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Narcotic pain medications are strong pain relievers widely used to treat back pain. These medications change the perception of pain by weakening pain signals to the brain. Emotions are also affected, leading to a feeling of enhanced well-being and sleepiness in many patients.

Narcotic pain medications are medically termed opioids, and may be referred to as painkillers. They are derived from opium or made synthetically. Some narcotic pain medications contain both opium-derived and synthetic material.

Use of these medications has increased rapidly in recent years. The narcotic medication hydrocodone/acetaminophen, better known by the brand name Vicodin, Lortab, or Norco, was the second-most commonly prescribed drug in the United States in 2014.

Because of the potential side effects, risks, and complications of opioids, and the body's increasing tolerance to opioids over time, these medications are most clearly indicated for treatment of short-term intense pain, such as acute postoperative pain. If used to treat pain for longer periods, close monitoring is essential.

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