Guidelines Towards a Better Prescription for PAIN MANAGEMENT:
•  Its important to determine the type of pain in patient which in turn helps us to determine what kind of medication will be better choice for initial treatment of pain management.
•  We need to have our eyes on different pain pathways in order to get the idea about the particular pain, and to know wether the pain is involving one or multiple parts of particular pain pathway. In optimizing the pain management therapy, we may need to provide different kind of medications which act on different parts of pain pathways.
•  We cannot prescribe single type of medication or dose for each and every patient. We need a therapeutic trial of whatever medication we are providing to patient, in order to get an idea wether medication will be prove itself effective for a particular kind of pain in specific patient or individual. These trials may extend from weeks to months because the dose need to be adjusted to optimize its effect in order to completely rule out benefits and side effect of that medicine.
•  Pain pathways is important in one more way, If initial medication provided to patient is not working or is having lot of side effects, then we can replace it with another medication which works on a site other than that of the previously tried medication, within the pain pathway.
• There are cases, when initial medication in the prescription provides only partial pain relief, in that case, to improve the results and eliminate the pain, we can add another medication in the previous prescription.