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Episode 8: Non-opioid Pharmacological Management of Chronic Pain
Episode 8: Non-opioid Pharmacological Management of Chronic Pain
Episode 8: Non-opioid Pharmacological Management of Chronic Pain
Tuesday 23rd May 2017
Discover non-opioid methods for managing chronic pain with Dr. Kevin Sevarino on the PCSS Podcast.
43 minutes
Informative
Empowering
Supportive
Thought-provoking
Engaging
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Get the buttons here!Chronic Pain Relief: Beyond Opioids with Dr. Kevin Sevarino
If we acutely used an opioid like percocet, it shouldn't result in physical dependence, it shouldn't result in issues like tolerance and withdrawal and for many, it shouldn't result in the kind of neuroplastic changes that underlie the development of addiction. Non-opioid pharmacological management of chronic pain.
Ever wondered if there's a better way to manage chronic pain without relying on opioids? In this enlightening episode of the PCSS Podcast, Dr. Kevin Sevarino joins hosts Dr. Lysander Jim and Dr. Mauro Zapatero to explore non-opioid pharmacological options for chronic pain management. With a rich background as an Assistant Clinical Professor of Psychiatry at Yale University and Medical Director of SAMHSA’s Providers' Clinical Support System, Dr. Sevarino brings a wealth of knowledge to the table. Dr.
Sevarino dives into the dangers of chronic opioid use, highlighting risks like physical dependence, tolerance, and even addiction. He discusses alternative medications such as alpha-delta calcium channel blockers and tricyclics, which have proven effective in managing chronic pain without the downsides of opioids. The conversation also touches on the misuse potential of benzodiazepines, often prescribed for their calming effects but lacking long-term efficacy in pain management. Dr. Sevarino suggests alternatives like methocarbamol or cyclobenzaprine as safer muscle relaxants.
One intriguing point is the use of low dose naltrexone, which can help manage autoimmune diseases like fibromyalgia by preventing neurons from becoming hyperexcitable. However, it should be used cautiously in patients not on mu-opioid agonists. Beyond medication, Dr. Sevarino emphasizes a holistic approach to pain management. He advocates for integrating physical therapy, chiropractic care, yoga, and other non-pharmacologic methods to empower patients and improve their sense of control over their pain.
This episode is a treasure trove of information for healthcare providers looking to expand their toolkit for managing chronic pain. Dr. Sevarino's expertise offers a fresh perspective on non-opioid treatments and underscores the importance of a multidisciplinary approach. Tune in to gain valuable insights that could transform your practice and improve patient outcomes.