Under the title “Aborption of pain in the pharmacy, acute pain and oral analgesia”, Gipuzkoa’s Official Pharmaceutical College (COFG) has organized an online course given by Sandra Moreno, Pharmaceuticals and Medical Affairs in Kern Pharma
The teacher stressed the importance of properly diagnosing each type of pain, in order to be able to treat it with the greatest guarantees of success and recalled that almost 90% of patients who come to the pharmacy asking for an analgesic “do it for some episode of acute and occasional pain, so we will be able to treat them and solve the problem with prescription drugs.”
He also stressed the importance of the role of the pharmacist in the psychological support of patients with chronic pain, taking into account their closeness to the patient.
A total of 130 Guinean pharmacists have participated in the online course organized by COFG to form in the approach of pain, acute pain and analgesia, which was given by the pharmaceutical Sandra Moreno, Medical Affairs in Kern Pharma. The Guinean College organized this training in view of the fact that the consultations for pain at the pharmacy are very common. “Patients trust us and, the best way to help them, is to have the right training to treat each individual”, says Sandra Moreno.
Regarding consultations related to the pain and role of the pharmacy, Moreno explains that the chronic pain is the one that lasts more than three months. “In this case the patient should always follow up with the doctoryou will prescribe or recommend the treatment you consider appropriate. We, from the pharmacy, must ensure that the patient understands and fulfills the treatment well, and advise him on the issue of interactions and adverse effects.” In this regard, Sandra Moreno underlines importance of the role of the pharmacist in the psychological support of patients with chronic pain, “since it’s the health care professional they have more at hand.”
The case of acute pain is different, he explains. “In this type of pain, such as most headaches, back pains or menstrual pains, for example, we can recommend to the patient both changes in their life habits and non-pharmacologic treatments, as analgesic medications that do not require medical prescription, such as paracetamol and/or NSAIDs. It's important to know that the vast majority, almost 90% of patients who come to the pharmacy asking for an analgesic, do so for some episode of acute and occasional pain, so we will be able to treat them and solve the problem with prescription drugs.”, he says. Tipos de lenguaje
In the opinion of the pharmacist, it is essential to detect cases in which the patient must be referred to the doctor. Therefore, remember that “domestic treatments with nonprescription medication should last up to 3 to 7 days, depending on the drug. If the patient continues with the same pain once the time has passed, he should go to the doctor. Also in cases of children under the age of 6 and over the age of 75 polymedicated years, it is recommended to derive, as in anticoagulate, immunodepressed or pregnant women. Other important cases would be, for example, a headache with vomiting and/or stiffness in the neck, or pains that are accompanied by tings, numbness of the limbs, or weight loss. Also when the pain is accompanied by respiratory symptoms or skin manifestations we must derive it,” he says.
Types of pain
In the opinion of Sandra Moreno, “it is very important to adequately differentiate each type of pain in order to deal with the greatest possible guarantees of success.” In this sense, remember that the pain can be classified according to several criteria: according to its duration, its origin, its cause, its course and its intensity.
“The duration tells us if the pain is acute or chronic. Acute pain has a purpose of protection of the body, serves as a warning sign for aggression or external damage and is limited in time. The pain warns us that something doesn't work well, so we can fix it. If the pain lasts more than three months it is considered chronic, losing its protective function and becoming a disease in itself.”
The pharmacist explains that according to its origins it can be classified nociceptive or neuropathic pain. “Nociceptive is the most common and is produced by the activation of the specific nervous system receptors to respond to painful stimuli, the nociceptors. The pain caused by a burn, for example, is harmful. Neuropathic pain, much more complex, arises as a result of damage or aggression in the nervous system and the painful impulse is generated in the neuronal structures themselves. An example would be diabetic neuropathy. According to its course -apunta-, it can be continuous or irruptive, the latter appears suddenly. And, according to its intensity can be mild, moderate or severe (for example, a severe pain is a headache that wakes us up at night).”
Pepuzcoan Pharmaceuticals are formed in the approach of acute pain in the pharmacy
Under the title “Aborption of pain in the pharmacy, acute pain and oral analgesia”, Gipuzkoa’s Official Pharmaceutical College (COFG) has organized an on
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