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PAINKILLER
(ANALGESICS)
Analgesics (also called
painkillers, pain
medications, pain relievers)
are drugs designed to
suppress the pain
mechanism.
ANALGESICS is any member
of group of drugs used to relieve
   pain (achieve analgesia   )
The word analgesics derives
from Greek an-
(“without”) and algos
(“pain”).
-Analgesic drugs act in various ways on
the peripheral and central nervous
systems.

-Include paracetamol, the non-
steroidal anti-inflammatory drugs
(NSAIDs) such as the salicylates, and
opioid drugs such as morphine and
opium.

-There are distinct from anesthetics, -
1)
     • Nonsteroidal Anti-Inflammatory Drugs


2)
     • Corticosteroids


3)
     • Opioids


4)
     • Neurological Analgesia


5)
     • Anesthetic Nerve Blockade
Important medicines include ibuprofen (Motrin), naproxen
(Aleve) and Aspirin.

 Can reduce fever and suppress inflammation.

 Work by blocking cyclooxygenase (COX), an enzyme in various
tissues that produce the chemical mediators which are the
cause for inflammation, related pain, and fever.

 Aspirin besides acting as a pain killer also has anti-platelet
properties, which helps in the treatment for heart attacks and
strokes.
Not exactly pain killing medicines
  but they are anti-inflammatory.




  But due to their inflammatory
 processes, they can reduce pain.




For example, a patient with arthritis
 may be relieved from injections of
  steroids into the inflamed joint.
1)    • The opioid analgesics relieve pain by binding to
        opioid receptors in the central nervous system.


2)   • are also known as narcotics.



3)   • act as agonists to produce the effect of
       analgesia.


4)   • give relief for moderate to severe pain.



5)   • used when pain is too severe to be controlled
       by NSAID analgesics.


6)   • All narcotic analgesics are prescription
       medications.
oCertain drugs that are mainly used for
neurologic and psychiatric conditions but
they can also relieve neuropathic pain, which
occurs without any external pain triggers like
heat or sharp points.

o include the antidepressant amitriptyline
(Elavil) and the anticonvulsant gabapentin
(Neurontin).
Pain relief at times is required with a
nerve blockade.

 An anesthetic drug, like lidocaine, can be
injected into a nerve branch so that a
certain part of the body becomes
desensitized to pain.

 For example, anesthetic injection around
the spinal cord produces pain relief in areas
in the lower half of the body.
NEGATIVIE EFFECTS WILL DEPEND UPON :-

 1)
      • The type of analgesic being used.

 2)
      • The number of analgesics consumed.

 3)
      • How long the analgesics are being used for.

 4)
      • The health of the user.

 5)
      • Existing medical conditions.

 6)
      • Whether other drugs are also being used.
 Used for a short period of time.

 Should never be used for more
than three days without medical
supervision.

 To treat severe pain.
SEVERAL THINGS TO REMEMBER BEFORE USE
             ANALGESICS :-
Analgesics should be used strictly as directed. Read the
instructions on the label and take the recommended dose.

 Taking more than the recommended dose will not
increase the positive effects, and may cause unpleasant
side effects such as vomiting, diarrhoea or dizziness.

 Analgesics should only be used when in date (the expiry
date is on the packet).

 Paracetamol becomes toxic after its expiry date.

 If the pain persists, visit your doctor.
AN ESI C W LL N T :-
      ALG   S I    O
Cure whatever is causing your pain.

 Prevent a headache.

 Boost your energy levels.
HOW DO
 ANALGESICS
WORK ON PAIN ?
Injury

 Mechanical injuries, such as pressure, punctures and cuts or chemical
                      (burn) stimuli injure tissues.



                              Reception
 A specialized nerve cell called a nociceptor senses the stimulus and the
                 chemicals released from injured tissues.



                             Transmission
                                      The signals travel up the spinal cord
The nociceptor sends signals to the      to the brain through a "neural
  brain through several neurons        freeway" called the spinothalamic
within the central nervous system.                    tract.
Pain center reception
  Within the brain, a relay station
                                         Areas like the somatosensory cortex
 called the thalamus distributes the
                                         process the information and you feel
signals to various parts of the brain;
                                                         pain.
    there is no single pain center.




