611 W. Union Street
Benson, AZ 85602
(520) 586-0800

Health Choice Integrated Care crisis Line

NurseWise 24-Hour Crisis Line


611 W. Union Street
Benson, AZ 85602
(520) 586-0800

NurseWise 24-Hr Crisis Line


powered by centersite dot net

Getting Started
Here are some forms to get started. These can be printed and brought with you so that you can pre-fill out some known info ahead of time. More...

Pain Management
Basic InformationLatest News
Managing Pain With Fewer Opioids After Joint ReplacementDoctors Present Recs For and Against Acupuncture for PainOpioids Don't Top Non-Opioids for Pain-Related FunctionOpioids Not Best Option for Back Pain, Arthritis, Study FindsGroup CBT, Pain Education Improve Pain, Physical FunctionChronic Opioid Users May Wish to Taper Opioid UseSome Pain Patients Can Cut Opioid Dose and Still Get ReliefAnother Downside to Opioid Use: Pneumonia?Long-Term Opioid Use Down Among U.S. Vets: StudyLosing Weight Eases Obesity-Related Pain. But How Much Is Enough?Do Over-the-Counter Painkillers Alter Emotions, Reasoning?Opioid Prescribing Trends in the VA Similar to Other SettingsHow to Avoid Opioid Addiction After SurgeryOpioids Aren't America's Only Painkiller ProblemWeight Loss Among Obese Tied to Improvements in Chronic PainPrescribing of Opioids Adds to Patient Satisfaction With CareOpioid Abuse Rises When Prescriptions Are RenewedPain Self-Efficacy Questionnaire Helps to Evaluate Migraine PainImprovement Needed in Ob-Gyn Opioid Prescribing PracticesInsights Into Pain Relief From the Family That Can't Feel PainGabapentin Doesn't Cut Time to Pain Cessation After SurgeryAmount of Opioids Prescribed After Hospital Discharge VariesDrug May Help Surgical Patients Stop Opioids SoonerASHP: Joint Commission Impact on Pain Management Discussed'Pill Mill' Docs Only Partly to Blame for Opioid EpidemicElectrical Pulses May Ease Pain From 'Slipped' DiscChronic Pain Common Among Those Who OD on OpioidsKids Still Getting Risky Painkiller After TonsillectomyPatients Use ~Half of Opioids Prescribed After HysterectomyIn ER, Combination of Ibuprofen, Acetaminophen Relieves PainOpioids Not the Only Answer for Pain Relief in the ERASA: Opioid-Free Anesthesia Feasible for Surgical ProceduresSkip Opioid Treatment for Migraine in the ERAround the World, Too Little Relief for PainPost-Op Opioids: How Much Is Enough?ERs Prescribing Opioids at Lower Doses, Shorter DurationsBig Rise in Hospitalized Kids With Opioid Side EffectsMost Opioid Use Concentrated in Top 10 Percent of UsersCommon Painkillers May Boost Blood Pressure in Arthritis PatientsMany Migraine Sufferers Given Unecessary Opioids, Study FindsSleep, Caffeine Use May Play Role in Post-Op PainLonger Prescriptions Make Opioid Abuse More Likely: StudyMany Prescribed Opioids Even After OverdoseReview: Cannabis May Alleviate Neuropathic PainOpioid Prescription Rates Higher in Cancer SurvivorsDoctors May Be Over-Prescribing Seizure Drugs to Treat Pain2 of 3 U.S. Patients Keep Unused Painkillers After SurgeryDoctors Still Overprescribing Opioids in U.S.Reduction of Opioid Dose May Improve Pain, Quality of LifeEasing Opioid Dose May Improve Pain and Quality of Life
Questions and AnswersLinksBook Reviews
Related Topics

Depression: Depression & Related Conditions
Medical Disorders
Mental Disorders

Opioids Not the Only Answer for Pain Relief in the ER

HealthDay News
by By Steven ReinbergHealthDay Reporter
Updated: Nov 7th 2017

new article illustration

TUESDAY, Nov. 7, 2017 (HealthDay News) -- As the opioid epidemic continues to sweep across the United States, a new study suggests that a combination of Motrin and Tylenol may work as well as narcotic painkillers for ER patients who suffer sprains or fractures.

"Although this study focused on treatment while in the emergency department, if we can successfully treat acute extremity pain with a non-opioid combination painkiller in there, then we might be able to send these patients home without an opioid prescription," said lead researcher Dr. Andrew Chang. He is a professor of emergency medicine at Albany Medical Center, in Albany, N.Y.

"We know that some patients who are given an opioid prescription will become addicted, so if we can decrease the number of people being sent home with an opioid prescription, then we can prevent people from becoming addicted in the first place," Chang suggested.

Ibuprofen (Motrin/Advil) and acetaminophen (Tylenol) work in different ways, and the combination may provide an extra pain-relieving kick, the researchers theorized.

The United States is in the grip of a well-publicized opioid epidemic. Since 2000, more than 500,000 Americans have died from a narcotic overdose, according to the U.S. Centers for Disease Control and Prevention. President Donald Trump recently declared the crisis a public health emergency.

Dr. Demetrios Kyriacou is a professor of emergency and preventive medicine at the Northwestern University Feinberg School of Medicine in Chicago. He said that because of the opioid crisis, "we need to find effective alternative treatments for patients with moderate-to-severe pain, and hopefully that will reduce their exposure to initial narcotic treatment."

The combination of ibuprofen and acetaminophen has been used in Europe and Australia, but it hasn't been evaluated in an acute care setting like the emergency department, Kyriacou said.

Chang and his colleagues looked at two urban emergency departments from July 2015 to August 2016. They randomly assigned more than 400 patients who were suffering moderate-to-severe acute pain in an arm or leg to either ibuprofen plus acetaminophen, or to acetaminophen plus one of three narcotics: oxycodone (Oxycontin), or hydrocodone (Vicodin), or codeine.

Two hours after taking any of the drug combinations, all of the patients reported having less pain. Moreover, no important difference was seen in pain relief among those who took the narcotic painkillers or the non-narcotic painkillers, Chang said.

The study findings applied to pain after two hours, the researchers noted. About one in five patients needed additional medication to control their pain later, according to the report.

The study was published Nov. 7 in the Journal of the American Medical Association.

"If we can limit people's first exposure to opioids, that may have a long-term effect in reducing people's risk to becoming opioid-dependent," said Kyriacou, who wrote an editorial that accompanied the study.

More information

Visit the U.S. Centers for Disease Control and Prevention for more on the opioid epidemic.