Accurate Education, Pain Medications

Medications for Pain

see also:

Opioids:

   Tapentadol (Nucynta)

   Levorphanol

   Methadone (for Pain)

   Buprenorphine (for Pain)

 

 

Gabapentin (Neurontin) & Pregabalin (Lyrica)

 

NMDA Antagonists

Dextromethorphan (DXM)

Ketamine

 

NSAIDs (Non-Steroid Anti-Inflammatory Drugs)

 

Complementary and Alternative Medicine Alternatives for Pain:

   Acetyl-L-Carnitine

   Alpha-Lipoic Acid

   Curcumin (Meriva)

   Green Tea

   NRF2 Activators

   Palmitoylethanolamide (PEA)

   PolyResveratrol

   Quercetin

   Synaptamine

 

see also:

Counterfeit Medications

Medical Marijuana

Kratom

 

 Definitions and Terms Related to Pain

Key to Links:

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Red text – another page on this website

Blue text – Journal publication

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“Pain is temporary. It may last a minute, or an hour, or a day, or a year, but eventually it will subside and something else will take its place. If I quit, however, it lasts forever.”
– Lance Armstrong

Medications for pain fall into a several classes:

OTC (Over-the-Counter) Medications

OTC medications do not require a prescription but may be the same as prescription drugs. OTC  medications also include natural or synthetic supplements used for pain. Supplements of this nature are covered in the “Complementary and Alternative Medicine” section of education on this web site.

 

Tylenol (acetaminophen)

  1. Tylenol (Acetaminophen)
  2. Tylenol (Acetaminophen) and Liver Disease
  3. Tylenol in OTC Products

 

NSAIDs (Non-Steroidal Anti-inflammatory Drugs):

 

Topical Medications (see below for more information)

Topical” pain medications are applied directly to the skin, typically overlying the area of pain to achieve a localized effect. Topical medications may be prescription or non-prescription over-the-counter (OTC) or may be “compounded,” i.e. specifically formulated by a physician and made by a special compounding pharmacy. The term “transdermal” applies to medications applied topically but designed for systemic absorption, through the skin and into the bloodstream to be distributed throughout the body for a generalized effect – as opposed to a topical medication applied for local effect. Butrans and Fentanyl are examples of transdermal pain medications.

 

    Topical Medications – Prescription

  1. Topical Meds (Commercial, Non-Opioid) – for Pain
  2. Topical Meds (Compounded, Non-Opiod) – for Pain

 

    Topical Medications – OTC

  1. Topical Meds: (Non-Opioid) for Pain

 

also see:

Opioids

Medications for Pain – Overview

  1. Driving and Medications
  2. Generic Medications
  3. Prescriptions from other MD’s

 

Medications for Pain – Safe Disposal

  1. Safe Disposal of Medicines > Disposal of Unused Medicines: What You Should Know
  2. Safe Disposal of Medicines > Medication Disposal: Questions and Answers
  3. Flush list Medicine guides

 

Neuromodulators

The term “neuromodulator” is not commonly used but refers to medications for pain who’s mechanism of action is based on the drug’s modulation, or effect on, nerves, spinal cord and/or brain. Neuromodulators include medications originally used in the treatment of other conditions such as seizures, depression or muscle spasm but also found effective in treating pain, especially nerve pain, central pain and fibromyalgia.

 

   Neuromodulators for pain originally used to treat seizures (anti-epileptic drugs or AEDs) include:

  1. Gabapentin (Neurontin) – Gabapentin & Lyrica
  2. Pregabalin (Lyrica) – Gabapentin & Lyrica
  3. Topiramate (Topamax)
  4. Lamotrigine (Lamictal)

 

Neuromodulators originally used to treat depression include two classes of antidepressants:

SNRIs (Serotonin and Norepinephrine Reuptake Inhibitors):

  1. Duloxetine (Cymbalta)
  2. Venlafaxine (Effexor)
  3. Milnacipran (Savella)

 

TCA’s (tricylic antidepressants ) TCA’s commonly used for pain include:

  1. Amitriptyline (Elavil)
  2. Doxepin (Silenor)

 

Neuromodulators used to treat muscle spasm/pain:

  1. Baclofen
  2. Tizanidine (Zanaflex)

 

Complementary and Alternative Medications for Pain:

(see: Complementary and Alternative Medicine)

Emphasis on Education

 

Accurate Clinic promotes patient education as the foundation of it’s medical care. In Dr. Ehlenberger’s integrative approach to patient care, including conventional and complementary and alternative medical (CAM) treatments, he may encourage or provide advice about the use of supplements. However, the specifics of choice of supplement, dosing and duration of treatment should be individualized through discussion with Dr. Ehlenberger. The following information and reference articles are presented to provide the reader with some of the latest research to facilitate evidence-based, informed decisions regarding the use of conventional as well as CAM treatments.

 

For medical-legal reasons, access to these links is limited to patients enrolled in an Accurate Clinic medical program.

 

Should you wish more information regarding any of the subjects listed – or not listed –  here, please contact Dr. Ehlenberger. He has literally thousands of published articles to share on hundreds of topics associated with pain management, weight loss, nutrition, addiction recovery and emergency medicine. It would take years for you to read them, as it did him.

 

For more information, please contact Accurate Clinic.

 

Supplements recommended by Dr. Ehlenberger may be purchased commercially online or at Accurate Clinic.

Please read about our statement regarding the sale of products recommended by Dr. Ehlenberger.

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