 Pain suppression or relief (analgesia)
 prevent inflammation and block key enzymes and
the release of chemicals that stimulate nociceptors.
o Analgesics are a
class of drugs used
to relieve pain.
They are also
referred to as
painkillers.
o There are two
categories of analgesics:
non-narcotics and
narcotics.
o Acetaminophen is
most effective for mild to
moderate pain. It is
extremely important to
follow the prescribing
instructions.
o Patients must be aware
of the cumulative effect
of acetaminophen since it
is found in so many
products, including
cold, sinus, cough, and
allergy medications.
o There are two
categories of
narcotic
analgesics -
opiates and
o O oi ds bi nd t o
     pi
opi oi d r ecept or s i n
t he cent r al ner vous
syst em and
gast r oi nt est i nal
t r act .
o Opioids are
strong
analgesics, typically
reserved for
severe, chronic
pain.
o There are
common side
effects associated
with opioids.
o There are less
common side effects
associated with
opioids.
o Severe side
effects and
adverse
reactions are
possible with
opioids.
 Analgesics are a class drugs
used to relieve pain.

 While these drugs do not treat
whatever is causing the pain, they
can provide enough relief to make
people more comfortable and to
allow them to carry out their
daily routines.

 They are many types of
analgesics such as opioids and
etc.
REFERENCES
• The Facts of Analgesics (Painkillers) , Analgesics: Drugs Designed To Relieve Pain
, Carol Eustice, Retrived August 02, 2012
http://arthritis.about.com/od/analgesic/a/factsanalgesics.htm

• Analgesics - 10 Things You Should Know , Analgesic Safety Decreases Unwanted
Side Effects , Carol Eustice , Retrieved August 02, 2012
http://osteoarthritis.about.com/od/osteoarthritismedications/a/analgesics.htm

• What are Analgesics? , Carol Eustice, Retrieved August 02, 2012
http://arthritis.about.com/od/analgesic/g/analgesic.htm

• Analgesics Research & Articles, Analgesics, Retrieved August 02, 2012
http://www.bookrags.com/research/analgesics-woc/

• Pharmaceutical Drug Manufacturer, Types of Analgesics , Retrieved August 02, 2012
http://www.pharmaceutical-drug-manufacturers.com/articles/types-of-
analgesics.html

• Medications , How do analgesics work on pain? , Craig C. Freudenrich and Discovery
Fit & Health , Retrieved August 02, 2012
http://curiosity.discovery.com/question/how-analgesics-work-on-pain

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Painkiller (Analgesics)

