A Guide to the Safe Use of Pain Medication

Click on the title of this post if you would like to see the new posting by the FDA about the safe use of pain medication.

I thought this was important to post, since we all know most of our Elders are dealing with pain issues on a daily basis (and, probably at least half of us).

Of note for Elders in particular:

1. Be careful of acetaminophen (tylenol) if your Elder is taking a prescription pain medication. Many prescription pain meds have some acetaminophen in them, so by giving more acetaminophen you are risking an overdose. Acetaminophen overdose can be deadly, impairing liver function.
2. If your Elder is taking acetaminophen as needed for pain relief, and s/he is doing this without your assistance, please make sure s/he is not taking more than the label says to take. It is very common for Elders to think they can take as much tylenol as they want, thinking it won't hurt them. Even at normal dosages, acetaminophen can cause liver damage in Elders who already have liver problems, or are taking medicines that put undue strain on the liver. If you are in doubt about any of this, consult the Elder's doctor about how much acetaminophen is OK for your Elder to be taking on a daily basis.
   
3. With NSAID's (non-steroidal anti-inflammatory drugs) such as ibuprofen or naproxen, be mindful of the risk of stomach bleeding especially in Elders, and especially in those already taking blood thinners. NSAID's can also cause impairment of kidney function.
4. Use opiods (prescription narcotic pain medicines, such as codeine, morphine, oxycodone or hydrocodone) with caution in the Elderly. Opiods can cause drowsiness, and in Elders can cause confusion, unsteadiness and a higher risk of injuries from falls. Also, while taking opiods be careful not to mix them with alcohol, antihistamines, or other prescription medicines that cause sedation or drowsiness such as medicines for anxiety or for sleep.
5. Be aware of the active ingredients in all medicines your Elder is taking to avoid harmful interactions or accidental overdose.

That's it in a nutshell, along with some of my own experience. As always, this information is to ensure that you and your Elder have many Pleasant Days.