As everyone has experienced at one time or another, acute pain is our body’s alarm system telling us something is wrong. It signals that we are either in danger of an injury or that an injured part needs to be protected and rested. Estimates of the number of people with chronic pain vary from 8% to 45%. Human beings are living longer and therefore experiencing new and increased levels of pain.

The medicine to treat pain can be purchased over the counter or by prescription. The decision on which medication you use for pain relief should be discussed with your doctor, nurse, or pharmacist. Over the counter pain relievers can be divided into 2 groups: acetaminophen (Tylenol) and nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs include aspirin, ibuprofen (Motrin), ketoprofen (Orudis KT), and naproxen sodium (Aleve). Some products contain both aspirin and acetaminophen (Extra Strength Excedrin).

The most widely used prescription pain relievers have traditionally been narcotics, which relieve pain and cause drowsiness or sleep. NSAIDs are also available in prescription including Celebrex, Vioxx, Motrin, Naprosyn, Nalfon, and Trilisate. They are useful for moderate to severe pain.

With the recent announcement by Merck of the potential side effects of Vioxx (higher risk of heart attack and stroke in patients using the drug) a worldwide recall was announced for Vioxx, which is used by about 2 million people. The Vioxx recall will likely lead to an onslaught of new lawsuits and class actions against Merck. If you used Vioxx you should consult your physician and to try a different anti-inflammatory drug. The recall has also lead scientists around the world to take a closer look at Celebrex and other medications similar to Vioxx.

Be sure to consult your doctor, nurse or pharmacist when considering your treatment for pain relief.