  • 2. Analgesics (also called painkillers, pain medications, pain relievers) are drugs designed to suppress the pain mechanism.
  • 3. ANALGESICS is any member of group of drugs used to relieve pain (achieve analgesia )
  • 4. The word analgesics derives from Greek an- (“without”) and algos (“pain”).
  • 5. -Analgesic drugs act in various ways on the peripheral and central nervous systems. -Include paracetamol, the non- steroidal anti-inflammatory drugs (NSAIDs) such as the salicylates, and opioid drugs such as morphine and opium. -There are distinct from anesthetics, -
  • 6. 1) • Nonsteroidal Anti-Inflammatory Drugs 2) • Corticosteroids 3) • Opioids 4) • Neurological Analgesia 5) • Anesthetic Nerve Blockade
  • 7. Important medicines include ibuprofen (Motrin), naproxen (Aleve) and Aspirin.  Can reduce fever and suppress inflammation.  Work by blocking cyclooxygenase (COX), an enzyme in various tissues that produce the chemical mediators which are the cause for inflammation, related pain, and fever.  Aspirin besides acting as a pain killer also has anti-platelet properties, which helps in the treatment for heart attacks and strokes.
  • 8. Not exactly pain killing medicines but they are anti-inflammatory. But due to their inflammatory processes, they can reduce pain. For example, a patient with arthritis may be relieved from injections of steroids into the inflamed joint.
  • 9. 1) • The opioid analgesics relieve pain by binding to opioid receptors in the central nervous system. 2) • are also known as narcotics. 3) • act as agonists to produce the effect of analgesia. 4) • give relief for moderate to severe pain. 5) • used when pain is too severe to be controlled by NSAID analgesics. 6) • All narcotic analgesics are prescription medications.
  • 10. oCertain drugs that are mainly used for neurologic and psychiatric conditions but they can also relieve neuropathic pain, which occurs without any external pain triggers like heat or sharp points. o include the antidepressant amitriptyline (Elavil) and the anticonvulsant gabapentin (Neurontin).
  • 11. Pain relief at times is required with a nerve blockade.  An anesthetic drug, like lidocaine, can be injected into a nerve branch so that a certain part of the body becomes desensitized to pain.  For example, anesthetic injection around the spinal cord produces pain relief in areas in the lower half of the body.
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  • 25. NEGATIVIE EFFECTS WILL DEPEND UPON :- 1) • The type of analgesic being used. 2) • The number of analgesics consumed. 3) • How long the analgesics are being used for. 4) • The health of the user. 5) • Existing medical conditions. 6) • Whether other drugs are also being used.
  • 26.  Used for a short period of time.  Should never be used for more than three days without medical supervision.  To treat severe pain.
  • 27. SEVERAL THINGS TO REMEMBER BEFORE USE ANALGESICS :- Analgesics should be used strictly as directed. Read the instructions on the label and take the recommended dose.  Taking more than the recommended dose will not increase the positive effects, and may cause unpleasant side effects such as vomiting, diarrhoea or dizziness.  Analgesics should only be used when in date (the expiry date is on the packet).  Paracetamol becomes toxic after its expiry date.  If the pain persists, visit your doctor.
  • 28. AN ESI C W LL N T :- ALG S I O Cure whatever is causing your pain.  Prevent a headache.  Boost your energy levels.
  • 30. Injury Mechanical injuries, such as pressure, punctures and cuts or chemical (burn) stimuli injure tissues. Reception A specialized nerve cell called a nociceptor senses the stimulus and the chemicals released from injured tissues. Transmission The signals travel up the spinal cord The nociceptor sends signals to the to the brain through a "neural brain through several neurons freeway" called the spinothalamic within the central nervous system. tract.
  • 31. Pain center reception Within the brain, a relay station Areas like the somatosensory cortex called the thalamus distributes the process the information and you feel signals to various parts of the brain; pain. there is no single pain center. Pain suppression or relief (analgesia) prevent inflammation and block key enzymes and the release of chemicals that stimulate nociceptors.
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  • 33. o Analgesics are a class of drugs used to relieve pain. They are also referred to as painkillers.
  • 34. o There are two categories of analgesics: non-narcotics and narcotics.
  • 35. o Acetaminophen is most effective for mild to moderate pain. It is extremely important to follow the prescribing instructions.
  • 36. o Patients must be aware of the cumulative effect of acetaminophen since it is found in so many products, including cold, sinus, cough, and allergy medications.
  • 37. o There are two categories of narcotic analgesics - opiates and
  • 38. o O oi ds bi nd t o pi opi oi d r ecept or s i n t he cent r al ner vous syst em and gast r oi nt est i nal t r act .
  • 39. o Opioids are strong analgesics, typically reserved for severe, chronic pain.
  • 40. o There are common side effects associated with opioids.
  • 41. o There are less common side effects associated with opioids.
  • 42. o Severe side effects and adverse reactions are possible with opioids.
  • 43.  Analgesics are a class drugs used to relieve pain.  While these drugs do not treat whatever is causing the pain, they can provide enough relief to make people more comfortable and to allow them to carry out their daily routines.  They are many types of analgesics such as opioids and etc.
  • 44. REFERENCES • The Facts of Analgesics (Painkillers) , Analgesics: Drugs Designed To Relieve Pain , Carol Eustice, Retrived August 02, 2012 http://arthritis.about.com/od/analgesic/a/factsanalgesics.htm • Analgesics - 10 Things You Should Know , Analgesic Safety Decreases Unwanted Side Effects , Carol Eustice , Retrieved August 02, 2012 http://osteoarthritis.about.com/od/osteoarthritismedications/a/analgesics.htm • What are Analgesics? , Carol Eustice, Retrieved August 02, 2012 http://arthritis.about.com/od/analgesic/g/analgesic.htm • Analgesics Research & Articles, Analgesics, Retrieved August 02, 2012 http://www.bookrags.com/research/analgesics-woc/ • Pharmaceutical Drug Manufacturer, Types of Analgesics , Retrieved August 02, 2012 http://www.pharmaceutical-drug-manufacturers.com/articles/types-of- analgesics.html • Medications , How do analgesics work on pain? , Craig C. Freudenrich and Discovery Fit & Health , Retrieved August 02, 2012 http://curiosity.discovery.com/question/how-analgesics-work-on-pain