medikamentöse Therapie

We will ask you which medications you are, on which you have been and what effect this medications had. Afterwards we will create a medicamentous treatment plan and evaluate it together with the patient. We will definitely have to take interactions with other medications into account. Normally we use preparations like antilogistics, morphine, neuroleptics or sometimes even antidepressants which need to be applied in a specific treatment plan.

This is the step by step treatment plan by WHO:

Step 1: non- opioid analgetics, prn. Combination with adjuvants

Step 2: weak opioid, prn. Combination with non- opioid analgetics and/or adjuvants

Step3: strong opioid, prn. Combination with non- opioid analgetics and/or adjuvants

The modern medicine doesn’t use this scheme anymore but its principles still apply for today as well. Due to new acquired knowledge we have a better understanding on which effects drugs have on the brain or the spinal cord. Therefor drugs which have been used to treat cramps or depressions can be used to treat pain if we adjust the dosage.

The best way is to treat with the safest and less medications. In rare cases a combination with other medications may be useful.We will ask you which medications you are, on which you have been and what effect this medications had. Afterwards we will create a medicamentous treatment plan and evaluate it together with the patient. We will definitely have to take interactions with other medications into account. Normally we use preparations like antilogistics, morphine, neuroleptics or sometimes even antidepressants which need to be applied in a specific treatment plan.

Antiphogistics:

Examples: Aspirin, Paracetamol, Dicofenac, Novamin, Ibuprofen

Mechanism: inhibits inflammatory reactions like pain, swelling, fever. Can be applied at the place of origin.

Indication: pain, arthritic pain, nociceptive pain

Side effects: gastric inflammation, Colon bleeding, cardial side effects

Others: Do not affect the brain. No effect on tiredness

Cortisone:

= steroid based antirheumatic

Mechanism: anti- inflammatory, decongestant, immunosupressive in high dosage

Indication for the pain therapy:

Swelling of nerves or the spinal cord.

Side effects: Gastritis, gain of weight, change of skin, sweating, reddening of the face, increased blood sugar level.

Others: If the drug gets applied locally side effects are very rare. If the patient suffers from diabetis the drug should be used very carefully.

Opiates:

Examples: Tramadol, Tilidin, Codein, Morphins

Mechanism: Inhibit pain in the spinal cord and the brain. Bind to special receptors which are also used by eg. Endorphine

Indication: severe pain, nociceptive pain, neuropathic pain

Side effects: Oclusion, tiredness

Others: during the first stages the patient is not allowed to handle any kind of machines or to drive a vehicle.