Pain Killers

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{html} <h3>1. <strong>Acetaminophen (Tylenol, Paracetamol)</strong></h3><ul><li><strong>Form</strong>: Tablet, capsule.</li><li><strong>Availability</strong>: Over-the-counter (OTC).</li><li><strong>Use</strong>: Mild to moderate pain relief, fever reduction.</li><li><strong>Effects on Health</strong>:<ul><li><strong>Liver</strong>: High doses (over 4,000 mg/day) or chronic use can cause serious liver damage.</li><li><strong>Kidneys</strong>: Generally safe for kidneys at recommended doses.</li><li><strong>Stomach</strong>: Minimal effects, does not typically cause gastrointestinal issues.</li></ul></li></ul><h3>2. <strong>Ibuprofen (Advil, Motrin)</strong></h3><ul><li><strong>Form</strong>: Tablet, capsule.</li><li><strong>Availability</strong>: Over-the-counter (OTC); higher doses are prescription-only.</li><li><strong>Use</strong>: Inflammatory pain, headaches, muscle aches, arthritis, fever.</li><li><strong>Effects on Health</strong>:<ul><li><strong>Liver</strong>: Minimal effect at recommended doses.</li><li><strong>Kidneys</strong>: Long-term or high doses can lead to kidney damage, especially in those with pre-existing kidney conditions.</li><li><strong>Stomach</strong>: Can cause irritation, ulcers, and bleeding in the stomach lining, especially with prolonged use.</li></ul></li></ul><h3>3. <strong>Naproxen (Aleve, Naprosyn)</strong></h3><ul><li><strong>Form</strong>: Tablet, capsule.</li><li><strong>Availability</strong>: Over-the-counter (OTC); higher doses available by prescription.</li><li><strong>Use</strong>: Inflammatory pain, arthritis, muscle aches, menstrual cramps.</li><li><strong>Effects on Health</strong>:<ul><li><strong>Liver</strong>: Low risk to the liver at recommended doses.</li><li><strong>Kidneys</strong>: Long-term use can lead to kidney damage or failure, especially in individuals with pre-existing kidney problems.</li><li><strong>Stomach</strong>: Similar to ibuprofen, it can cause stomach ulcers, irritation, and bleeding.</li></ul></li></ul><h3>4. <strong>Aspirin (Bayer, Ecotrin)</strong></h3><ul><li><strong>Form</strong>: Tablet, capsule.</li><li><strong>Availability</strong>: Over-the-counter (OTC); low-dose aspirin is often prescribed for heart conditions.</li><li><strong>Use</strong>: Pain, fever, anti-inflammatory; low-dose aspirin is used for cardiovascular protection.</li><li><strong>Effects on Health</strong>:<ul><li><strong>Liver</strong>: Minimal impact on the liver at normal doses.</li><li><strong>Kidneys</strong>: Prolonged use may impair kidney function in susceptible individuals.</li><li><strong>Stomach</strong>: High risk of gastrointestinal irritation, ulcers, and bleeding with long-term use.</li></ul></li></ul><h3>5. <strong>Diclofenac (Voltaren, Cataflam)</strong></h3><ul><li><strong>Form</strong>: Tablet, capsule.</li><li><strong>Availability</strong>: Prescription only in many countries; topical forms are available OTC.</li><li><strong>Use</strong>: Moderate to severe inflammatory pain, arthritis.</li><li><strong>Effects on Health</strong>:<ul><li><strong>Liver</strong>: Rarely causes liver toxicity.</li><li><strong>Kidneys</strong>: Prolonged use can lead to kidney problems, similar to other NSAIDs.</li><li><strong>Stomach</strong>: High risk of gastrointestinal side effects, including ulcers and bleeding.</li></ul></li></ul><h3>6. <strong>Celecoxib (Celebrex)</strong></h3><ul><li><strong>Form</strong>: Capsule.</li><li><strong>Availability</strong>: Prescription only.</li><li><strong>Use</strong>: Arthritis, inflammatory pain, and chronic pain conditions.</li><li><strong>Effects on Health</strong>:<ul><li><strong>Liver</strong>: Low risk of liver damage.</li><li><strong>Kidneys</strong>: Similar risks to other NSAIDs, with possible long-term kidney damage.</li><li><strong>Stomach</strong>: Lower risk of stomach ulcers compared to traditional NSAIDs, but still a risk.</li></ul></li></ul><h3>7. <strong>Tramadol (Ultram)</strong></h3><ul><li><strong>Form</strong>: Tablet, capsule.</li><li><strong>Availability</strong>: Prescription only.</li><li><strong>Use</strong>: Moderate to severe pain, often used when NSAIDs are ineffective.</li><li><strong>Effects on Health</strong>:<ul><li><strong>Liver</strong>: Metabolized in the liver but generally safe unless taken in very high doses.