While the general risk of addiction is low, some people are at greater risk depending on their family and personal history, and medical and psychological diagnoses. However, the main clinical concern with opioid treatment is the potential for addiction. We need much more research on this topic, particularly in TMJ disorders.Ĭaution: Opioids are associated with some side effects (constipation, nausea, dizziness, fatigue, slowed breathing, etc.), and they can also cause and exacerbate sedation from central nervous system depressants, such as alcohol or benzodiazepines. weeks to months), there is little data informing us about the long term benefits of opioids in chronic pain. Currently, while there are a number of studies showing benefits from opioids during the short period (i.e. ![]() A recent review identified placebo-controlled studies that reported improved outcomes with morphine and fentanyl for TMJ arthrocentesis (NAM 5-20). It’s important to work closely with your primary care physician so that they can monitor the effects of these medications and advise on side effects and drug interactions.Īnyone who has ever undergone any kind of surgery is in little doubt about the relief opioids can provide from pain.Įxamples: fentanyl (Duragesic), oxycodone (Ox圜ontin, Percoset), hydrocodone (Vicodin), codeine, morphineĮvidence: One randomized trial with 80 subjects provided moderate evidence that a combination analgesic product (NSAID and low-dose codeine) delivered relief from pain associated with TMJ (Shaheed et al., 2019). One can only find out through a trial of that medication. For now, we don’t have good evidence to say who will or will not positively respond to a certain medication – or who will experience intolerable side effects. Just because another person with a TMJ disorder experienced a positive or negative effect with a particular medication does not mean that you will have the same result. It’s important to note, there are no drugs specifically labeled by FDA for temporomandibular disorders.ĭifferent subgroups of people with TMJ disorders respond differently to treatment. depression, seizures) also work on the same nerves causing pain and can help ease your pain. ![]() Many medications originally approved by the FDA for other conditions (e.g. If pain persists, your medical provider can prescribe stronger pain or anti-inflammatory medications, muscle relaxants, or antidepressants that can help ease pain and other symptoms. ![]() For many people, short-term use of over-the-counter pain medications or nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may provide temporary relief from jaw and muscle discomfort.
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