Anti-anxiety drug (tricyclic antidepressant). It also has some analgesic (central genesis), H2-histamine blocking and antiserotonin effects, helps eliminate nocturnal urinary incontinence and reduces appetite.
According to primary medical care requests, up to 80% of patients suffering from depression present complaints of an exclusively somatic nature, such as headaches, abdominal pain, muscle pain in the back, joints, and neck area.
Anatomical operations are represented by decompression, transposition and neurolysis. If indicated, they are often performed at the first stage of surgical treatment and are in many cases pathogenetically directed.
A placebo is a physiologically inert substance used as a medicine, the positive therapeutic effect of which is associated with the unconscious psychological expectation of the patient.
In 1998, the WHO proposed the so-called pain relief ladder, which demonstrates the principles of escalating analgesic treatment. Initially proposed for the treatment of cancer pain, this scheme has become universal.
From the site of damage, local anesthetics are used, the most popular of which are procaine (novocaine), lidocaine. Their mechanism of action is to block the sodium channels of the neuron membrane and its processes.
For the treatment of chronic pain syndrome (CPS) of various myologies, combination drugs based on acetaminophen in combination with small, drug-safe doses of weak opioid analgesics - codeine or tramadol - are of particular interest.