Make Pain Meds Work

Make Pain Meds Work

Do you take meds for a chronic pain condition? If so, have you gotten complacent about how you use them? Brush up on the habits you need to help pain meds work. And make it a goal to pay attention to small acts that might be sabotaging your pain management.  

Conditions: Osteoarthritis, Rheumatoid arthritis, Migraine, Back Pain, Neck Pain, Fibromyalgia, Nerve Pain, Undiagnosed

Symptoms:

Triggers:

Treatments:

Categories: Treatment

Duration

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Remember Last Dose?

When you take several meds, it can be tough to remember what meds you have, what they are for, and when you last took a dose, especially when you're under the stress of a pain flare.  

Get organized. Keep an up-to-date list of all your meds -- list them all in the Meds section of your Journal. When you start a new med, add a Note about what it's for, how much to take, and when to take it. Also add any special instructions like "take with food."

Prompt: Meds inventory.

CTA: Track your meds.

Conditions: Osteoarthritis, Rheumatoid arthritis, Migraine, Back Pain, Neck Pain, Fibromyalgia, Nerve Pain, Undiagnosed

Symptoms: burning, headache, pain, pain with movement, lower back pain, upper back pain, sharp pain, shocking pain, extreme sensitivity, deep pain, electric pain, abdomen pain, ankle pain, arm pain, buttock pain, chest pain, face pain, foot pain, hand pain, head pain, hip pain, knee pain, leg pain, neck pain, scalp pain, shoulder pain, spine pain, shooting pain, stabbing pain, aching, tenderness, throbbing pain

Triggers:

Treatments: ibuprofen, Advil, naproxen sodium, Aleve, Anaprox, Naprosyn, aspirin, Bayer, Bufferin, aspirin, Motrin IB, Nuprin, Icy Hot, Bengay, capsaicin, Methyl salicylate/menthol, menthol, Mentholatum Deep Heat, acetaminophen, Tylenol, Anacin, Panadol, Tempra, gabapentin, Neurontin, Cymbalta, duloxetine

Categories:  Meds

Drug Interactions

When was the last time you took all of your meds to your doctor visit? Don't wait for them to ask. Just do it.  

Bring them all in -- OTC pills and rubs as well as vitamins and supplements. Even herbal supplements sometimes have serious side effects or drug interactions. For example, St. John's wort interacts with several prescription meds.

Also, be honest about any illicit drug use and how much alcohol you drink. Your willingness to be frank can often improve your medical care.

Prompt: Do you tell all?

CTA: Be open with your doctor.

Conditions: Osteoarthritis, Rheumatoid arthritis, Migraine, Back Pain, Neck Pain, Fibromyalgia, Nerve Pain, Undiagnosed

Symptoms: burning, headache, pain, pain with movement, lower back pain, upper back pain, sharp pain, shocking pain, extreme sensitivity, deep pain, electric pain, abdomen pain, ankle pain, arm pain, buttock pain, chest pain, face pain, foot pain, hand pain, head pain, hip pain, knee pain, leg pain, neck pain, scalp pain, shoulder pain, spine pain, shooting pain, stabbing pain, aching, tenderness, throbbing pain

Triggers:

Treatments: ibuprofen, Advil, naproxen sodium, Aleve, Anaprox, Naprosyn, aspirin, Bayer, Bufferin, aspirin, Motrin IB, Nuprin, Icy Hot, Bengay, capsaicin, Methyl salicylate/menthol, menthol, Mentholatum Deep Heat, acetaminophen, Tylenol, Anacin, Panadol, Tempra, gabapentin, Neurontin, Cymbalta, duloxetine

Categories:  Meds

Drug Directions

Have you ever left the doctor's office not understanding your new med? Take the time and energy to get your questions answered before you leave. For instance, should your medicine be taken regularly or only when needed? Call your doctor's office or a pharmacist if you have questions later on.  Your understanding helps ensure that you will take the med safely and properly, which could make a difference in how well it controls your pain.

And be a bit of a geek. Read those fold-out instructions that come with your prescriptions. 

Prompt: Hard to follow?

CTA: Instructions are important.

Conditions: Osteoarthritis, Rheumatoid arthritis, Migraine, Back Pain, Neck Pain, Fibromyalgia, Nerve Pain, Undiagnosed

Symptoms: burning, headache, pain, pain with movement, lower back pain, upper back pain, sharp pain, shocking pain, extreme sensitivity, deep pain, electric pain, abdomen pain, ankle pain, arm pain, buttock pain, chest pain, face pain, foot pain, hand pain, head pain, hip pain, knee pain, leg pain, neck pain, scalp pain, shoulder pain, spine pain, shooting pain, stabbing pain, aching, tenderness, throbbing pain

Triggers:

Treatments: ibuprofen, Advil, naproxen sodium, Aleve, Anaprox, Naprosyn, aspirin, Bayer, Bufferin, aspirin, Motrin IB, Nuprin, Icy Hot, Bengay, capsaicin, Methyl salicylate/menthol, menthol, Mentholatum Deep Heat, acetaminophen, Tylenol, Anacin, Panadol, Tempra, gabapentin, Neurontin, Cymbalta, duloxetine

Categories:  Meds

Can't Afford It?

