Pain Scripts

Private Pain Medication Prescriber | Medication Prescriptions - £55 | UK Wide |

[Pain Scripts @painscripts]

Diazepam may not be effective for reducing the symptom burden for sciatica. A more appropriate treatment may be an NSAID such as naproxen or indometacin.

[Pain Scripts @painscripts]

To reduce muscle spasms, Diazepam does not act directly on muscle tissue. Rather, it acts indirectly through its interactions with the GABA receptors within the brain & spinal cord.

[Pain Scripts @painscripts]

Diazepam can you make you feel drowsy/sleepy due to its ability to enhance the calming effect of gamma-aminobutyric acid (GABA).

[Pain Scripts @painscripts]

Avoid alcohol if you are taking diazepam. You are at risk of an additive effect relating to drowsiness when combining the two.

[Pain Scripts @painscripts]

Combining citalopram with amitriptyline is not recommended.

They compete for - amongst others - the same liver enzyme for their metabolism.

This can result in an increased concentration of one of the medications in the blood, increasing the risk of unwanted side effects

[Pain Scripts @painscripts]

When considering between Ibuprofen + Naproxen, although similar in their efficacy. Ibuprofen has been shown to reduce pain quicker than Naproxen, whereas Naproxen has been shown to reduce pain over a longer period of time.

[Pain Scripts @painscripts]

A lesser known side effects of Naproxen is constipation ❌

Ensure proper hydration + increase fibre intake to mitigate this side effect.

[Pain Scripts @painscripts]

Alcohol🍺 is an absolute contraindication if you are also taking Amitriptyline.

It can causes heart rhythm abnormalities, hypotension + enhanced sedation ❌

[Pain Scripts @painscripts]

Amitriptyline's sedative effects are caused by:

☑️ Histamine H1 Receptor antagonism
☑️ Alpha-2 Adrenergic Receptor antagonism
☑️ Serotonin receptor antagonism
☑️ Muscarinic acetylcholine receptor antagonism

#amitriptyline #sedation #drowsiness

[Pain Scripts @painscripts]

Amitriptyline, a tricyclic antidepressant medication, is indicated for reducing nerve pain ✅

But, an unwanted side effect can be drowsiness. This effect is thought to be more pronounced in the elderly.

#nervepain #neuropathic #amitriptyline #sideeffects

[Pain Scripts @painscripts]

Diazepam starting dose for muscle spasms is 5mg. Can be increased to 15mg per dose.

#spasms #nervepain #diazepam #benzos

[Pain Scripts @painscripts]

Tramadol is a opioid medication indicated to manage severe pain

It may also help if you are suffering with neuropathic pain. Initial dose: 50mg every 4 hours. ✔️

#Tramadol #nervepain #opioid

[Pain Scripts @painscripts]

Avoid drinking alcohol 🍺, if you're taking these medications 👇

▶️ Opioids e.g codeine
▶️ Benzodiazepines e.g. diazepam
▶️ Z Drugs e.g. zolpidem

#pain #benzos #zdrusg

[Pain Scripts @painscripts]

If you have muscle spasms, and are concerned around the risk of dependence of controlled medications such as diazepam, methocarbamol is a viable alternative.

It’s less sedating and carries less risk of dependence ✅

#diazepam #benzos #methocarbamol #musclespasms

[Pain Scripts @painscripts]

Baclofen - a medication indicated to reduce muscle spasms + spasticity associated with multiple sclerosis.

It’s contraindicated if you have stomach ulcers ❌

#MS #baclofen #musclespasms #pain

[Pain Scripts @painscripts]

Diazepam - indicated to treat muscle
Spasms.

If taken orally, peak effect is experienced within 90 minutes

#benzos #medication #diazepam

[Pain Scripts @painscripts]

When comparing dihydrocodeine + codeine, both of which are opioid medications.

Dihydrocodeine is considered more effective at reducing pain ✅

#codeine #dihydrocodeine #pain #opioids

[Pain Scripts @painscripts]

How long does dihydrocodeine stay in your system 👇

https://t.co/8iIgrD5Wxw

[Pain Scripts @painscripts]

Is naproxen stronger than ibuprofen 👇

https://t.co/Vo27AOQ68L

[Pain Scripts @painscripts]

Prednisolone can have a severe interaction with these medications 👇

✅ Anti-coagulants e.g warfarin as it can either enhance or alter warfarin’s effect
✅ Live vaccines e.g MMR; prednisolone suppresses the immune system increasing risk of infection

#corticosteroid #pred