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Why would an article with such an esoteric title be of interest, of importance and relevancy to more than just Pain Management health care workers. Shouldn't such an article be of more importance and interest in a Professional Journal than it would be to the educated general populous. What is behind the idea of publishing it on the Internet, situated so that many more than just medical minds would come across it by happenstance.

A large percentage of the general population is thought to either listen to, watch, or read any of the many ways the News Media bombards us with what their financial backers' opinions would have us know. Therefore we must assume that this same population should, by now, understand how the median age of death, in our country as in others, has been prolonged. We attribute this increasing life expectancy, over the previous few centuries, by all of the many scientific advances, by the formation of and stabilization of standardized-religion, and by the many laws of behavior, in-acted to prevent man's destruction of his/her fellow man/woman.

For these and other reasons, the percentage of the population living over the age of 65 increases with every passing decade and century. At this point I hope that you can begin to better understand the importance of pain control in chronic non-cancer patients. Since the percentage of the population over 65 is getting larger with each passing decade, it is becoming more common place to know or to know of an individual requiring pain control for a chronic non-cancerous problem.

Breakthrough pain in cancer patients is associated with poor outcomes, a greater incidence of hospitalization, more difficult to treat pain syndromes, and, of course, the inevitable patient dissatisfaction with therapy. None of the previous characteristics are found, in general, amongst the non-cancerous patients. 

Breakthrough pain in non-cancerous patients is known to be prevalent, severe, and it shares several characteristics with cancer patients, such as that it is typically rapid in onset and frequently encountered. Studies have shown that nearly three quarters of patients with non-cancer pain have significant episodes of breakthrough pain.

For the general population, is not important what the actual treatments are for pain control in chronic non-cancerous patients. What is important for everyone to understand is that a growing part of our general population will be suffering with chronic non-cancerous pain. We need to start to modify and/or drop, when appropriate, our misconceptions of individuals (young and old) that complain of chronic pain that proves to be non-cancerous in origin. We must study how individuals on narcotic therapy do when attempting to continue with accepted normal daily functions. Such functions would include work, play, and care-giving. I feel that we will be surprised how much of a normal life these individuals can live if given the chance.

These days the subject of generic medications troubles many "anxious about our health government minds ".Generic drugs are unsafe, not helpful as brand names for your diseases , they are made in unautorised facilities ect . Is this the truth or is it just an attempt to favour some american drug manufacturers and pharmacies. 

Drug products sold in the United States are approved by the FDA whether they are brand name or generic. "Most people believe that if something costs more, it has to be better quality. In the case of generic drugs, this is not true," says Gary Buehler, Director of FDA's Office of Generic Drugs. "The standards for quality are the same for brand name and generic products." 

Health professionals and consumers can be assured that FDA approved generic drugs have met the same rigid standards as the innovator drug. To gain FDA approval, a generic drug must:
So we can make the conclusion that: The Generic Drug is a drug which is bioequivalent to a brand name drug with respect to pharmacokinetic and pharmacodynamic properties. Generic medicines must contain the same active ingredient at the same strength as the "innovator" brand, be bioequivalent, and are required to meet the same pharmacopoeial requirements for the preparation. By extension, therefore, generics are identical in dose, strength, route of administration, safety, efficacy, and intended use. 

Thus, in some cases, the "generic" product is actually the brand product but inside a different box. 

The principal reason for the reduced cost of generic medicines is that these are manufacturered by smaller pharmaceutical companies which do not invest in research and development into new drugs. The significant research and development costs incurred by the large pharmaceutical companies in bringing a new drug to the market is often cited as the reason for the high cost of new agents - they wish to recover these costs before the patent expires.Other reason for high prices is that every year pharmaceutical companies spend billions to market their products. 

When a pharmaceutical company first markets a drug, it is usually under a patent that only allows the pharmaceutical company that developed the drug to sell it. This allows the company to recoup the cost of developing that particular drug. It will frequently cost millions of dollars to develop and test a new drug before it is approved for use. After the patent on a drug expires, any pharmaceutical company can manufacture and sell that drug. Since the drug has already been tested and approved, the cost of simply manufacturing the drug will be a fraction of the original cost of testing and developing that particular drug.

So despite the strict standards imposed by the FDA for approval of generic drugs, and their enforcement of these standards, a number of misconceptions about generic drugs persist that we must disprove: 

MYTH: Generics take longer to act in the body.
 
