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Pain Control
    Posted: 01/24/2008



Introduction






What You Should Know About Treating Cancer Pain






Types and Causes of Cancer Pain






Talking About Your Pain






Your Pain Control Plan






Medicines To Treat Cancer Pain






Medicine Tolerance and Addiction






Other Ways To Control Pain






Your Feelings and Pain






Financial Issues






Reflection






Resources






Pain Control Record






How to Use Imagery






Before You Go to the Pharmacy






For More Information



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Medicine Tolerance and Addiction

When treating cancer pain, addiction is rarely a problem.

Addiction is when people can't control their seeking or craving for something. They continue to do something even when it causes them harm. People with cancer often need strong medicine to help control their pain. Yet some people are so afraid of becoming addicted to pain medicine that they won't take it. Family members may also worry that their loved ones will get addicted to pain medicine. Therefore, they sometimes encourage loved ones to "hold off" between doses But even though they may mean well, it's best to take your medicine as prescribed.

People in pain get the most relief when they take their medicines on schedule. And don't be afraid to ask for larger doses if you need them. As mentioned in Opioids - for moderate to severe pain, developing a tolerance to pain medicine is common. But taking cancer pain medicine is not likely to cause addiction. If you're not a drug addict, you won't become one. Even if you have had an addiction problem before, you still deserve good pain management. Talk with your doctor or nurse about your concerns.

"If you're worried about addiction, ask yourself one question. If you didn't have this pain, would you want this medicine? The answer is usually no." - Robin

Tolerance to pain medicine sometimes happens.

Some people think that they have to save stronger medicines for later. They're afraid that their bodies will get used to the medicine and that it won't work anymore. But medicine doesn't stop working - it just doesn't work as well as it once did. As you keep taking a medicine over time, you may need a change in your pain control plan to get the same amount of pain relief.

This is called tolerance. Tolerance is a common issue in cancer pain treatment.

Medicine tolerance is not the same as addiction.

As mentioned, medicine tolerance happens when your body gets used to the medicine you're taking. The result is that the dose no longer works as well. Each person's body is different. Many people don't develop a tolerance to opioids. But if tolerance happens to you, don't worry.

Under your doctor's care, you can:

  • Increase your dose in small amounts
  • Add a new kind of medicine
  • Change the kind of medicine that you're taking for pain

The goal is to relieve your pain. Increasing the dose to overcome tolerance does not lead to addiction.

Taking pain medicine will not cause you to "get high."

Most people do not "get high" or lose control when they take cancer pain medicines as prescribed by the doctor. Some pain medicines can cause you to feel sleepy when you first take them This feeling usually goes away within a few days. On occasion, people get dizzy or feel confused when they take pain medicines. Tell your doctor or nurse if this happens to you. Changing your dose or type of medicine can usually solve this problem.

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