How Pain Killers work

How pain works
Different Kinds of pain killers
4 stages of pain
Transduction
Transmission
Perception
-Where you become aware of the pain
Modulation
- Where the body interacts with nerves to deal with the pain
-Releases endorphins or serotonin
Nociceptors
-Nociceptors releases a signal in the form of action potienal
Opioids
NSAIDs
Paracetamol
-Work similar to NSAIDs by blocking prostaglandin formation
-Lack of strong anti-inflammatory effect
-2 step process to form prostaglandin
-COX produces prostaglandin G2 from arachidonic acid
-Peroxidase (POX) converts to prostaglandin H2
- Release of prostaglandin
-Signal travels to the cerebral cortex
-Travels via Fiber axons
-2 kinds of axons
-Type A
-Type C
-Work by bonding to the opioid receptors
-Mimic endorphins
-Aid with opening of potassium channels
-Block the opening of calcium channels
-End result is inhibiting the ability to transmit the pain signal
-Slows the prostaglandin formation
-Inhibits cyclooxygenase (COX)
-Blocks nociceptor activation

-Paracetamol acts a reducing co-substrate to POX
-Works well in low arachidonic acid levels to inhibit POX
-In high levels it weakly inhibits POX
-Where the pain signal is created


