Tag: pain medication

Opioids: Prescribe with Care

In the past several years, opioid misuse and abuse has become an increasing problem in our society. Recently, the death of music icon, Prince, was attributed to an accidental overdose of Fentanyl, a powerful synthetic opiate used to treat chronic pain. This problem is not limited to high-profile celebrities –– according to the Centers for… Read more »

Exercise and Acetaminophen: Tools for Your Patients’ Pain Treatment Toolbox

Despite all our good intentions to alleviate our patients’ chronic pain symptoms and improve their quality of life, there are many challenges in the way. We have limited time to interact with each individual, and frequently, insurance does not cover the ideal multidisciplinary approach. Adding to these obstacles is the significant increase in prescriptions medications… Read more »

Pain Medications: How Long is Too Long?

Revised by Kevin L. Zacharoff, MD December 2015 There are many different types of pain medications available to help healthcare providers treat patients with chronic pain. Depending on the specific medication, they can be obtained by prescription or are available over-the-counter (OTC). Pain medications provide an important component of most treatment plans intended to relieve… Read more »

Same Opioid, Same Patient Type, Same Response?

Empirical is typically defined1 as “originating in or based on observation or experience” (e.g., empirical data), “relying on experience or observation alone often without due regard for system and theory” (e.g., an empirical basis for a theory), or “capable of being verified or disproved by observation or experiment” (e.g., empirical laws). It is quite common for… Read more »

The First Line of Tamper Resistance of Prescription Pain Medications is. . . You

One of the four definitions that the Merriam-Webster dictionary offers for tampering is “to render something harmful or dangerous by altering its structure or composition.” There is nothing in the definition about intention, such as intent to break the law, intent “to get high,” or other aberrant drug-related behaviors; just the fact that something that changes structure… Read more »

The Beers Criteria

Census data shows that the average number of people in the United States turning 65 each day is approximately 10,000. More people will turn 65 every day for the next 20 years, making this one of the fastest growing segments of the U.S. population. It is reasonable to think that the number of people seeking medical attention for pain-related… Read more »

Reducing Reliance on Pharmacologic Treatment: Difficult Conversations, Part III

This is the first article in a series of eight articles by Ilene Robeck, M.D. regarding difficult conversations a primary care provider may have when dealing with patients with chronic pain. This series is meant to be a guide for primary care providers facing these situations.  Difficult situation #3: Finding a better way to communicate… Read more »

Recommendations for Acetaminophen

Acetaminophen is one of the most commonly used over-the-counter (OTC) medications in the United States. It is strictly classified as a centrally acting analgesic and antipyretic agent, is a common treatment of mild to moderate pain, and is often a recommended first-line of analgesic therapy. Acetaminophen is sometimes combined with opioid medications (e.g. codeine, hydrocodone,… Read more »

Cox-2 Inhibitors: Popular Yet Controversial Drugs

An article for patients If you are among the estimated 50 million Americans living with chronic pain, then you are probably familiar with coxibs. Coxibs is the abbreviation for cyclooxygenase inhibitors. They belong to the family of nonsteroidal anti-inflammatory drugs (NSAIDs) of which aspirin, ibuprofen (Advil, Motrin), and naproxen (Aleve) are the most well known…. Read more »