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Dr. Lee: What happens when NSAIDs don't do the trick, and the pain and the inflammation persists? Dr. Shiel: In the setting of intense pain or persistent pain, in patients who are already taking NSAIDs, we can supplement with short-term narcotic pain relievers. The reason we prefer to use narcotics short-term is because narcotics have the potential for habituation, which means the patient may require higher and higher doses for pain relief, and that they become habit forming. Dr. Lee: What are some of the examples of narcotic pain relievers that you use? Dr. Shiel: Typical narcotic pain relievers that we use include Codine or Codine derivatives and Darvocet or related medications to Propoxaphine and Ultram . Dr. Lee: Thank you, Bill, for sharing with us your perspective on proper use of pain relievers in your practice and also for reviewing the use of over-the-counter pain relievers. Dr. Shiel: Thank you Dennis for your questions. : The published answers represent the opinions and perspectives of the doctors and pharmacists of and are for educational purposes only. They should not be used to replace or substitute for timely consultation with your doctor. Accuracy of information cannot be guaranteed.

Please remember, information can be subject to interpretation and can become obsolete.

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Not shortly after Roger Maris record was broken, another baseball player, Jason Giambi and various other athletes were either suspected of, or proven to have, taken anabolic steroids. Again, Congress convened a hearing, and just as they did the first time in 1990, they did not determine that steroids were a danger, but rather that the danger was more in protecting professional sports organizations. The updated statute has been updated to proscribe pro-hormones also The definition of an anabolic steroid as defined currently in the United States under (41)(A) is that "anabolic steroid" means any drug or hormonal substance, chemically and pharmacologically related to testosterone (other than estrogens , progestins, corticosteroids, and dehydroepiandrosterone (7).

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