Medicine Treatments for Pain

Medicine management for pain is a complex area. 

Many patients are already on multiple other medications and pain management is often a trade-off between interactions with other drugs and potential side effects of pain medication. The choice of medications offered is always tailored individually to each patient.

The main classes of drugs used in pain management are detailed below:

• Simple analgesics – e.g. paracetamol

• Weak opioids – e.g. codeine

• Simple analgesics with weak opioids – e.g. co-codamol, co-dydramol

• Moderate strength opioids – e.g. tramadol

• Non-steroidal anti-inflammatory drugs (NSAIDS) e.g. ibuprofen, naproxen, diclofenac

• Cox 2 Inhibitors – e.g. celecoxib, etoricoxib

• Strong opioids – e.g. morphine, oxycodone, fentanyl, buprenorphine, tapentadol

• Anti-depressants – e.g. amitriptyline, duloxetine, sertraline

• Anti-epileptic drugs for neuropathic pain – gabapentin, pregabalin, carbamazepine

• Muscle relaxants e.g. diazepam

• Local anaesthetics e.g. lidocaine
Further Information
Pain Medication information leaflets. Royal College of Anaesthetists 

The Use of Opioids. Royal College of Anaesthetists. Opioid Aware Campaign

High quality, effective, efficient, professional care

Direct access to a multidisciplinary team including specialist pain management consultant, anaesthetist, physiotherapists, acupuncturists and psychologist
Providing diagnosis, treatment and management of all acute and chronic pain conditions
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Our Leadership

Dr W Allister 
Dow

Dr W Allister Dow MB ChB FRCA FFPMRCA Surgeon Cdr Royal Navy Rtd. Consultant in Anaesthesia and Pain Management, Royal Surrey County NHS Foundation Trust and Director, Surrey Pain Solutions, BMI Mount Alvernia Hospital, Guildford. 
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Dr Lorraine 
Nanke

Dr Lorraine Nanke - Principle Clinical and Health Psychologist, Surrey and Borders Partnership NHS Foundation Trust and Lead Psychologist Pain Management, Royal Surrey Hospitals NHS Foundation Trust in Guildford.
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Stephanie 
Wilkins SRP MCSP

Stephanie Wilkins SRP MCSP - After qualifying as a physiotherapist in 2000, Steph has worked in a variety of NHS settings, including the Centre for Defence Medicine in Birmingham. During the past 12 years she has worked in the private health sector treating a variety of acute and chronic disorders