Managing chronic pain can be difficult. Regular exercise, a healthy lifestyle and stress-relieving activities may be helpful. Your doctor may prescribe certain medications to help relieve the symptoms of your pain, such as narcotics or muscle relaxants. Over-the-counter medications may also be beneficial. Consult your doctor before beginning any long-term regimen, as side effects are present with all drugs and may pose risks to your health.
Narcotics
Narcotics are potent drugs used for pain relief. These drugs do not eliminate pain; rather, they work by changing the body's reaction to pain. They are highly effective, but after regular use the body builds a tolerance for the drugs, which can make them less effective at relieving the pain symptoms. For this reason, they are not typically prescribed for long-term use. However, some physicians believe narcotics are effective for long-term use when prescribed in low doses, according to Spine Health.Com. Narcotics for chronic pain are available in various forms, such as a slow release patch, which allows the drug to enter the body in steady doses and reduces the risks of addiction and abuse, though physical dependence and tolerance are still possible.
Muscle Relaxants
Muscle relaxants are often used for pain related to acute injury, such as back spasms. They have a sedative effect and, despite the name, do not work directly on the muscles. According to Spine Health.Com, they work in the brain to relax the entire body. Typically, they are prescribed for short-term pain due to the risks of dependence, but certain kinds of muscle relaxants may be used for long-term pain. Cyclobenzaprine is an example of a muscle relaxant that is suitable for longer periods, often prescribed in dosages of 10 mg every 6 hours or as needed. Spine Health.Com maintains its use for individuals with low back pain and difficulty sleeping.
Over-the-Counter Pain Relievers
Over-the-counter pain relievers are often used for acute pain related to headaches, cold or flu symptoms and injury. However, some individuals rely on these medications to treat chronic conditions. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin and ibuprofen, are beneficial for those with inflammation and pain and are the most prescribed medications for conditions like arthritis, according to the American Academy of Orthopaedic Surgeons (AAOS). Usual adult doses of ibuprofen are 250 to 500 mg twice daily, though a physician may prescribe greater doses of 800 mg to some patients. Those who take the medication for long periods may need regular checks-ups with a doctor to be certain the medication is not causing harm. Risks of stomach irritation and ulcers exist.