There's no doubt treating a chronic condition can get pricey. If you can't afford your meds, ask your doctor or pharmacist about generics or less expensive options. You may be undermining your care -- and risking extra pain -- if you say nothing.

Some government agencies and drug makers offer assistance programs to help pay for medications. Some pharmacies offer discount clubs or other programs to help with costs as well.  Compare prices.

Prompt: Can't afford it?

CTA:  Ask about cheaper options.

Conditions: Osteoarthritis, Rheumatoid arthritis, Migraine, Back Pain, Neck Pain, Fibromyalgia, Nerve Pain, Undiagnosed

Symptoms: burning, headache, pain, pain with movement, lower back pain, upper back pain, sharp pain, shocking pain, extreme sensitivity, deep pain, electric pain, abdomen pain, ankle pain, arm pain, buttock pain, chest pain, face pain, foot pain, hand pain, head pain, hip pain, knee pain, leg pain, neck pain, scalp pain, shoulder pain, spine pain, shooting pain, stabbing pain, aching, tenderness, throbbing pain

Triggers:

Treatments: ibuprofen, Advil, naproxen sodium, Aleve, Anaprox, Naprosyn, aspirin, Bayer, Bufferin, aspirin, Motrin IB, Nuprin, Icy Hot, Bengay, capsaicin, Methyl salicylate/menthol, menthol, Mentholatum Deep Heat, acetaminophen, Tylenol, Anacin, Panadol, Tempra, gabapentin, Neurontin, Cymbalta, duloxetine

Categories: Meds

New Side Effects

Everyone responds differently to medications. Some people are more sensitive to certain side effects than others, for example. Plus, side effects may go away after your body adjusts to the medicine and some medications may lose effectiveness over time.

Notice a difference? Don't delay letting your doctor know. Tell your doctor right away about new side effects or if a drug no longer relieves your symptoms. Your doctor may want to change your dosage or try a different med.

Prompt: Not working?

CTA: Note changes in effectiveness.

Conditions: Osteoarthritis, Rheumatoid arthritis, Migraine, Back Pain, Neck Pain, Fibromyalgia, Nerve Pain, Undiagnosed

Categories:  Meds

Symptoms: burning, headache, pain, pain with movement, lower back pain, upper back pain, sharp pain, shocking pain, extreme sensitivity, deep pain, electric pain, abdomen pain, ankle pain, arm pain, buttock pain, chest pain, face pain, foot pain, hand pain, head pain, hip pain, knee pain, leg pain, neck pain, scalp pain, shoulder pain, spine pain, shooting pain, stabbing pain, aching, tenderness, throbbing pain

Triggers:

Treatments: ibuprofen, Advil, naproxen sodium, Aleve, Anaprox, Naprosyn, aspirin, Bayer, Bufferin, aspirin, Motrin IB, Nuprin, Icy Hot, Bengay, capsaicin, Methyl salicylate/menthol, menthol, Mentholatum Deep Heat, acetaminophen, Tylenol, Anacin, Panadol, Tempra, gabapentin, Neurontin, Cymbalta, duloxetine

Dosing Tips

Never change the dosage of your medication -- or stop taking it -- without talking to your doctor. Sometimes it's important to maintain regular dosing for it to work properly. Your doctor recommends a certain dosage in order to balance the effectiveness of the drug with potential side effects. Messing with the dose may upset that balance and may cause symptoms to return or dangerous side effects to occur.

Prompt: Dosage don'ts.

CTA: Don't change doses.

Conditions: Osteoarthritis, Rheumatoid arthritis, Migraine, Back Pain, Neck Pain, Fibromyalgia, Nerve Pain, Undiagnosed

Symptoms: burning, headache, pain, pain with movement, lower back pain, upper back pain, sharp pain, shocking pain, extreme sensitivity, deep pain, electric pain, abdomen pain, ankle pain, arm pain, buttock pain, chest pain, face pain, foot pain, hand pain, head pain, hip pain, knee pain, leg pain, neck pain, scalp pain, shoulder pain, spine pain, shooting pain, stabbing pain, aching, tenderness, throbbing pain

Triggers:

Treatments: ibuprofen, Advil, naproxen sodium, Aleve, Anaprox, Naprosyn, aspirin, Bayer, Bufferin, aspirin, Motrin IB, Nuprin, Icy Hot, Bengay, capsaicin, Methyl salicylate/menthol, menthol, Mentholatum Deep Heat, acetaminophen, Tylenol, Anacin, Panadol, Tempra, gabapentin, Neurontin Cymbalta, duloxetine

Categories:  Meds

Refill Errors

To prevent medication errors, be sure to check your prescriptions when you pick them up. First read the label. Does the pill look different than what you expected or had last time? Is it a different shape, color, or size? If something seems off, ask the pharmacist to double-check it.

Prompt: Refill checkup.

CTA: Look at your pills.

