Non-Opiate Pain Killers
In recent years there has been amplified attention on opioids and their role in pain management. Opioids are a class of drugs that includes illicit drugs like heroin and prescription medications like oxycodone. Some opioids are prescribed as pain medications while others have no medical use and are illegal in America. Opioids bind to specific receptors in the central nervous system. In doing so, they change how the body senses pain. Unfortunately, along with being powerful, effective pain relievers, opioids have serious side effects. Opioid pain medications can be incredibly difficult to stop misusing. Even when used as prescribed, people can and do become obsessed with misuse. Opioids also depress breathing, which can cause a fatal overdose. Prescription opioid overdoses are often accidental.
Due in large part to high prescription rates, the U.S. is grappling with a devastating opioid epidemic. Since 2000, half a million people have died from opioid overdoses, and despite the push to change the trends, opioid pain relievers do remain the first-line choice for moderate to severe acute pain, especially in emergency rooms. There are tens of thousands of overdose deaths each year, and millions struggle with opioid misuse. Now there is starting to be increased scrutiny on the prescribing of these drugs. There is also an effort to find alternatives in the form of effective non-opiate painkillers.
A recent study released in 2017 showed no significant difference in the pain relief offered by opioids and non-opiate painkillers. The study looked at adults visiting emergency departments for arm and leg pain related to injuries including sprain and fracture. After two hours, there was no major difference in pain reduction when patients were given ibuprofen-acetaminophen versus comparison opioid combination drugs. This research strongly supports the idea that opiate painkillers are not the best way to treat pain.
Doctors who work in emergency departments say they are working to change how opiate painkillers are prescribed. Many physicians report having open discussions with their patients about the risks of opiates including uncontrolled, compulsive use. The overall objective is to bring down the number of people exposed to prescription opioid pain relievers. Along with the risks of continual and uncontrolled obsession with the drug, there are other negative side effects as well. Nausea, vomiting, constipation, and physical
Tricyclic antidepressants are being looked at as an effective pain reliever, especially for nerve pain. Other categories of antidepressants including selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors are being researched for their use with chronic pain. Anti-epileptic medications can help with nerve and chronic pain from conditions like shingles and fibromyalgia. Corticosteroids, often just called steroids, can help with pain related to an overactive immune system and inflammation. This type of drug may help with pain stemming from conditions including back injuries, joint pain, nerve pain, and cancer.
Non-opiate pain relievers, including both medications and alternative treatments, can be effective. Exploring more non-opiate pain relievers may help curb some of the opioid uncontrolled obsession cases and overdose deaths in the U.S., particularly as both patients and doctors learn more about these options. This doesn’t mean non-opiate painkillers don’t have side effects, but they tend to be more limited, and none of the above non-opiate pain relievers are considered to cause compulsive use.
If you or a loved one struggles with prescription opiate pain relievers or other drugs, please contact The Recovery Village. We can work with you every step of the way, from learning more about psychological disease to insurance options to cover the cost of treatment.
Medical Disclaimer: The Recovery Village aims to improve the quality of life for people struggling with a substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare provider.
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