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Robert Moghim MD

Anchor Healthcare

Medications for Chronic Pain – Benefits and risks

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Medications help manage chronic pain, reducing discomfort and improving function. Different types target pain in various ways, and the right choice depends on the condition, severity, and patient response. While medications provide relief, they come with risks and require careful management. Untreated pain can lead to serious health issues, including stress, poor sleep, immune dysfunction, and mobility loss.

Medications can serve as a temporary measure to lower pain levels until other therapies, like physical therapy and lifestyle changes, take effect.

Non-opioid medications such as acetaminophen and NSAIDS are often first-line treatments. NSAIDS reduce inflammation but may cause gastric irritation, ulcers, and bleeding, especially with long-term use. Acetaminophen is gentler on the stomach but can harm the liver in high doses. Antidepressants and anticonvulsants help with nerve-related pain by altering pain signals but may cause drowsiness, dizziness, or mood changes.

Opioids are reserved for severe pain when other treatments fail. While effective, they carry risks of dependence, tolerance, and overdose, requiring careful monitoring, including urine drug screenings. Muscle relaxants and topical treatments may also help with fewer systemic effects.

A multimodal approach combining medications with physical therapy, lifestyle changes, and interventional treatments improves pain management while reducing risks. If considering medications for chronic pain, talk to your medical team about the safest and most effective options.

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