Such conditions include nerve injuries and diabetic nerve pain. Anticonvulsants (anti-epileptics): These drugs may be used to treat various neuropathic pain conditions.Types of antidepressants prescribed include tricylic antidepressants, selective serotonin reuptake inhibitors (SSRIs), and others. This is because the same chemicals linked to depression also play a role in chronic pain. Antidepressants: Many chronic pain patients may benefit from taking anti-depressant drugs.Lidocaine (a local anesthetic) creams or patches also can treat chronic pain. Topical products: Over-the-counter creams and ointments containing capsaicin (a substance generating heat) may be applied directly to the skin three to four times per day.Opioids are most useful with acute pain such as pain after surgery or trauma and are usually reserved for cases of chronic pain when other pain relievers are not effective and when the negative side effects are manageable. Because of the way they work, they have many negative side effects. Opioids work in the brain, central nervous system, and other areas of the body to block the sensation of pain. Opioids, opioid-like agents, or combinations of opioids and non-narcotic analgesics: Any of these may be prescribed to reduce pain.Acetaminophen is a non-NSAID pain reliever that works by blocking pain in the brain. NSAIDS work by blocking pain near the pain site. Non-narcotic pain relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin, ibuprofen, naproxen, or COX-2 inhibitors may be useful when the pain is mild or moderate.These drugs do not work in all cases, however. Analgesics (pain relievers): The use of pain relievers is the most common method for treating chronic pain. The plan should include psychological and behavioral therapy. The focus should be on development of self-management skills, along with lifestyle changes and efforts to improve physical and mental health. It is recommended that a team of healthcare professionals work with the patient to develop a comprehensive plan for treating and managing pain, instead of relying solely on medications. The treatment also will depend on the type of chronic pain involved. These treatment methods will vary according to the specific disease or medical condition. The first step should be to treat any underlying conditions that may cause pain. Although no single cure is available for chronic pain, there are many ways to treat and manage it.
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