Pain is an unpleasant
sensation arising from a damaging stimulus. Its function is to provide the body
with an early warning system so as to prevent injury and maintain optimum
functioning. There are two major types of pain: fast pain and slow pain. Fast pain
can be felt as fast as 0.1 seconds after the painful stimulus while slow pain
begins after 1 second or longer and persists in intensity. Slow pain is usually
associated with tissue destruction. Do you know how painkillers work?
Causes
of pain
The pain receptors in
the skin and other tissues are free nerve endings and can be stimulated by
mechanical, thermal and chemical pain stimuli. In general, fast pain is
elicited by the mechanical and thermal types of stimuli, whereas slow pain can
be elicited by all three types. Examples of chemicals produced by the body that
causes pain include bradykinin, serotonin, histamine, lactic acid, acetylcholine
and prostaglandins.
Painkillers
Painkillers are drugs
used for pain relief. In terms of their action, they can be broadly classified
into 2 major groups – non-narcotic analgesics and narcotic analgesics.
Non-narcotic
analgesics
These are analgesics that do not have CNS effects,
like:
·
NSAIDS (Non-steroidal
anti-inflammatory drugs) - the principal action of these painkillers is the
inhibition of prostaglandin production.
·
Paracetamol is a weak cyclooxygenase
inhibitor in peripheral tissues.
Narcotic
analgesics
Narcotic analgesics are more effective compared to
non-narcotic analgesics but they also tend to have central nervous system
effects. They are of two types, namely: Natural and Synthetic.
Ultimately, type of used painkiller should depend on
the type of pain felt.