Home » Chronic Pain and Dihydrocodeine: How Well Does It Work?

Chronic Pain and Dihydrocodeine: How Well Does It Work?

Chronic pain affects millions of people worldwide, often impacting their day-to-day lives, mood, and overall well being. Managing this long-term pain can be challenging, and a range of medications including opioids like dihydrocodeine are sometimes prescribed. But what exactly is dihydrocodeine? How does it work particular for chronic pain? And is it truly effective for chronic pain?

In this post, we’ll explore these questions in simple terms, covering the benefits, risks, and clinical evidence behind dihydrocodeine for chronic pain.

What is Dihydrocodeine?

Dihydrocodeine is an opioid painkiller, part of the same family of drugs as codeine and morphine. It’s often prescribed for moderate to severe pain when other milder painkillers like paracetamol or ibuprofen aren’t enough.

It’s important to know that dihydrocodeine works by affecting the nervous system. Specifically, it binds to opioid receptors in the brain and spinal cord, which blocks pain signals from reaching the brain. This changes how pain is perceived, making it feel less intense.

How Does Dihydrocodeine Help with Chronic Pain?

Chronic pain is pain that lasts for more than three months. It can result from conditions such as arthritis, nerve damage, cancer, or inflammatory diseases. Sometimes the origin of chronic pain is unknown.

Dihydrocodeine is usually prescribed to provide relief by:

  • Reducing the intensity of pain signals: By blocking these signals, it decreases the sensation of ongoing pain.
  • Changing how the brain experiences pain: It alters your brain’s pain response, often helping people feel more comfortable.
  • Helping with pain that doesn’t respond well to other medicines: Sometimes, non-opioid drugs like NSAIDs aren’t strong enough for persistent pain. That’s where dihydrocodeine comes in.

Is Dihydrocodeine Effective for Every Type of Chronic Pain?

Its effectiveness varies depending on the type and cause of pain. Research suggests that dihydrocodeine can be quite useful in:

  • Cancer-related pain: It’s frequently prescribed for pain due to cancer because of its potency.
  • Chronic non-cancer pain: Some people with nerve pain or arthritis may benefit, though the results can be mixed.
  • Postoperative pain (long-term): Although one-time doses might be less effective than NSAIDs right after surgery, it can work better when used consistently over time for chronic pain.

Because pain is subjective and complex, dihydrocodeine might work well for some but not others. It’s crucial to have a personalised treatment plan supervised by a healthcare professional.

What Are the Common Side Effects?

Like all opioids, dihydrocodeine can cause side effects. These are important to consider when deciding if this medication is right for you.

Common side effects include:

  • Drowsiness or sedation: Feeling sleepy or less alert.
  • Constipation: Difficulty passing stools is very common with opioid medicines.
  • Nausea and vomiting: Some people feel sick when they start taking it.
  • Dizziness or lightheadedness: You might feel a bit unsteady or dizzy.

Because of these effects, starting on a low dose and gradually adjusting is often recommended to find a balance between pain relief and tolerable side effects.

Risks: Tolerance and Dependence

Long-term use of dihydrocodeine carries some risks:

  • Tolerance: Over time, your body can become used to the drug, meaning you might need higher doses to feel the same pain relief.
  • Dependence: You may develop a physical reliance on dihydrocodeine, with withdrawal symptoms if the medication is stopped suddenly.
  • Addiction: Though less common in patients who use opioids carefully under medical supervision, addiction is a severe concern with opioid medications.

Because of these risks, doctors carefully monitor dosing schedules and may recommend using dihydrocodeine only when other options fail or as part of a broader pain management plan.

Different Formulations: Immediate vs Slow-Release

Dihydrocodeine is available in different forms:

  • Immediate-release: Acts quickly and is often used for sudden or breakthrough pain.
  • Slow-release (extended-release): Releases the drug gradually over time for steady pain control, which can be better suited for chronic pain.

Slow-release formulations tend to maintain more constant levels of pain relief and may be easier to manage on a daily basis, but they require strict adherence to prescribed dosages.

What Does Clinical Research Say?

Clinical studies highlight some important points:

  • For short-term acute pain, such as after surgery, single doses of dihydrocodeine may be less effective than some non-opioid painkillers like ibuprofen.
  • However, for chronic pain, especially cancer-related and some types of nerve pain, dihydrocodeine can be an effective component of pain management.
  • The overall benefit must always be weighed against the side effects and potential risks, underlining the importance of individualized care.

The NHS and other reputable health authorities generally recommend dihydrocodeine only when simpler analgesics are ineffective, always under close medical supervision.

Important Things to Remember

If you or someone you care for is considering dihydrocodeine for chronic pain, here are some key takeaways:

  • Always follow your doctor’s instructions. Do not adjust dosages on your own.
  • Report any side effects immediately, especially severe dizziness or signs of allergic reactions.
  • Do not mix with alcohol or other sedatives as this increases risks of severe drowsiness and respiratory problems.
  • Understand that pain management is holistic — medication is one part of a broader approach that may include physical therapy, counseling, and lifestyle changes.
  • Keep follow-up appointments to monitor effectiveness and any signs of dependence or tolerance.

Wrap-Up

Dihydrocodeine can be a valuable tool in managing moderate to severe chronic pain, especially when other treatments haven’t worked. It works by targeting opioid receptors to dull pain signals and alter pain perception. However, because of side effects and risks such as tolerance and dependence, it must be used cautiously and under proper medical supervision.

Like all opioids, its role in chronic pain is complex — it’s not a cure, but it can improve quality of life for some people when used appropriately. Always consult healthcare professionals to determine the safest and most effective treatment plan for your individual needs.

If you found this post helpful and want to learn more about pain management or related medications, feel free to ask! We’re here to help you stay informed and empowered about your health.

FAQ’s

What is dihydrocodeine?

Dihydrocodeine is a type of opioid pain medicine used to treat moderate to severe pain, especially when simpler painkillers like paracetamol or ibuprofen are not effective.

How does dihydrocodeine work?

It works by attaching to opioid receptors in the brain and spinal cord, blocking pain signals so you feel less pain.

Is dihydrocodeine suitable for all types of chronic pain?

It can help with many types of chronic pain, such as cancer pain, nerve pain, arthritis, and some long-term postoperative pain. However, its effectiveness varies from person to person.

What are the common side effects?

Common side effects include drowsiness, constipation, nausea, vomiting, and dizziness.

What is the difference between immediate-release and slow-release dihydrocodeine?

Immediate-release acts quickly for sudden pain, while slow-release releases the medicine gradually for steady pain control, which is better for chronic pain.

Is dihydrocodeine a cure for chronic pain?

No, it helps manage pain but does not cure the underlying cause. Pain management usually includes other treatments like physical therapy and counseling.

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