FACT: The firm seeking to sell a generic drug must show that its drug delivers the same 
amount of active ingredient in the same timeframe as the original product. 

MYTH: Generics are not as potent as brand-name drugs.
 
FACT: FDA requires generics to have the same quality, strength, purity, and stability as brand-name drugs. 

MYTH: Generics are not as safe as brand-name drugs.
 
FACT: FDA requires that all drugs be safe and effective and that their benefits outweigh their risks. Since generics use the same active ingredients and are shown to work the same way in the body, they have the same risk-benefit profile as their brand-name counterparts. 

MYTH: Brand-name drugs are made in modern manufacturing facilities, and generics are often made in substandard facilities.

FACT: FDA won't permit drugs to be made in substandard facilities. FDA conducts about 3,500 inspections a year in all firms to ensure standards are met. Generic firms have facilities comparable to those of brand-name firms. In fact, brand-name firms account for an estimated 50 percent of generic drug production. They frequently make copies of their own or other brand-name drugs but sell them without the brand name. 

MYTH: Generic drugs are likely to cause more side effects.
FACT: There is no evidence of this. FDA monitors reports of adverse drug reactions and has found no difference in the rates between generic and brand-name drugs. 

And finally what we can conclude is that the only "unsafe and unhealthy" thing about generics is the financial loss for the big pharmaceutical companies that want to protect their monopol on our health,despite the necessity of some low income households for effective medical care. 

We believe that it takes knowledge & understanding to make wise decisions about the prescription meds that we take. In today's society we are bombarded with huge amounts of confusing information about our health and the prescription drugs that are available. In an effort to clear some of this confusion we strive to provide you with as much information as possible concerning your health and prescription drugs. 

So if you can afford to buy brand name medications, you can help yourself visiting our site, where we hope that you will find all the drug information that you seek to get rid of your diseases.

They tell me my diagnosis is pretty common, that millions of Americans suffer with low back pain. I've also heard that next to the common cold, missing work from low back pain is the biggest reason. With these two major known facts, I then wondered why getting the correct treatment for low back pain is so difficult.

After being diagnosed with a herniated disc and bone disc degenerative disease, I was immediately scheduled to see a surgeon. The surgeon suggested I have back surgery. To make a long story short, after a lot of prayer, a lot of thought, and after talking to many people who already have had surgery with my same diagnosis, I chose against surgery.

After deciding against surgery, I found I was immediately cast in a different light, by my doctor, and the medical community in general. I found my pain was then not taken seriously. I felt disbelieved about how much I hurt. I actually felt like a drug addict when asking for something for the pain. It appeared my physician felt back surgery was the end all cure all to my back & leg pain.

To the contrary studies have shown, back surgery may actually cause more pain, complications, and even damage that requires more follow up surgery. Knowing physicians and surgeons are already aware of this, it really makes you wonder why they would put you at such risk. I wish some of these healthcare professionals would just once switch places with me for one day living with chronic low back pain.

As a chronic pain sufferer, I'm dedicated to helping other chronic pain sufferers who suffer from pain in any manner.

As a chronic pain sufferer myself, being diagnosed with a herniated disc in my lower back, along with bone disc degenerative disease, I have learned a lot about how chronic pain is treated, or I should say undertreated. It's a sad fact for a variety of reasons, that chronic pain goes grossly undertreated. Too many americans are needlessly suffering in pain. After years and years of my pain going undertreated, I have learned a few things that I would like to share. 


First of all, theres a stigma associated with patients seeking treatment for chronic pain. Physicians are hesitant about what kind of treatment is best. From physical therapy, bio-feedback, muscle relaxers, steroids, anti-inflammatory, over the counter medications, to narcotic pain medication. Particularly when using narcotic pain medication, it seems physicians do whats best in the interests for themselves, not whats in the best interest of the patient. This has occured due to government regulations, narcotic abuse, diversion, patient addiction & physicians who just dont understand pain. 


Obviously if someone doesn't have a diagnosis of chronic pain, and other treatment is better suited, that should be the course of action. But on the other hand, if every other treatment has been tried, chronic pain sufferers should have every right to narcotic pain medicine. Before I found a physician who finally understood my pain, I felt like a drug addict, I felt like I was disbelieved by the medical community when I told them I was in pain. Pain sufferers are discriminated against tremendously. I am dedicated to informing as many as possible that people are truly suffering in pain needlessly, and dedicated to helping those who suffer. 


