Pain and Its Relief Without Addiction: Clinical Issues in the Use of Opioids and Other AnalgesicsPain and Its Relief Without Addiction will help people in pain understand why their pain is not always adequately relieved, as well as help reverse the failure of current medical practice to routinely alleviate pain. As noted by a 1992 publication of the United States Department of Health Services, this devastating trend contributes to unnecessary discomfort, longer recovery periods, and compromised patient outcomes. By reading this book, frustrated physicians and, perhaps more importantly, persons in pain can acquire a better understanding of the nature of pain, its connection to the emotions and psychological state of patients, and the impact particular drugs have on the body; this will facilitate relief from pain among a higher percentage of the population.Opioid analgesics comprise many of the chapters in Pain and Its Relief Without Addiction. Author Barry Stimmel, MD, describes the principles to be followed in prescribing opioid analgesics to relieve pain while maintaining one’s daily activities without any limitation in function. The available opioids are described, and the differences between them are reviewed to allow you--as a physician, health care provider, or even a patient--to gain a better insight into the one(s) to use for both acute and chronic pain states. The point that is emphasized is that dependency on an analgesic to relieve pain is no different than dependency on medications to lower blood pressure, prevent heart attacks, treat diabetes, etc. What should be avoided is “addiction,” a condition where function is impaired rather than enhanced.Pain and Its Relief Without Addiction is a guidebook designed to assist physicians and other health professionals in developing a practical approach to pain management and to give patients a fuller understanding of their pain. You’ll gain specific information about:
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absorption abuse accompanied acetaminophen acid action acute pain addiction administration agents agonist alcohol amphetamine analgesia analgesic analgesic activity analgesic effect antagonists anxiety aspirin associated barbiturates benzodiazepines brain butorphanol caffeine cancer cardiac cardiovascular cell central nervous system Chapter chronic pain Clin clinical clonidine cocaine codeine decrease diazepam disease disorders dorsal drugs elderly enhance excretion fibers frequently function gastrointestinal half-life heroin hypotension increased ingestion inhibition injection interactions intravenous marijuana meperidine metabolism methadone mood-altering morphine muscle nalbuphine naloxone narcotic analgesics nerve neurons nociceptive nociceptors NSAIDs occur opiate opiate receptors opioid oral overdose pain relief parenteral pathways patients pentazocine percent peripheral persons Pharmacol pharmacologic phenothiazines physical dependence physician placebo potential prescribed prescription presence propoxyphene psychological reactions relieve pain renal reported respiratory depression response result salicylate sedation sedative side effects specific spinal cord stimulation substances symptoms syndrome TABLE therapeutic therapy tion tissue tolerance toxicity treatment tricyclic antidepressants withdrawal