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Chronic pain is a serious health condition. Like anylong-term health problem, the condition often leads to complications beyondyour physical symptoms, such as new or worsened depression, anxiety anddifficulty sleeping. Chronic pain can make it more difficult to keep up atwork, manage tasks at home and attend social gatherings, leading to problems inyour relationships and financial instability. Some research suggests that themore severe your pain, the more serious these problems.

 

The serious consequences of chronic pain make findingeffective treatment a critical goal. Unfortunately, this process is complex anduniquely personal. What works for one person's chronic low back pain may notoffer any relief for your osteoarthritis, for a number of reasons. Yourdiagnosis, biology and personal history all play a role, and finding paintherapies that bring you adequate relief can be a lengthy effort.

 

Working in partnership with your doctor, however, you canidentify treatments that allow you to live an enjoyable, fulfilling life. Theapproach you choose should include more than just medication, but painkillersare likely to play a role. Learn about the risks and benefits of common painmedications so that you can make safe choices as you seek your solution.

 

Nonsteroidal3 anti-inflammatory drugs (NSAIDs)

NSAIDs are most effective for mild to moderate pain that'saccompanied by swelling and inflammation. These drugs are commonly used forarthritis and pain resulting from muscle sprains, strains, back and neckinjuries, or menstrual cramps.

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Opioids

Opioid medications are synthetic cousins of opium and thedrugs derived from opium, such as heroin and morphine. These drugs are oftenprescribed for acute pain that stems from traumatic injury, such as surgery ora broken bone. Opioids currently cause the most prescription drug-relatedoverdose deaths in the United States — and that rate is still rising. Becausethe risks are so great, opioids are used at the lowest dose possible, usuallyfor just a few days.

 

Brand names. Hydrocodone (Hysingla ER, Zohydro ER);hydrocodone-acetaminophen (Norco, Zyfrel, others); fentanyl (Actiq, Duragesic,Fentora), oxycodone (OxyContin, Roxicodone, others); oxycodone-acetaminophen(Percocet, Roxicet, others); others

How they work. Opioids, just like real opium, mimic thenatural pain-relieving chemicals — called endorphins — produced by your brain.These drugs "turn down the volume" on the pain signals your nervoussystem sends through your body. They also muffle other nerve cell functions,such as your breathing, heart rate and level of alertness.

 

Bottom line. Opioids are a last resort for chronic painmanagement. They may be the right choice for long-term pain related to cancerand its treatments or, in rare cases, noncancer pain that hasn't responded toany other medications. Because the risks are so serious, you'll need carefuland frequent follow-ups with your doctor if you use opioids long term.

While there isn't a cure for chronic pain, many effectivepain medications are available to help you function effectively and enjoy yourdays. As you try different drugs, alone or in combination, work with yourdoctor to target the simplest long-term solution possible. Keep your medicationrisks to a minimum to improve your odds of many good days, for many years tocome.