Treatment for pain in comorbid patients
Vertkin A.L., Naumov A.V., Knorring G.Yu.

A.I. Evdokimov Moscow State University of Medicine and Dentistry

Currently, both inpatient and outpatient clinical practices commonly face comorbidities as a result of population ageing and improvements in diagnostic tools. As a consequence, most disorders should be considered from the viewpoint of comorbidity. Pathological process interactions affect disease course while the therapy requires the analysis of medication effects, their impact on organs and systems as well as adverse side effects. The paper discusses treatment modalities for pain syndrome in comorbid patients, the aspects of non-steroidal anti-inflammatory drug (NSAID) use, and potentiation of NSAID analgesic effect with neurotropic B vitamins. Authors’ experience with different NSAID regimens (monotherapy or in combination with B vitamin injections) prescribed in patients with back pains and comorbid somatic conditions is summarized. Complex treatment provides more rapid pain relief and shortens the duration of pain recurrence period.

Key words: pain, non-steroidal anti-inflammatory drugs, lornoxicam, thiamin, pyridoxine, cyanocobalamin.

For citation: Vertkin A.L., Naumov A.V., Knorring G.Yu. Treatment for pain in comorbid patients // RMJ. 2016. № 25. P. 1683–1686.