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Be wary of narcotics to treat back pain.
One too many sets of tennis caused lower-back pain for one of our survey respondents, Janie King, 63, of Kula, Hawaii, and prompted her to see her primary-care doctor. He prescribed the opioid (narcotic) pain reliever Vicodin (acetaminophen and hydrocodone). The drug did little to relieve King's pain and caused severe nausea and vomiting.
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Prescriptions have doubled
Our low-back-pain survey found that more than 50 percent of those given a prescription drug received an opioid pain reliever, despite the fact that there is very little research to support the use of opioids for acute low-back pain. Opiods may reduce chronic low-back pain when compared to placebo. But clinical trials have shown that about half of the people who take them suffer adverse effects such as drowsiness, respiratory depression, and gastrointestinal symptoms such as constipation, reflux, heartburn, cramping, nausea, and vomiting.
Moreover, other adverse effects of opioids include a paradoxical increase in pain sensitivity, reduced testosterone levels, and erectile dysfunction. Substance-use disorders, such as overuse, getting drugs from more than one doctor, or giving or selling pills to friends, are also reported to affect about 25 percent of people taking opioids for ...
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- Magazine article from: Southern Medical Journal Smith, Esther L. Rose, Dianne Caughron, Kathy F. March 1, 2002 700+ words
...articles documenting these adverse effects. Rather than having...knowledge about specific adverse effects. We tended to avoid...discovery about the adverse effects of smoking. We hope...FRCP, FACP Editor BACK PAIN * Eriksen W, Natvig...
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- Newspaper article from: Biotech Week September 3, 2008 700+ words
...relief of acute low back pain when nonsteroidal anti...evidence is limited. Adverse effects, particularly dizziness...relaxants. The potential adverse effects should be communicated...University (see also Lower Back Pain Therapy). The researchers...
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- Magazine article from: Family Practice News Skolnik, Neil S. Gannon, Kelly L. May 15, 2008 700+ words
...for the relief of low back pain are acetaminophen or...acute or chronic low back pain that is not controlled...are associated with CNS adverse effects, mostly sedation. Tricyclic...corticosteroids for treating low back pain with or without sciatica...
- Opioids Should be Considered for Relief of Chronic Lower Back Pain.
- News wire article from: Ascribe Higher Education News Service October 2, 2002 700+ words
...therapy for chronic lower back pain, the most common chronic...studies of chronic lower back pain patients, however...not with long-term adverse effects. - Development of tolerance...for persistent lower back pain relief, and they indicate...
- Long-Term Narcotics Use for Back Pain May be Ineffective and Lead to Abuse.
- Press release article from: M2 Presswire January 17, 2007 700+ words
...term relief of chronic back pain, but their effectiveness...Patients with chronic back pain commonly request pain...but fewer long-term adverse effects." Published in the...patients with chronic back pain, and the incidence of...
- Power of Touch Relieves Back Pain.
- Magazine article from: Family Practice News CHENG, GUANG-SHING December 15, 1999 700+ words
...155 patients with low back pain that had lasted from...natural history of subacute back pain or the effect of intervention...the potentially serious adverse effects of medications, osteopathic...manipulation for patients with back pain may come from the fact...
- Data Reported From First Head-To-Head Study Evaluating Lidoderm(R) and...
- Press release article from: PR Newswire November 16, 2005 700+ words
...200 mg in patients with chronic low back pain. Lidoderm(R) is a topical analgesic...for treating patients with chronic low back pain," said Bruce Nicholson, M.D...encouraged by these findings." Low back pain, a common painful condition, affects...
