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The right role for drugs in pain management

admin — Mon, 05 Jan 2009 09:52:29 +0000

As a youngster - what a long time ago that seems - when I was hurt, I had to waited until I got better again. The choices were aspirin and then a major step up to all those painkillers which have those unfortunate addictive risks. So rather than become one of the youngest junkies on the block, I worked through the pain, ignoring it as best as possible. In fact, my grandmother was a Christian Scientist and refused to take any drugs even though she had chronic arthritis of the knees and struggled to walk. But experience has led to some important shifts in the regime to treat patients whose pain shows signs of persisting. The first step is to consider the patient’s attitude. If we think the pain will soon be gone, it’s easy to stay positive. If the pain is dragging on, it’s easy to start feeling down, with depression not too far away. Thus, doctors now routinely advise adding a mild antidepressant to allow us to adjust to the new reality of a more permanent disability. The trend is to pick a drug which also acts as a sedative. Otherwise sleep can be disturbed if the pain is too intense. For neuropathic pain, doctors now consider using an anticonvulsant. This is not because you are likely to experience seizures as in epilepsy. It’s simply that experience shows the combination with tramadol hcl often relieves neuropathic pain. But, wherever possible, the medical regime now aims to use drugs as little as possible. Wherever it’s available and affordable, the use of Cognitive Behavioral Therapy is also highly effective in teaching people how to restructure their attitudes and lives. Thus, tramadol hcl and the other drugs are only used as a temporary bridge until you have learned how to cope on your own. Obviously, if things do get on top of you again, you can always fall back on tramadol hcl for a short time, just to let you build up your strength again.

Those lawmakers have been it again

admin — Tue, 23 Dec 2008 09:49:48 +0000

A bill has quietly been working its way up through Capitol Hill and has just arrived at the White House. Any day now, it will cross the desk of President Bush so he can go through the motions of signing it into law. From the statistics of abuse provided by the Emergency Rooms around the US, many people are abusing prescription drugs. It does not apply to online pharmacies unless they are physically based within the US and it does not apply to non-controlled drugs such as the hair-loss medication Propecia. There are no provisions to limit credit card or other payment systems, there are no limits on the results on search engines - Google can continue to carry the sites of the offshore pharmacies - and there are no new powers to stop packages as they enter the US. There is little the DEA can do to prevent people from buying one or two tablets from a street dealer, but it is trying to prevent easy online access to drugs in quantity. As to all the other medications such as propecia, there is no need to worry or change any of your existing practices. Online pharmacies based outside the US can continue to supply you with your medication at a discounted price. In the case of propecia, for example, you can make major savings as against the normal retail price payable in your neighborhood pharmacy. This is free market economics at its best, giving you the best value for your dollar at a time when the economy is going through a tough patch.

If you prick me, do I not bleed?

admin — Sat, 20 Dec 2008 09:50:54 +0000

When Shakespeare was writing The Merchant of Venice, he was talking about the extent to which people are the same under the skin. But culture is more than skin deep and what one group of people find an everyday treatment, others find extraordinary. To those in the West who are used to the idea of taking a tablet, acupuncture just looks like masochism, i.e. you feel so much better when the pain stops. But in China, there are more than two thousand years of experience in administering treatment this way and many medical hospitals in Asia and ASEAN include acupuncture as one of the therapies available to treat patients. Westerners are used to using a range of treatments for cosmetic problems such as acne and baldness. Some are available over the counter while others require a prescription. Accutane, being the most powerful treatment for acne, usually requires the approval of a dermatologist before it is prescribed. The aim in the treatment is to improve the condition of the skin by stimulating the flow of blood around the face. Various infusions are also used together with a general recommendation to drink more dandelion tisane or chrysanthemum tea - popular drinks in the region to promote good health. There are verifiable “cures” when TCM, including acupuncture, is used. For Westerners, the question is of some importance. As it stands, the drug of final resort for the treatment of acne is accutane which has significant problems associated with its use by women of child-bearing age. If the same improvements seen among those who use acupuncture could be replicated in the West, would this not be a better way to treat a serious skin problem rather than having to rely on heavy-duty drugs with sometimes dangerous side effects?

Lawyers - can’t live without them wanting a share of the profits

admin — Wed, 03 Dec 2008 13:21:33 +0000

With other drugs, it usually takes less than a decade to reach the final settlement of liability. However, there is one issue that has been rumbling through the courts for more than the magic ten year limit. That involves the combination of phentermine with fenfluramine, sometimes called Fen-phen used to promote weight loss which was withdrawn from the market in 1997. We should be very clear about the safety of phentermine on its own.

This month has seen a jury in Philadelphia dismiss a tort case alleging that Fen-phen caused Primary Pulmonary Hypertension. This is a disease of the blood vessels inside the lungs and it is always fatal. The problem faced by every plaintiff is the need to prove that whatever the defendant did or did not do caused the plaintiff’s injury. When it comes to a disease or physical disorder, there is sometimes no clear scientific explanation of how people catch the disease or fall victim to the disorder.

Just to confirm you can buy phentermine with confidence. There has never been any suggestion that phentermine on its own has ever caused such physical problems. It is good to see that, albeit by association, phentermine has also been cleared in almost every case brought before a court alleging PPH from the use of the Fen-phen combination. Weight loss medications get a bad press sometimes. In this case, it’s all good news from the courts.

Nothing but good to say about it

admin — Tue, 02 Dec 2008 08:34:05 +0000

As the tumors become more aggressive, tramadol is recommended by the World Health Organization as the safest and most effective drug to use until the more advanced stages when some narcotic has to be used. In the home context, tramadol hcl in tablet form remains the staple drug for the relief of both acute and medium pain. Its key advantage over the more powerful opioid analgesics is that it is less likely to produce physical or psychological dependence. So long as the instructions given by the physician are followed, it should produce good relief from moderate to severe pain. Because it affects the serotonin and noradrenaline systems, it is also useful to reduce the risk of anxiety and depression without having to immediately resort to antidepressants. So, no matter how you look at it, tramadol hcl is a great all-round performer.

Tramadol hcl has been used as a painkiller for almost thirty years in both the hospital and the home environment. During this time, research has varied in intensity. As a new drug in the late 1970s, physicians were naturally interested to find out exactly what the medication would do. There was then a lull until the 1990s when it was discovered that tramadol not only interacts with the opioid receptors, but also acts to inhibit the reuptake of serotonin and noradrenaline.

Although some patients experience nausea and, occasionally, vomiting, there are rarely any adverse effects when tramadol is used after surgery. This makes it the preferred choice as against the other narcotic painkillers because the risks of addiction are minimal. In different hospital contexts, tramadol is used for pain relief during labor without adverse reaction from either the mother or the child as it is born.