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Generic Drugs: Generic Online Pharmacies started making a big impact on the net since the mid to late 90's. This has allowed the prescription drug buyer to save hundreds with the click of a mouse.

Generics really slash the prices on prescription drugs and medications because they do not carry brand names but they are essentially the same drug. As the cost of prescription drugs and medications continue to soar, more and more Americans are choosing Generic Pharmacies to maintain their quality of life. Buying prescription drugs and medications through Generic Pharmacies is a true alternative to paying the high medication prices that a bricks and mortar pharmacy would charge.

What are Generic Drugs? A generic pharmaceutical drug is identical to a brand name drug in safety, strength and quality. Even though generics are identical to brand name drugs, they are typically sold at substantial discounts from the branded price.Typically, savings of at 50 to 70 per cent can be saved for the average consumer It has been estimated that generic drugs save consumers an estimated $8 to $10 billion a year at retail pharmacies. Even more when hospitals use generics.

Are Generic Drugs Safe? One of the most common concerns about purchasing Generic Drugs from online pharmacies is the safety of the drugs, and the safety of the patients ordering them.In most cases, generic drugs are considered safe due to the testing process used by the Food and Drug Administration and must meet or exceed all strict quality control standards, in compliance with WHO international guidelines.

If brand-name drugs and generic drugs have the same active ingredients, why do they look different? Trademark laws do not allow a generic drug to look like the brand-name drug. However, a generic drug must duplicate the active ingredient. Colors, flavors, and certain other inactive ingredients may be different.

Does every brand-name drug have a generic counterpart? No. Brand-name drugs are generally given patent protection for 20 years from the date of submission of the patent.

Are generic drugs as strong as brand-name drugs? Yes. FDA requires generic drugs to have the same quality as brand-name drugs.

Do generic drugs take longer to work in the body? No. Generic drugs are basically the same in quality, strength, purity as brand-name drugs.

More and more people every day are taking advantage of the savings that Generic Pharmacies offer. Purchasing your prescription drugs and medications from Generic Pharmacies or internet

In our everyday life, our body is exposed to various toxins almost all the time. We are facing toxin attacks in the food, in the water we drink even in the air we breath. Heavy metal toxins like Mercury, Lead and Cadmium gets deposited and builds up plaque in arteries and blood vessels and narrows the passage for blood flow (medically termed as Atherosclerosis). This in turn leads to all sorts of problems and even heart attacks and might ultimately require surgery to bypass the blocked arteries. 

Chelation (pronounced key-LAY-shun) Therapy is the process in which chemicals bond with minerals and toxic metals and remove them from the body. The word Chelation has been derived from the Greek word "chele", meaning to "claw". 

The doctors have used chelation therapy for a long time now and the most important chelating agents used by them is EDTA (Ethylene Diamine tetra acetic acid). This is a synthetic amino acid that is highly effective in binding with the harmful metals and releasing them out of the body through the urine. 

Chelation Therapy is definitely the most effective alternative to surgery for Atherosclerotic vascular disease. This therapy when applied properly has considerable effect on patients and thousands of patients have been cured without any need for bypass surgery or angioplasty.

There are two types of Chelation, classified mainly based on the way they are applied; Intravenous Chelation, where the chelating agent is injected through the veins and Oral Chelation, where the patient takes the chelating agent through his mouth just as any other medicine. Intravenous chelation is comparatively costly and would necessarily require a doctor to assist the patient, however, oral chelation is one of the easiest processes and is comparatively cheap. 

Any oral chelating agent would contain a synthetic amino acid called EDTA along with the other components like Royal Jelly, honeybee pollen, unprocessed honey, natural vitamin C and B12. EDTA is particularly effective in removing heavy metals like Mercury from our circulatory system. 

An Oral Chelating agent becomes more effective due to the presence of components like Royal Jelly and honey. Our body perceives it as food and it gets absorbed in the system very fast where as the EDTA in the chelating agent binds with the toxic metals and removes them out of the body. 

Oral Chelating agents like PCA-Rx (sold at www.awakennutrition.com) are highly effective and helps you to prevent plaques and narrowing of blood vessels by bonding with the toxic metals and removing them out of the body. 

This would help you to remove toxic metals from your blood flow while gaining and maintaining you heart's health. When thousand s of patients today are adopting this chelation therapy to fight against atherosclerosis and maintain a healthy heart, why should you be left out?

