What happens when NSAIDs don't do
the trick, and the pain and the inflammation persists?
In the setting of intense pain or persistent pain, in
patients who are already taking NSAIDs, we can supplement with short-term narcotic
pain relievers. The reason we prefer to use narcotics short-term is
because narcotics have the potential for habituation, which means the patient may require
higher and higher doses for pain relief, and that they become habit forming.
What are some of the examples of
narcotic pain relievers that you use?
Typical narcotic pain relievers
that we use include Codine or Codine derivatives and Darvocet or related
medications to Propoxaphine and Ultram .
Thank you, Bill, for
sharing with us your perspective on proper use of pain relievers in your practice
and also for reviewing the use of over-the-counter pain relievers.
Thank you Dennis for your
answers represent the opinions and perspectives of the doctors and
pharmacists of and are for educational purposes only. They
should not be used to replace or substitute for timely consultation with
your doctor. Accuracy of information cannot be guaranteed.
Please remember, information can be subject to interpretation and can become obsolete.
For more Doctors' Dialogues, please visit our Doctors' Dialogues Archive under our Health Resources section.
Inhaled corticosteroids are the mainstay for daily controller medications in children and toddlers. The choice of which inhaled corticosteroid often comes down to which medication delivery device is preferred by caretakers. Young children can use metered-dose inhalers with a spacer and face mask, as long as caregivers are trained and feel comfortable with the proper technique. Budesonide is available via nebulizer, and this may be easier for infants and younger toddlers. Some children may also feel comfortable with a dry powder inhaler. If used properly, all medication delivery devices are effective, so choice is usually individualized based on caregiver and child preference. Combination inhalers are also used in children, and health-care professionals caring for children with asthma may choose these for children with moderate to severe asthma.