</li><li><strong>Kidneys</strong>: Can accumulate in those with kidney failure, requiring dose adjustment.</li><li><strong>Stomach</strong>: Less gastrointestinal irritation compared to NSAIDs.</li></ul></li></ul><h3>8. <strong>Codeine</strong></h3><ul><li><strong>Form</strong>: Tablet, capsule (often combined with acetaminophen or aspirin).</li><li><strong>Availability</strong>: Prescription only (some low-dose formulations available OTC in certain countries).</li><li><strong>Use</strong>: Moderate pain relief, often combined with other analgesics.</li><li><strong>Effects on Health</strong>:<ul><li><strong>Liver</strong>: Can be dangerous when combined with acetaminophen due to the risk of liver toxicity.</li><li><strong>Kidneys</strong>: Requires dose adjustment in kidney impairment.</li><li><strong>Stomach</strong>: Can cause nausea, vomiting, and constipation but generally less harmful to the stomach lining than NSAIDs.</li></ul></li></ul><h3>9. <strong>Oxycodone (OxyContin, Percocet [combined with acetaminophen])</strong></h3><ul><li><strong>Form</strong>: Tablet, capsule.</li><li><strong>Availability</strong>: Prescription only.</li><li><strong>Use</strong>: Severe pain relief, often post-surgical or in cancer patients.</li><li><strong>Effects on Health</strong>:<ul><li><strong>Liver</strong>: Risks are higher when combined with acetaminophen (Percocet) due to potential liver toxicity.</li><li><strong>Kidneys</strong>: Safe for short-term use but may require dose adjustments for those with kidney disease.</li><li><strong>Stomach</strong>: Less gastrointestinal side effects compared to NSAIDs but can cause constipation.</li></ul></li></ul><h3>10. <strong>Morphine</strong></h3><ul><li><strong>Form</strong>: Tablet, capsule.</li><li><strong>Availability</strong>: Prescription only; hospital use for severe pain.</li><li><strong>Use</strong>: Severe pain management, often for chronic conditions or post-surgery.</li><li><strong>Effects on Health</strong>:<ul><li><strong>Liver</strong>: Metabolized by the liver but generally does not cause liver damage.</li><li><strong>Kidneys</strong>: Dose adjustments needed for those with kidney impairment; can accumulate in the body.</li><li><strong>Stomach</strong>: Can cause nausea, vomiting, and constipation, but no significant impact on the stomach lining.</li></ul></li></ul><h3>11. <strong>Hydrocodone (Vicodin [combined with acetaminophen])</strong></h3><ul><li><strong>Form</strong>: Tablet, capsule.</li><li><strong>Availability</strong>: Prescription only.</li><li><strong>Use</strong>: Moderate to severe pain, often post-surgical.</li><li><strong>Effects on Health</strong>:<ul><li><strong>Liver</strong>: Risk of liver damage when combined with acetaminophen (Vicodin).</li><li><strong>Kidneys</strong>: Adjustments needed for those with kidney disease.</li><li><strong>Stomach</strong>: Causes fewer stomach issues than NSAIDs, but constipation is a common side effect.</li></ul></li></ul><h3>12. <strong>Ketorolac (Toradol)</strong></h3><ul><li><strong>Form</strong>: Tablet, capsule (also available as an injection for hospital use).</li><li><strong>Availability</strong>: Prescription only; used for short-term pain management, often in hospitals.</li><li><strong>Use</strong>: Severe pain, post-surgery.</li><li><strong>Effects on Health</strong>:<ul><li><strong>Liver</strong>: Rarely causes liver damage.</li><li><strong>Kidneys</strong>: High risk of kidney damage, especially with prolonged use.</li><li><strong>Stomach</strong>: High risk of gastrointestinal ulcers and bleeding; typically limited to short-term use (5 days max).</li></ul></li></ul><h3>Summary of Organ Effects</h3><ul><li><strong>Liver</strong>: Acetaminophen-containing medications carry the highest risk of liver damage, particularly at high doses.</li><li><strong>Kidneys</strong>: NSAIDs like ibuprofen, naproxen, and diclofenac can lead to kidney damage with long-term use, especially in those with pre-existing conditions.</li><li><strong>Stomach</strong>: NSAIDs also have the highest risk of stomach ulcers, irritation, and bleeding. Opioids like oxycodone and morphine have fewer gastrointestinal effects but can cause constipation and nausea.</li></ul> {/html}
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