Blood pressure is the force of the blood pushing against the walls of the arteries. Each time the heart beats, it pumps blood through the arteries. Your blood pressure is at its highest when the heart beats, forcing blood into the arteries. This is called systolic pressure. When the heart is at rest, between beats, your blood pressure falls. This is the diastolic pressure. Blood pressure is always given as two numbers, the systolic and diastolic pressures. Both are important.

The systolic pressure is the first or top number, and the diastolic pressure is the second or bottom number (for example, 120/80). If your blood pressure is 120/80, you say that it is "120 over 80".

It is important to take steps to keep your blood pressure under control. The treatment goal is to keep blood pressure below 140/90, or even lower for people with other conditions, such as diabetes and kidney disease.

Adopting healthy lifestyle habits is an essential and effective first step in both preventing and controlling high blood pressure. However, if lifestyle changes alone are not effective in keeping your pressure controlled, it may be necessary to take blood pressure medications.

The following types of medications are available to treat high blood pressure:

1. Diuretics: Diuretics are sometimes called water pills because they work in the kidney and flush excess water and sodium from the body, lowering blood pressure.
2. Beta-blockers: Beta-blockers reduce nerve impulses to the heart and blood vessels. This makes the heart beat slower and with less force. As a result of these drugs, the blood pressure drops and the heart works less hard.
3. ACE inhibitors: Angiotensin converting enzyme (ACE) inhibitors prevent the formation of a hormone called angiotensin II, which normally causes blood vessels to narrow. The ACE inhibitors cause the vessels to relax and blood pressure goes down.
4. Angiotensin antagonists: Angiotensin antagonists shield blood vessels from angiotensin II. As a result, the vessels become wider and blood pressure goes down.
5. Calcium channel blockers (CCBs): CCBs keep calcium from entering the muscle cells of the heart and blood vessels. This causes the blood vessels to relax and pressure goes down.
6. Alpha-blockers: Alpha-blockers reduce nerve impulses to blood vessels, which allows blood to pass more easily, causing the blood pressure to go down.
7. Alpha-beta-blockers: Alpha-beta-blockers work the same way as alpha-blockers but also slow the heartbeat, as beta-blockers do. As a result of using these drugs, less blood is pumped through the vessels and the blood pressure goes down.
8. Nervous system inhibitors: Nervous system inhibitors relax blood vessels by controlling nerve impulses, and this causes the blood vessels to become wider and the blood pressure to go down.
9. Vasodilators: Vasodilators directly open blood vessels by relaxing the muscles in the vessel walls, causing the blood pressure to go down.

To find out if you have high blood pressure consult your doctor and have a blood pressure test. The test is quick and painless.

To determine which life style changes and medications are appropriate, consult your doctor.

There are no hard and fast figures which represent a normal blood pressure. And very often doctors and other experts cannot even decide between them what an ideal blood pressure range is for an adult.

However it is usually agreed that somewhere between 110/70 and 125/80 is considered to be an average blood pressure for a grown person, though someone with naturally low blood pressure may be closer to a range of 100/60

A blood pressure of 140/90 is considered to be high, though as a person gets older, this falls into the more normal range for people.

Blood doesn't circulate in an even stream around the body, but travels in a constant series of spurts. Therefore the pressure peaks in the blood vessels just after a heart beat and then ebbs until the next one. This is a continuous process.

The two blood pressure figures represent the pressures when the forces are at their peak and at their lowest ebb. The stronger the arteries are, the more they resist the force of the blood and the lower the blood pressure.

As a person gets older, and the elasticity of their arteries weakens, the figures tend to rise. However the lower figure should still be under 90 until that person at least reaches their sixties.

Many studies looking at blood pressure in both black and white people have found there is a higher prevalence of hypertension (High blood pressure) in black people than there is in white. This has led to further research in determining whether this is racially determined or just based on socioeconomic and dietary factors.

Some people suffering high blood pressure may find they just can't pinpoint a cause for their problem. They may be fit, have a very healthy lifestyle yet their blood pressure remains consistently high for no apparent reason. This is called Primary or essential high blood pressure. However if the raised blood pressure is due to an underlying medical problem, it is known as Secondary High Blood Pressure.

Nearly one in four people in the Western world have high blood pressure. Many people don't appreciate it is a dangerous condition that can lead to a heart attack kidney failure or stroke if it is left untreated. Yet there are thousands of people unaware they have high blood pressure who are walking around with a lethal time bomb ticking away inside them.