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Acute pain is pain which isn't on a 24/7 basis, or isn't expected to last for long periods (e.g., months and years, or until you die). Most acute pain is treated with non-opiate therapy if possible, and with acute pain meds (typically lower level opiates like Vicodin) that only last a few hours.

Long term Chronic pain is typically managed with much stronger opiates like Fentanyl patches, which are extremely effective. However, patients usually don't choose patch therapy unless it's a last resort, and the pain is severe and chronic enough that acute meds just aren't cutting it. The amount of acute meds (even Percocet, Morphine, Demerol, etc.) that only last a few hours just don't offer the type of effective pain control that Fentanyl patches do - 48-72 hours.

They are a double-edged sword, and not to be considered lightly. While they will control your pain very well, you can expect much more intense side effects (mood swings, etc.) and a trip to your pain doctor every month to get new prescriptions. Such a choice should only be made when it's a choice between daily agony or effective pain relief, and most people who deal with extreme chronic pain on a regular basis know when they're at that point.

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