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See also: Constipation, Infrequent Bowel Movements, Bowel Irregularity, http://www.nursefriendly.com/constipation/
Types of Pain, Pain Management (Links to over 2,000 resources), http://www.nursefriendly.com/pain/
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What are pain killers? Cancer Research, UK:"Painkillers are also called 'analgesics' or 'analgesia'. There are many different types and strengths of painkillers suitable for different types of pain. The strongest painkillers used for controlling cancer pain are called opioids. You may also be given non opioid drugs such as anti inflammatories. Other drugs can also be used. For example, anti-depressants can help with nerve pain. Many people use alternative methods of pain control either with or without painkillers." ******************************************************
December 25, 2004: Most Pain Killers Deplete The Body Of The B Vitamin Folic Acid:"With all negative news concerning Non Steroidal Anti Inflammatory Drugs (NSAID's) and the Cox 2 inhibitors Vioxx, Celebrex and Naproxin, it is notable that all the experts - doctors and pharmacists - have failed to mention one salient fact. All of these drugs, including the oldest pain killer Asprin, deplete the body of the B vitamin Folic acid.
Folic acid is one of the most common vitamin deficiencies and it is vital in metabolizing homocysteine, a toxic amino acid that is recognized as one of the most critical independent risk factors to cardiovascular disease. Homocysteine, directly damages the vascular system thereby starting a disease process that leads to atherosclerosis and increases the risk of heart attack and stroke." ******************************************************
December 24, 2004: Limit use of pain-killers, FDA warns:"The Food and Drug Administration on Thursday ordered a review of all prevention studies involving drugs such as Celebrex and Bextra, which have been associated with increased risk of heart problems. The agency also urged the public to limit use of over-the-counter pain medications.
''Consumers are advised that all over-the-counter pain medications ... should be used in strict accordance with the label directions,'' said Dr. John K. Jenkins, FDA director of new drugs." ******************************************************
Tuesday, December 21, 2004: Aleve Ingredient Joins Painkillers Linked to Risks:"The epidemic of bad news about the potential risks of popular anti-inflammatory medications expanded yesterday as federal officials announced that naproxen, a painkiller sold by prescription and also over the counter as Aleve, might increase people's risk of having a heart attack or stroke.
The new findings bring to three the number of widely used anti-inflammatory drugs suddenly in the spotlight for their potential health risks. Vioxx was pulled from the market this fall, and its sister drug Celebrex, the blockbuster arthritis drug, was linked to heart attacks and strokes last week, stopping a major clinical trial." ******************************************************
Side effects of pain killers. Cancerhelp.org:"Like all drugs, most painkillers have some side effects. This page has information on side effects caused by Morphine based drugs (opioids)
and by other drugs used to treat cancer pain, such as
Anti-inflammatory drugs
Steroids
Anti-convulsants
Anti-depressants
Bisphosphonates
Morphine based drugs
Morphine based drugs (called opioids) can cause
Constipation
Drowsiness
Sickness
Dizziness
Dry mouth
Hallucinations
As with any drug, you will not necessarily get all these side effects. Drowsiness and sickness are the most common. Usually they happen because you are not used to the drug. After a few days they lessen and disappear. An allergic reaction to morphine is possible, but this is rare.
All morphine based drugs cause constipation. This can be can be quite painful if it isn't treated. It can continue for the entire time that you are taking morphine. The best thing to do is to start taking stool softeners or laxatives regularly as soon as you start taking painkillers." ******************************************************
Drinkers Use Pain-Killers Despite Interactions from U. of Michigan Health System, Alcoholism - About.com:"Women More Likely to Underreport Alcohol Use
Despite warnings about interactions between alcohol and narcotic pain relievers, a new study suggests many people taking these drugs continue to drink, in some cases heavily.
In a study examining how alcohol use affects back pain, researchers at the University of Michigan Health System also found people with chronic back pain who reported heavy drinking showed less physical disability on a series of functional tests than light drinkers. Further, women seldom reported heavy alcohol use, suggesting doctors need to be more careful about prescribing narcotic pain relievers." ******************************************************
Opioid Pain Killers Available in the US, Schaffer Library of Drug Policy:"CATEGORY I. STRONG AGONISTS-- SEVERE PAIN. Information listed: generic name, trade name, recommended dosage,
duration of action, Controlled substance, category
HYDROMORPHONE DILAUDID 2-4 mg."
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Last updated by Andrew Lopez, RN on September 11, 2006 |
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