In June I told you about the FDA developing “Risk Evaluation and Mitigation Strategies” (REMS) to put tighter controls on the use of opioid medications. (See URGENT: FDA May Remove or Limit Access to Opioid Pain Medications ) One of the strategies being considered is requiring doctors to have special education and certification in order to prescribe each type of opioid medication. One medication that is already being treated this way is Suboxone. Suboxone is a combination of buprenorphine and naloxone and is used to treat opioid dependence and/or addiction. Buprenorphine is an opiod medication similar to other opioids such as morphine, however, it produces less euphoric effects. Naloxone blocks the effects of opioids – although when taken under the tongue as directed, it does not affect the action of the buprenorphine. Currently, physicians who want to prescribe Suboxone are required to receive special training in how to...
While its very important to make sure the pain is not
related to some serious organic issue such as cancer or
infection and while most
and other physicians are good at finding such causes, what many
physicians are not good about is pain.
Those who have read my
(background) blog essay will remember that I found out I had
prostate cancer because I initially consulted my urologist about a
severe pain I had in my testicles. This turned out to be unrelated
to the prostate cancer (which was diagnosed separately), but the
pain was extremely upsetting to me. The urologist said I had
epididymitis (definition: inflammation of the epididymis, a thin
tube that runs from the testes to the prostate gland).
But it turned out that my urologist, who had seen epididymitis
many times didnt understand just how painful it was. Nor did
he (or my internist) have the slightest idea how to deal with it.
Warm baths. Aspirin. Ibuprofen. All were prescribed. None ha...
When you see the title, “Learning to Manage Your Energy,” your first reaction may be, “What energy?” It’s true that people with fibromyalgia , chronic fatigue syndrome , or other chronic pain conditions often have precious little energy to work with––which makes learning to manage it even more important. See if this sounds familiar. You have a rare day when you’re actually feeling pretty good. Wanting to seize the opportunity, you set out to accomplish all those things you haven’t had the energy to tackle. Fueled by a rush of adrenaline, you push your body to keep going until it finally gives out. Of course, the next day you wake up asking for the license number of the truck that ran over you. For days, or perhaps weeks, it’s all you can do to drag yourself from room to room. Yes, we’ve all done it. It’s hard not to go overboard when, after months of bein...
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