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Mixing drugs - why it shouldn't be done

Discussion in 'Pain Management' started by Josephine, Feb 18, 2019.

  1. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator
    Thread Starter

    Member Since:
    Jun 8, 2007
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    When patients are given prescription pain medications, they trust their doctors to make sure that what they are prescribed is safe. However, there are increasing incidents of patients having other problems such as excessive pain and tightness in the muscles and anxiety and/or depression. It’s not uncommon for patients to suffer from anxiety or depression when they are going through recovery and this can be because of a number of other reasons such as
    1. generally under managed pain
    2. depression because of not making good progress in their recovery
    3. poor sleep patterns due to poorly managed pain
    4. tight muscles from doing too much exercising or ADLs
    5. ‘cabin fever’ through not being about to get out and about​

    In these cases, doctors can sometimes also prescribe
    anti-depressants or anti-anxiety medications
    Citalopram (Celexa, Cipramil)
    Escitalopram (Lexapro, Cipralex)
    Fluoxetine (Prozac, Sarafem)
    Fluvoxamine (Luvox, Faverin)
    Paroxetine (Paxil, Seroxat)
    Sertraline (Zoloft, Lustral)
    Vilazodone (Viibryd)​

    benzodiazepines - anti-anxiety medications
    alprazolam (Xanax, Xanax XR)
    clobazam (Onfi)
    clonazepam (Klonopin)
    clorazepate (Tranxene)
    chlordiazepoxide (Librium)
    diazepam (Valium, Diastat Acudial, Diastat)
    estazolam (Prosom is a discontinued brand in the US)
    lorazepam (Ativan)​

    Most commonly used pain medications
    Hydrocodone with acetaminophen (Vicodin, Percocet)
    Hydrocodone (Zohydro)
    Hydromorphone (Exalgo)
    Paracetamol (Tylenol) with codeine (co-codamol)
    Fentanyl transdermal patches (Duragesic)​

    It’s incumbent on the patient to be alert to the mix of drugs such are Percocet, Sertraline and Xanax, Valium.

    The reason for this is that each one of these drugs depress the respiration so taking more than one type at a time can be especially dangerous. So if your doctor ever prescribes you a second drug for muscle relaxation, depression or anxiety and you are also already taking a prescription pain med, you should discuss it with him and not just assume that he knows/remembers what you already have.
     
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