Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

How Much Is Too Much”

Pain centers use numerous medications with a wide variety of side effects. These medications are often added to those which are prescribed by the orthopedist, the neurologist etc.

The side effect profiles of these agents include potential for sleep disruption, sexual dysfunction and can promote changes in mood.

It is said that the medications cannot be halted because of the patient_s pain.

However, in reality, the medications can be stopped for a brief period of time to determine what if any impact this has upon these newly emerging symptoms. Alternatively, if it can be established when the symptoms first arose, often you can link that to which medication was started during that timeframe.

Interestingly, and importantly, regardless of what you are told regarding the necessity of the medication and the patients _need_ for them, patients will often tell me that they hate the side effects, cannot tolerate being sedated all day, loathe the impact upon sleep and sexual functioning but are too intimidated to stop taking the medication.

When the latter arises, someone needs to issue a written opinion that includes the patient_s perceptions, beliefs and wishes. If the pain center will not comply, the patient may well be willing to consider another center if one is needed at all.

Comments for this post are closed.
needful

Needful

Being needful and being dependent are not the same thing. After meeting the basic needs of life, the next concern is whether …
Read Blog Post

medication

Medication

Medication: ”A competent and ethical prescriber must consider two factors at the same time: am I providing pain relief, …
Read Blog Post

response

Response

”The common response when first meeting someone is “and what do you do?”  Although the temptation is to reply “well, …
Read Blog Post