guide:pain [~wiki]

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====== Things to do against pain ======
Physical pain is annoying. Don't do drugs, unless you really need to. You can:

  * do sports
  * use warmth (especially against tension)
  * use cold packs (against inflammation).

===== drugs =====

==== World Health Organization (WHO) Analgesic Ladder ====
WHO recommends three types of pain relief. Along any step in the ladder, additional drugs – "adjuvants"- may be used. Adjuvants include: antidepressants (e.g. amitriptyline), anticonvulsants (e.g. gabapentin), corticosteroids (e.g. dexamethasone), and anxiolytics (e.g. diazepam).

=== Type 1 ===
Non-opioid ± adjuvants

  * Ibuprofen - non-opioid, anti inflammation

=== Type 2 ===
Pain persists. Opioids ± non-opioids ± adjuvants.

  * More ibuprofen - can take up to 1200mg
  * Tilidin
  * Codeine

=== Type 3 ===
Strong pain. Take strong opioids.

  * Oxycodone
  * morphine or hydromorphone