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Question from patient:
This November I will have had my migraines for 6 years. I have been on all the migraine preventive and abortive medicine. In May they because more frequent and more severe to the point that in June I started getting Morphine shots from me doctor. Now my doctor doesn't know what to do anymore, he refered me to Swedish Headache and Pain Center in my state, however it can take up to two months to be seen. I've have pain from a migraine for most of this month now and need to be treated for the pain so I can function. Any information on how to talk to my doctor to help with releving the pain until I have my appointment? Any ideas as to what medicines I should talk to him about trying for now. Right now we are waiting for an appoval from Managed Care for Zofin so I can at least eat. However the more pain I am in the more nausa I have. My pain level in an average of a 12 so please help me.

Answer from doctor:
The Headache center you are referring to is excellent. You may want to talk to your physician to see if they would be able to expedite your appointment there. Try keeping a diary of your headaches and include food intake, medications, activities and any other information you can. This will help the doctors tremendously. Keep in contact with your primary care doctor about the pain you are experiencing. Good luck.

is there any( pain medications) that help with severe migraines? if so,what kind??

Typically, the most prescribed and studied medications for migraine headaches come from a drug class known as the triptans. This group of drugs contains such agents as Imitrex, Maxalt, Zomig and Relpax. These drugs act on specific sites on the blood vessels and nerves responsible for the transmission of nerve substances that carry painful signals. They are much more specific in their action than any other medications available at this time. As with any medication, whether over the counter or prescription, you should consult with your doctor before taking these.

i've been taking fioronal C 1/2 for years now... what i want to know is, which is a stronger and/or more effective pain killer the fioronal or oxycodone hcl?

As far as stregnth and efficacy for pain, oxycodone would be considered superior to Fiorinal. With that said, the medications are quite different in their make up. Fiorinal C contains asprin, butalbital, caffiene and codiene. oxycodone is a pure opiate preperation.

When would I need to see a pain medicine doctor?

People develop pain for many reasons. Pain from a recent surgery, injury or medical illness is called acute pain. In many cases, this pain can be managed immediately and will usually get better in just a short time. For more serious pain, however, your primary care doctor may ask a pain medicine doctor to help manage your pain while you are healing.

If your pain persists after the healing process should be over, you might have what is called chronic pain. If the current treatment you are receiving stops working or your pain begins to get worse over time, your primary care doctor may suggest that you see a pain medicine doctor.

Cancer pain is another condition that can be managed by a pain medicine doctor while the patient continues to receive treatment for various types of cancer. The pain can be due to cancer surgery or treatment procedures, including radiation therapy and chemotherapy, or the tumor itself.

MEDICATIONS FOR MANAGING PAIN

Due to rapid advances in medicine, a wide variety of medications and treatments are available for acute, chronic and cancer pain. Patients often will be prescribed medications before receiving other forms of therapy. In addition, your pain medicine doctor may conclude that a combination of medication and treatments may be right for you. Your therapy plan will be tailored to your specific needs and circumstances.

Your pain medicine doctor may suggest that you use certain over-the-counter pain relievers or may prescribe stronger medicine for your condition. DO NOT MIX PAIN PRESCRIPTION DRUGS WITH OVER-THE-COUNTER PAIN RELIEVERS WITHOUT CONSULTING YOUR DOCTOR. Advise your doctor if you are taking any herbal medicines or dietary supplements.

Common pain relievers - Nonaspirin pain relievers such as acetaminophen (Tylenol?) can relieve headaches and minor pain but do not reduce swelling. They are sometimes used in combination with other drugs to provide greater pain relief.

Anti-inflammatory drugs - Aspirin (Anacin?, Bayer?), coated or buffered aspirin (Ascripton?, Bufferin?) and aspirin with acetaminophen (Excedrin?) may be used to reduce swelling and irritation as well as to relieve pain. There also are non-steroidal anti-inflammatory drugs (NSAIDs, commonly called "N-sayeds") such as ibuprofen (Advil?, Motrin?) and naproxen (Aleve?). Anti-inflammatory drugs are used to relieve pain, inflammation and fever. There also are steroidal drugs (like cortisol and prednisone), available only by prescription, that are used to treat more serious inflammatory conditions such as chronic arthritis.

Opioid pain medications - Morphine-like drugs called opioids are prescribed to treat acute pain or cancer pain. They are occasionally used for certain chronic, noncancer pain as well.

Anti-depressants - These drugs were originally used only to treat depression. Studies now show, however, that they also can relieve certain pain. Available only by prescription, they often are used to help you sleep better at night.

Anti-seizure medicines - These medications are used to relieve what some patients describe as "shooting" pain by decreasing abnormal painful sensations caused by damaged nerves.

Other medicines - The doctor may also prescribe other types of medication that will be helpful for your specific pain problems. In addition, medications that counteract the side effects of opioids or treat the anxiety and depression associated with pain may also be prescribed.

Fioricet Carisoprodol, Esgicm Plus Tramadol Generic Fioricet, Paxil are good for pain relief, Shopping online for this kinds of medicines are quite cheap compared with the over the counter medicine.

Pain so often is accompanied by loss¡ªloss of function, loss of employment, loss of money, loss of friends and relationships to name just a few¡ªit's no wonder that people in chronic pain have an increased incidence of depression, anxiety, and sleep disturbances. It is natural to feel emotions ranging from fear, anger, denial, disappointment, guilt, and loneliness to hope and optimism. Every person reacts differently to pain at different times, which can make relationships and pain control difficult. The effect emotions and psychosocial well being have on pain cannot be ignored as emotions have a direct effect on your health. Taking care of the emotional aspects of chronic pain is necessary to treat your overall pain condition.

Pain and depression are inexorably linked in a complex way in your brain. Pain and pain-related disability affect mood ¡ª mood affects pain and pain-related disability. To successfully treat your chronic pain, you and your physician need to examine the emotional factors that may influence your pain level and physical disability. Read more about how pain and depression are connected and how to recognize symptoms in yourself.




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