the management of acute pain, the use of multiple approaches that do not include opioids and the establishment of acute pain services for postoperative pain management can reduce opioid...
