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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Pain Management With A History Of Diatebes And High Bp

My dad is diabetic, has hbp, fatty liver. He literally screams in pain off and on throughout the day, every day...for 2 years now. The doctor says there is nothing he can do except give him pain medication. He takes clonodine and his doctor gave him oxycodine, which he doesn't want to take because it is so addictive. What the heck can we do?
Wed, 8 Mar 2017
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Diabetologist,  's  Response
Hello, Thanks for the query.
Since patient has long standing diabetes and hypertension plus pain (as described), he needs to be treated with a semisynthetic narcotic drug like Oxycodone. Because routine non steroidal analgesics if used for long duration can lead to kidney damage. In diabetes as well as in hypertension kidney function is already affected. So in such situation Oxycodone is definitely a better choice. It does lead to physical dependence if used for a long time. However, if pain control has to be provided then that is the best alternative. Thanks
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Suggest Medication For Pain Management With A History Of Diatebes And High Bp

Hello, Thanks for the query. Since patient has long standing diabetes and hypertension plus pain (as described), he needs to be treated with a semisynthetic narcotic drug like Oxycodone. Because routine non steroidal analgesics if used for long duration can lead to kidney damage. In diabetes as well as in hypertension kidney function is already affected. So in such situation Oxycodone is definitely a better choice. It does lead to physical dependence if used for a long time. However, if pain control has to be provided then that is the best alternative. Thanks