In our approach to pain medication decisions, we aim to encompass all medication classes contributing to different mechanisms of action for pain management.
For episodes of acute or nociceptive pain, we utilize a combination of paracetamol and various non-steroidal anti-inflammatory medications, choosing based on patient needs, potential side effects, and duration of action.
Building on this foundation of simple analgesia, we introduce adjuvant medications—part of the two major classes for treating neuropathic pain. One group primarily acts on calcium channels, while the other targets noradrenaline channels.
Should the combination of these medication classes prove ineffective, we may contemplate the use of stronger opioids. However, these opioids entail long-term consequences such as dependence, diminishing efficacy, constipation, nausea, and depression.
To mitigate risks, we strive to limit the prolonged use of potent opioids, reserving them for short-term relief during acute pain episodes.
View our video with Dr Brendan Moore to learn more.
