Perhaps after sleeping pills, the next commonest drug of abuse is pain relief medication. People take over-the-counter-drugs for the relief of pain in various parts of the body and also for various health challenges. Many people are even unaware that certain pain medications are better suited for certain ailments and are therefore better prescribed by a competent professional, who will also monitor the effects, especially when such drugs are to be used for extended period, as in the treatment of chronic pain conditions like arthritis, cancer, etc.
It has been
revealed that chronic pain relief drugs — also called non-steroidal
anti-inflammatory drugs — can wreak havoc on the body, sometimes with
debilitating effects. Scientists argue that, just like other drugs, chronic
pain medications are not to be trifled with, even when they appear harmless and
‘gentle’ to the stomach.
According to
a new study published in the journal Spine, men who are taking prescription
pain pills in high doses and over long periods of time are more likely to
experience erectile dysfunction — characterized by the inability to develop or
maintain an erection of the penis during sexual performance.
That was the
bombshell delivered by scientists at Oregon Health & Science University,
Portland Oregon, USA. The lead researcher, Dr. Richard Deyo, notes that opioids
— medications that relieve pain — are known to cause changes in testosterone
levels, leading to erectile dysfunction. The researchers had examined 11,000
men who were taking prescription opioids for chronic back pain.
They
conclude that men who took high-doses of certain prescription painkillers for
longer than four months were 50 per cent more likely to require medication to
treat erectile dysfunction than men who were not taking painkillers
Another
study published in the Pain Physician Journal and led by Professor/Academic
Director of Pain Management, Albany Medical College, Department of Anaesthesiology,
Albany, New York City, Dr. Howard Smith, enthuses that in the past few decades,
the use of opioids as a long-term treatment for chronic pain has increased
dramatically. However, he says, this comes at a price, especially for men, in
terms of hormone imbalance, with symptoms like reduced libido, erectile
dysfunction, fatigue, hot flashes, and depression.
The
scientists also note that the symptoms may include reduced facial and body
hair, anaemia, decreased muscle mass, weight gain, infertility, osteopenia
(unusually low bone mineral density) or osteoporosis (weak bones).
Another
study by Finnish scientists who examined more than 1,100 men between 50 and 70
years of age found that erectile dysfunction was much higher among painkiller
users than among non-users. The study is published in the May issue of the
Journal of Urology.
Deyo and his
team say their findings add to a wealth of evidence indicating that long-term
opioid treatment for chronic pain should be avoided when possible. “Patients
who take opioids for extended periods often develop a tolerance to the medicine
and can even experience greater sensitivity to pain over time,” Deyo says.
Yet, humans
may not be in charge of their pain, it turns out, as researchers at Harvard
Medical School say as we age, pain and pain control become an important issue,
because many of the conditions that cause pain disproportionately affect people
starting at about age 65.
They note
that several of the conditions that can prolong or amplify pain, such as
insomnia, become more common with age. “As age makes our mental and physical
health more tenuous, our ability to weather the slings and arrows of pain
diminishes too.
“All of this
puts a premium on effective pain treatment in older people. But there’s a
catch, because the most effective painkillers available have side effects that
occur more often and more severely in older people.”
General
practitioner, Dr. Tomi Abegunde, says in addition to these revelations, the
categories of people that may be affected are those taking pain relief drugs
for long-term chronic conditions such as high blood pressure, depression,
anxiety, epilepsy, Parkinson’s disease, cancers, arthritis, etc.
Others are
those who take drugs that aid the production of urine, anti-allergies, muscle
relaxants, drugs that suppress abnormal rhythms of the heart, drugs used to
treat duodenal ulcers and prevent their return, etc.
Abegunde
notes that the pain relief drugs usually prescribed for these conditions not
only affect and oftentimes suppress the central nervous system, they can also
cause serious damage to the blood vessels, resulting in permanent erectile
dysfunction.
However, he
warns that if you notice this symptom, don’t just discontinue the drug; see
your doctor immediately.
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