Pain treatment

Post-operative pain treatment

Since pain is a normal reaction after surgery, regularly taking painkillers is recommended without waiting for the pain to come. According to the World Health Organization (WHO), painkillers are categorised as weak or strong and schemes have been developed for effective administration. The effect of painkillers is cumulatively greater when different painkillers are combined.

Depending on concomitant illnesses, not all painkillers may be suitable for you (e.g. in the case of liver disease, paracetamol is not recommended; in the case of gastric or duodenal ulcers, ibuprofen and other NSAIDs are not recommended). Always read the patient information leaflet of any medication and, if necessary, consult your doctor.

Depending on the level of pain, painkillers are administered according to the pain ladder. Pain relief is started without prescription, meaning with medications available over the counter. If their effect is not enough, stronger prescription medications are used.

Simple pain relief schemes:

Slight pain:

Paracetamol 1 g, meaning 2 tablets 3 times a day

Moderate pain:

Paracetamol 1 g, meaning 2 tablets 3 times a day + Ibuprofen 400 mg 3 times a day (or other NSAID)

Severe pain:

Paracetamol 1g + NSAID + opiate (prescription drug) according to the prescription.

Instead of ibuprofen, other non-steroidal anti-inflammatory drugs (NSAIDs) can be used

 

Below are some NSAIDs and their usual administrations.

Ketoprofen, dexketoprofen & dolmen: 25-50 mg 3 times a day

Etericoxib: 30-90 mg 3 times a day

Note: NSAIDs can be combined with paracetamol and opiates, but under no circumstances should you take several different NSAIDs at the same time, since the danger of side-effects is greater.

Opiates like tramadol, oxycodon and morphine are added to the treatment plan in the case of very strong pain. These are prescription drugs, and depending on your pain, your doctor will prescribe you the right drug and amount.