Personalized
Pain management by Anti- Inflammatory drugs. Why
is it necessary?
Anti Inflammatory Medicines |
Around the world, pain disorders are the main
cause of disability. Despite this, the effectiveness of treatments varies from
person to person, and some have a high risk of abuse. The goal of personalized
pain medicine, an emerging field, is to provide safe and efficient medications
that are catered to specific patient requirements. Globally, 1.71 billion
people live with a condition connected to pain or the musculoskeletal system.
These include osteoarthritis, fibromyalgia, and lower back discomfort. Such
situations are associated with worsening mental health and wellbeing
indicators, rising absence from work, and decreased productivity.
The severity of the discomfort determines the
available treatments. Over-the-counter medications like acetaminophen or
non-steroidal anti-inflammatory medicines (NSAIDs), such as aspirin and
ibuprofen, can be used to treat milder forms of pain. In the event that these
medications are ineffective, doctors may recommend NSAIDs like celecoxib,
steroid medications like dexamethasone, or muscle relaxants like diazepam. In
addition to these, doctors may prescribe opioids for short-term use, such as
oxycodone, fentanyl, and codeine.
Although each of these medications is
frequently used to treat pain, their diverse side effects and safety profiles
have motivated both patients and researchers to look for more specialized
therapy choices.
Pain Medicines |
WHY IT'S
CRUCIAL TO BE PERSONALIZED?
The pain management treatments we have now
are practically universal. The majority of pain is treated with NSAIDs or
opioids, according to Dr. Cynthia Renn, professor of pain and translational
symptom research at the University of Maryland. "There haven't been any
really transformative analgesic advancements" since the discovery of
opioids.
The effectiveness of NSAIDs and opioids in
treating different types of pain varies. Given that two persons with seemingly
the same injury experience pain differently, some recover fast with little
discomfort while others go on to develop chronic pain, we know that the
one-size-fits-all strategy doesn't work for everyone, she noted.
Dr. Kevin Boehnke, a study investigator in
the Department of Anesthesiology and the Chronic Pain and Fatigue Research
Center at the University of Michigan, gave two main reasons when asked why some
analgesics may work in some people but not others. He mentioned "genetics
and metabolism" as the first. People metabolize medications at various
rates, he said. When administered to person A, a slow metabolizer, compared to
person B, a rapid metabolizer, the same dose of the drug may last longer and have
more intense effects.
He continued by saying that because different
pains have different underlying processes, they also demand diverse therapies.
He claimed there are three "flavors" of pain.
1. Neuropathic
pain is brought on by nerve damage, impingement, or inflammation in conditions
like sciatica or carpal tunnel syndrome.
2. Nociceptive
pain is brought on by tissue damage or inflammation, such as a burn or broken
bone.
3. Researchers
believe that nociplastic pain, which cannot be observed through imaging, may be
brought on by central nervous system failure. It encompasses ailments like
fibromyalgia and is characterized by widespread discomfort throughout the body.
Pain Medications |
CONCLUSION:
In
general, these pain types can occur separately or in combination, and they
respond to treatments in varied ways. For instance, NSAIDs are frequently
helpful for nociceptive pain but aren't very helpful for nociplastic pain,
according to Dr. Boehnke. Nano Medicines are the way forward to customize pain management.
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Good points to know
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