Drugs

Drugs on RSD Alert

(notes and comments from correspondents)

Opoids

Description
A class of drugs derived from Opium and used to depress functions of the central nervous system e.g. for pain relief or anaesthesia. Narcotic.
Side effects

(Don't be unduly alarmed. All drugs cause side effects for some patients)

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Warnings

(These are standard cautions but may not apply in your case)

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Comments

NOTE:
Opiates including Morphine, Diamorphine (Heroin) and milder derivatives like Codeine are very effective analgesics - although in neuropathic pain their value is sometimes questioned.
A core concern is the matter of addiction.
When opiates are abused or used for recreational purposes that carry a very high risk of dependence - the reason is that the user is taking the drug for 'effect' rather than pain relief. Thus dependence develops quickly and there is no need to discuss all that follows - we are all aware of that.
However - when used for purpose of analgesia, and in a controlled way, addiction is far less of an issue - and patients can be weaned from opiates quite successfully. However, tolerance soon develops and dosage in long term use can become quite phenomenal. As the body becomes tolerant to the drug then rapid withdrawal will result in the unpleasant symptoms known as 'withdrawal'. Thus the chronic pain sufferer must reduce the dose slowly if they intend to come off the drug.
Finally - opiates do have profound systemic effects and although pain relief may be good the individual may found themselves with a wealth of unwanted side effects - the decision is whether the side effects outweigh the pain relief. Dave Barton, Swansea, Wales - Administrator of SKIP (Support for Kids In Pain)

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