Conditions: Osteoarthritis, Rheumatoid arthritis, Migraine, Back Pain, Neck Pain, Fibromyalgia, Nerve Pain, Undiagnosed

Symptoms: burning, headache, pain, pain with movement, lower back pain, upper back pain, sharp pain, shocking pain, extreme sensitivity, deep pain, electric pain, abdomen pain, ankle pain, arm pain, buttock pain, chest pain, face pain, foot pain, hand pain, head pain, hip pain, knee pain, leg pain, neck pain, scalp pain, shoulder pain, spine pain, shooting pain, stabbing pain, aching, tenderness, throbbing pain

Triggers:

Treatments: ibuprofen, Advil, naproxen sodium, Aleve, Anaprox, Naprosyn, aspirin, Bayer, Bufferin, aspirin, Motrin IB, Nuprin, Icy Hot, Bengay, capsaicin, Methyl salicylate/menthol, menthol, Mentholatum Deep Heat, acetaminophen, Tylenol, Anacin, Panadol, Tempra, gabapentin, Neurontin, Cymbalta, duloxetine

Categories:  Meds

Tell Your Doctor

Most medications have side effects. For example, many opioid drugs can cause constipation. But don't assume you have to put up with bothersome side effects -- tell your doctor. Often there's a way to manage drug side effects. Your doctor may make minor changes to the dose or how you take the drug, suggest diet or other lifestyle changes, prescribe an additional drug to help manage symptoms, or change the drug altogether.

Prompt: Speak up!

CTA: Explain drug side effects.

Conditions: Osteoarthritis, Rheumatoid arthritis, Migraine, Back Pain, Neck Pain, Fibromyalgia, Nerve Pain, Undiagnosed

Symptoms: burning, headache, pain, pain with movement, lower back pain, upper back pain, sharp pain, shocking pain, extreme sensitivity, deep pain, electric pain, abdomen pain, ankle pain, arm pain, buttock pain, chest pain, face pain, foot pain, hand pain, head pain, hip pain, knee pain, leg pain, neck pain, scalp pain, shoulder pain, spine pain, shooting pain, stabbing pain, aching, tenderness, throbbing pain

Triggers:

Treatments: ibuprofen, Advil, naproxen sodium, Aleve, Anaprox, Naprosyn, aspirin, Bayer, Bufferin, aspirin, Motrin IB, Nuprin, Icy Hot, Bengay, capsaicin, Methyl salicylate/menthol, menthol, Mentholatum Deep Heat, acetaminophen, Tylenol, Anacin, Panadol, Tempra, gabapentin, Neurontin, Cymbalta, duloxetine

Categories:  Meds

Balanced Treatment

Often, pain meds won't take all pain away. Your self-care -- resting, relaxing, setting limits -- helps round out treatment. A balanced plan often decreases pain enough to work and enjoy life.

If your treatment isn't in balance, tell your doctor.  Here's how to tell: under-medicating may leave you with debilitating pain. And depending on what medications you take, over-medicating may make you groggy and unmotivated.  Don't procrastinate on getting the best care you can for yourself.

Prompt: Stay in balance.

CTA: Understand treatment goals.

Conditions: Osteoarthritis, Rheumatoid arthritis, Migraine, Back Pain, Neck Pain, Fibromyalgia, Nerve Pain, Undiagnosed

Symptoms: burning, headache, pain, pain with movement, lower back pain, upper back pain, sharp pain, shocking pain, extreme sensitivity, deep pain, electric pain, abdomen pain, ankle pain, arm pain, buttock pain, chest pain, face pain, foot pain, hand pain, head pain, hip pain, knee pain, leg pain, neck pain, scalp pain, shoulder pain, spine pain, shooting pain, stabbing pain, aching, tenderness, throbbing pain

Triggers:

Treatments: ibuprofen, Advil, naproxen sodium, Aleve, Anaprox, Naprosyn, aspirin, Bayer, Bufferin, aspirin, Motrin IB, Nuprin, Icy Hot, Bengay, capsaicin, Methyl salicylate/menthol, menthol, Mentholatum Deep Heat, acetaminophen, Tylenol, Anacin, Panadol, Tempra, gabapentin, Neurontin, Cymbalta, duloxetine

Categories:  Meds

WebMD Medical Reference Reviewed by Nayana Ambardekar, MD on July 02, 2019

Sources

SOURCES:

FDA: "A Guide to Safe Use of Pain Medicine."

The Partnership for Healthcare Excellence: "What you can do to prepare for your doctor’s appointment."

Agency for Healthcare Research and Quality: "Check Your Medicines."

Mental Health America: "How can I get help paying for my prescriptions?"

FDA: "Over-the-Counter Medicines. What’s Right for You?"

RxAssist: "Patient Assistance Program FAQs." 

American Society of Health-System Pharmacists: "Patient Education about Patient Assistance Programs."

Partnership for Prescription Assistance: "Questions about Eligibility - Prescription Assistance Program." 

National Conference of State Legislatures: "State Pharmaceutical Assistance Programs."

AARP: "AARP Prescription Discount Program - FAQs." 

Partnership for Prescription Assistance: "Facts About PPA - Prescription Assistance Program."

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