Patients with very severe pain experience fear of using ‘narcotic analgesics’. Due to the fact that some people try to use “narcotic analgesics” as drugs, real patients are both afraid of getting caught and afraid of becoming addicted. By providing important warnings to patients, algology specialist Dr. Lecturer Mustafa Kurçaloğlu said that people should not be nervous and that the competent institutions of the state are closely following these issues.
“There may be a perception that we are giving him medicine, as if we are prescribing a bad medicine”
Dr. With regard to ‘Narcotic analgesics’, Kurçaloğlu said: “The narcotic analgesics, which we call” opioids, “are the drugs that we often write as the pain department. The most common side effects of this are nausea, vomiting, dizziness, loss of appetite. The potential for the addiction of addiction is actual of addiction. A severe pain condition. The chance that these patients depend on these drugs is low.
The patient’s pain disappears while taking the drug we prescribed, but if the pain returns after 1-2 months, he thinks that he is addicted, but this is not an addiction. Addiction has different symptoms. Unfortunately, the biggest addiction problem in our country is the drugs called ‘pregabalin’ and ‘gabapentin’. Because these drugs are abused. It is abused because of the low-dose recreational effect of these drugs. When we write real patients because people are trying to be used as a kind of drug, sometimes patients get nervous. They feel uncomfortable with these drugs because they see drugs being caught in drug crimes or because they are trafficked under different types of cover.
But thanks to the strict monitoring of the Social Security Institution (SGK) and the competent authorities of the state, good steps have been taken to prevent this dependency. If these drugs are prescribed by a specialist doctor, your addiction potential is very low. Medicines can have no benefit or a negative effect. In this case, you can consult your doctor again. There is fear and anxiety among our people with narcotic analgesics patients, chronic pain patients and especially with the morphine-like drugs that we prescribe to cancer patients. When we prescribe a morphine-like drug to our patient, the perception can arise as if we are prescribing a bad drug, as if we are giving medicine. This is an extremely wrong perception, because we have to use these drugs for some types of pain,” he said.
‘Because every medicine is actually a poison’
Dr. Kurçaloğlu said, “Painkillers are drugs that are widely prescribed in algology clinics and in medicine. The main feature of painkillers are drugs that help relieve pain symptoms of patients. These drugs should be prescribed for many pains such as back, head, joint pain, pain due to nerve damage, cancer pain. which we call “anti-inflammatory” or stomach ulcers, are very common in our society. Severe damage can occur to organs such as the kidneys.
Some of our patients take an anti-inflammatory drug and use it 2-3 times a day for years, as if they were eating a normal meal, unfortunately we can see that patients with kidney failure are sentenced to dialysis. In this regard, medication should be used under the supervision of doctors. Because every medicine is actually a poison. What distinguishes a drug from a poison is the dose and purpose of use. When doctors prescribe medicines, we choose medicines based on the age of the patients, their comorbidities, the degree of their complaint, the nature of the pain complaint, and adjust the correct medicine dose for the patient. Therefore, it is extremely wrong to say ‘my neighbor used this medicine, my back hurts, so let me take his medicine’. Such patients become vulnerable to all sorts of side effects.
Especially in chronic diseases such as migraine, neuropathic pain, cancer pain, lower back pain, they should regularly use the correct medicines prescribed by their doctor, without missing or too much. Some of our patients use lower doses than we recommend. This leads to insufficient pain relief. Due to the prolongation of pain complaints, it makes treatment more difficult. Of course, these painkillers also have side effects. The most common side effects of anti-inflammatory drugs are upset stomach, stomach ulcers, and development of kidney failure with long-term use.