Table 3: Common Adjuvant Drugs Drug Indications
Contraindications
Side effects
Dose
Anticonvulsants
100 mg to 400 mg 3 times a day.
• Memory problems. • Diarrhea. • Constipation.
• Drowsiness & dizziness. • Unsteadiness. • Nausea & vomiting. • Headache. • Anxiety.
• Pregnant mothers. • Patients with a history of: • Previous bone marrow depression. • Hypersensitivity to the drug. • Known sensitivity to any of the tricyclic compounds.
Carbamazepine (Tegretol)
• Epileptic seizures. • Trigeminal neuralgia. • Mania. • Bipolar disease. • Depression. • Posttraumatic stress disorder. • Certain pain syndromes. • Epileptic seizures. • Anorexia nervosa. • Panic attack. • Anxiety disorder. • Posttraumatic stress disorder. • Migraine. • Bipolar disorder.
• Heartburn. • Dry mouth. • Back pain.
• Pregnancy.
• Tiredness. • Tremors.
• Nausea & vomiting. • Sedation.
500 mg to 1,000 mg 3 times a day.
Sodium Valproate (Depacon)
Local Anesthetics
5% patch contains 700 mg: One patch, 12 hours on, 12 hours off.
• Erythema. • Exfoliation. • Irritation. • Papules. • Petechia. • Pruritus. • Vesicles.
Lidocaine patch (Lidoderm)
• Pain of post- herpetic neuralgia.
• Hypersensitivity to local anesthetics.
• Bruising. • Burning sensation. • Depigmentation. • Dermatitis. • Discoloration. • Edema.
Corticosteroids
0.75 mg to 9 mg daily.
• Hypertension. • Increased risk of infection. • Nausea & vomiting. • Confusion.
• Acne. • Insomnia. • Vertigo. • Increased appetite.
• Uncontrolled infections. • Hypersensitivity to examethasone. • Cerebral malaria. • Systemic fungal infection. • Concurrent treatment with live virus vaccines. • Systemic fungal infections. • Hypersensitivity to corticosteroids.
Dexamethasone (Decadron)
• Allergy. • Cerebral edema. • Addison’s disease. • Tumor. • Septic shock. • Blood disorder. • Perennial allergic rhinitis.
• Weight gain. • Impaired skin healing. • Depression. • Euphoria.
• Amnesia. • Irritability. • Headaches.
Prednisone (Deltasone)
• Inflammation. • Allergy. • Autoimmune disease. • Bell’s palsy.
• Hyperglycemia. • Fluid retention.
• Insomnia. • Euphoria.
5 mg to 60 mg daily.
PAIN MANAGEMENT THROUGH PHYSICAL THERAPY
Physical therapy is concerned with identifying and maximizing quality of life and movement potential within the spheres of promotion, prevention, treatment/intervention, habilitation, and rehabilitation. This encompasses physical, psychological, emotional, and social wellbeing [22] .” Physiotherapy is composed of numerous treatment methodolo - gies for various medical and surgical conditions. Cryotherapy, tap- ing, bracing, electrotherapy, manipulative techniques, and Pilates are some of the most effective physiotherapy strategies for pain management.
Physical therapy (i.e., physiotherapy) enhances an individual’s quality of life, regardless of his or her disabilities and impairments. The World Confederation for Physical Therapy defines physio- therapy as: “Physical therapy provides services to individuals and popula- tions to develop, maintain, and restore maximum movement and functional ability throughout the lifespan. This includes providing services in circumstances where movement and func- tion are threatened by ageing, injury, pain, diseases, disorders, conditions, or environmental factors. Functional movement is central to what it means to be healthy.
Page 60
Book Code: PTCA2624
EliteLearning.com/Physical-Therapy
Powered by FlippingBook