Narcotics, or opioids (pronounced OH-pee-oydz), provide the main relief for this level of pain. There are both long-acting and short-acting opioid pain medicines:
Long-acting opioids include:
oxycodone (brand names: Roxicodone, OxyIR, OxyContin)
fentanyl (brand name: Duragesic)
morphine (brand names: MS Contin, Oramorph, Avinza, Kadian, Roxanol)
methadone (brand name: Dolophine)
Short-acting opioids include:
morphine (brand name: MSIR)
oxycodone (brand name: Percocet)
hydrocodone (brand names: Vicodin, Vicoprofen, Lortab, Lorcet, Hycodan, Zydone)
hydromorphone (brand name: Dilaudid)
fentanyl—rapid acting (brand name: Actiq)
meperidine (brand name: Demerol)
Dosage is adjusted to suppress your pain around-the-clock. Long-acting medication helps so that most of your day is pain free, and ideally you won't need to get up in the middle of the night to take another dose. Short-acting drugs are used to treat episodes of breakthrough pain.
There are many different opioids to try f...
Remember that game show called "Press Your Luck" where contestants would battle the game of chance in order to win money. Land on a "Whammy" and all that money would be gone in an instant. Many chronic pain patients also battle the game of chance by taking way too much Tylenol each day. Only this "whammy" could cost a life.
Sometimes taking these chances is by accident because Acetaminophen is in so many products with various names like NyQuil, Vicodin, Percocet , Lortab, and the list goes on and on. The problem is that the amount of Tylenol adds up with every product consumed daily. Some people still do not realize that APAP, Acetaminophen and Tylenol are all the same thing. This lingo can be deadly to those unaware. However, some people are very aware that they are taking too much Tylenol. They choose to press their luck. Some give explanations for this reckless behavior like, "I've been O.K. so far" or "My doctor checks my liver test periodically". Someday these excuses ...
You've probably been hearing in the news that an FDA advisory panel has recommended lowering the maximum recommended dose of acetaminophen from 1,000 mg per dose to 650 mg. They also recommended lowering the maximum daily dose, which is currently 4 grams (4,000 mg). Although they didn't specify what the maximum daily dose should be lowered to, it would most likely be in the neighborhood of 2,600 mg per day. The reason the FDA is considering changing their recommendations is that acetaminophen overdose is currently the leading cause of liver failure in the U.S. What many news reports are not telling you, though, is that this same advisory panel, by a narrow margin, also recommended banning hydrocodone and oxycodone products like Vicodin and Percocet that contain acetaminophen. (Vicodin and its generic counterparts contain hydrocodone and acetaminophen. Percocet and its generic formulations contain oxycodone and acetaminophen.) According to a 2005 stu...
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