Schmerz ist nicht gleich Schmerz

Not all types of pain are the same. For successful treatment of pain, acute pain must be distinguished from chronic and nociceptive must be distinguished from neuropathic pain. Selection of the right medication is based on the severity of the pain. Despite all efforts to standardize treatment, there is still no consensus on the optimal treatment method. The effective drug must be determined for each patient by taking into account the patient’s symptom profile, the pain intensity and duration as well as the side effects and contraindications. In chronic pain syndromes, only after 6–8 weeks with adequate dosage can the ineffectiveness of a drug be assessed. Single doses, intervals between administration and routes of administration must be selected depending on the pharmacokinetics and interaction profile and the age and needs of the patient.