• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

FHE Health | Inpatient Rehab & Mental Health Facility in Florida Homepage

Drug, Alcohol and Mental Health Treatment

ContactCareers

Call for Immediate Help (833) 596-3502

MENUMENU
  • About
        • About FHE Rehab
          • About FHE Health
          • Our Staff
          • Locations We Serve
          • Testimonials
        • Our Campus
          • Gallery
          • Our Videos
          • The Health and Wellness Center at FHE Health
        • Our Locations
          • Alcohol Rehab
          • Detox Center
          • Drug Rehab
          • Mental Health Center
          • Outpatient Rehab
        • Careers at FHE Health
          • Employment Opportunities
        • Our Expertise
          • Accreditations
          • Educational Opportunities
          • Community Impact Award
          • First Responder Families Podcast
          • First Responder Paws
          • Education Scholarship
  • Addiction
        • Treatment Programs
          • Treatment Program Overview
          • Alcohol Addiction
          • Drug Addiction Treatment
          • Behavioral Addiction
        • Levels of Care
          • Continuum of Care
          • Addiction Detox
          • Inpatient Addiction Treatment
          • Outpatient Addiction Treatment
        • What We Treat
          • Alcoholism
          • Amphetamines
          • Benzodiazepines
          • Cocaine
          • Heroin
          • Opioids
          • Sedative
  • Mental Health
        • Mental Health Rehab
          • Mental Health Rehab
          • Onsite Psychiatric Care
          • Dual Diagnosis
        • Levels of Care
          • Residential Mental Health Care
          • Outpatient Mental Health Care
        • What We Treat
          • ADD & ADHD
          • Anxiety Disorders
          • Bipolar Disorder
          • Depression
          • Eating Disorders
          • Personality Disorders
          • PTSD
          • Schizophrenia
          • Substance Use Disorder
          • Trauma
  • Programs
        • FHE Programs
          • Specialty Program Overview
          • Restore (Mental Health)
          • Empower! (Women's Program)
          • Shatterproof FHE Health(First Responders)
          • Compass Program
        • Support Programs
          • Alumni
          • Family Support
        • Therapies
          • Acupuncture
          • Breathwork Therapy
          • CBT (Cognitive Behavioral Therapy)
          • DBT (Dialectical Behavioral Therapy)
          • EMDR Therapy
          • Expressive Arts Therapy
          • Individual Therapy
          • Group Therapy
          • Gambling Therapy
          • Massage
        • Medical Care
          • Medical Integration
          • Ketamine Infusion
          • IV Vitamin
          • Fitness & Nutrition
          • Medication-Assisted Treatment
          • Medication Management
        • NeuroRehab Services
          • Neuro Rehabilitation
          • Neurofeedback Training
          • Neurostimulation Therapy
          • EEG Brain Mapping
          • Insomnia Treatment for PTSD
  • Resources
        • FHE Guides
          • Understanding Drug Abuse
          • Signs of Addiction
          • The Disease of Addiction
          • Confronting Addiction
          • Staging an Intervention
          • Rehab Success Rate – Does It Really Work?
          • Withdrawal Timelines
          • Life After Rehab
          • LGBTQ+ Community Resources
          • Veteran Resources
          • FHE Podcasts
          • Remote Resources Toolkit
        • Learning Center
          • Help for You
          • Help For Loved Ones
          • Help For Alcoholism
          • Help With Substance Abuse
          • Behavioral & Mental Health
          • Life in Recovery
          • Rehab Explained
          • Addiction Statistics
          • Our Research Articles
          • View All Articles
        • The Experience Blog
          • Addiction News
          • Alumni
          • Community Events
          • Expert Opinions
          • FHE Commentary
          • FHE News
          • Treatment Legislation
          • View All Articles
  • Admissions
        • Insurance
          • Blue Cross Insurance
          • Beacon Health / Value Options Insurance
          • Cigna Insurance
          • Humana Insurance
          • TRICARE Insurance
        • Admissions
          • Steps to Addiction Help
          • Will Insurance Cover Behavioral Treatment?
          • Self-Pay Rehab
        • FAQ
          • Keeping Your Job in Rehab
          • Example Day in Rehab
        • Contact Admissions
          • Contact Us
          • Secure Payment Form
  • Contact
  •  
Home > Featured in Recovery > Non-Opiate Painkiller Options for People in Recovery

February 2, 2021 By Kristina Robb-Dover

Non-Opiate Painkiller Options for People in Recovery

Non-Opiate Pain Relief for Those in Recovery

Abstinence is key to recovery. But for many people with an opiate addiction, issues with chronic pain can be a real challenge to long-term sobriety. That makes finding effective non-opiate painkiller options a driving concern in recovery. Fortunately, there are safe and effective solutions for chronic pain that won’t interfere with your recovery….

How Slow Relapse Is Possible “Following Doctors’ Orders”

One very important component of successful recovery from opiate addiction is staying healthy, by following doctors’ orders and addressing medical issues as they arise. For problems with chronic or severe pain, however, simply following a doctor’s orders may not necessarily be good for recovery, especially if the doctor has prescribed a narcotic painkiller. In this case, even a strong commitment to avoid opiates may not be enough to prevent slipping into a slow relapse trajectory.

That is one more reason to know the options regarding non-narcotic, non-opiate painkillers. Afterall, no one who has worked hard to achieve recovery wants to backslide into addiction for any reason— especially not because of a doctor-prescribed medication.

What a ‘Narcotic’ Is and Why People in Recovery Avoid It

The term “narcotic,” also known as “opioids,” refers to substances that dull the senses and relieve pain, according to the U.S. Drug Enforcement Administration. “Narcotics” include illicit drugs like heroin and synthetic opiates, such as fentanyl and carfentanil; they also include prescription opiates, often prescribed to those with debilitating chronic pain or post-operative pain.

These drugs can be highly addictive, even for first-time users. This risk is much higher, though, for those in recovery from these drugs. It’s therefore common wisdom that anyone in recovery from an opiate addiction should avoid these drugs entirely.

What Do Narcotics Have to Do With Addiction?

An addiction to a narcotic, (opiate) drug is a medical condition like other substance addictions, meaning it typically requires treatment. After a narcotic addiction has developed or a person has relapsed on opiates, professional detox and therapies are often the only way to stop the addiction cycle.

Are There Non-Narcotic Options for People in Recovery?

After becoming abstinent and no longer physically dependent on narcotic painkillers, the last thing someone in recovery wants to do is revert to using opiates. Still, if chronic pain persists, the body’s inability to tolerate unceasing pain may prompt a return to the use of prescription or illicit narcotics as the only known way to stop the agony. There are, however, non-narcotic options for people in recovery that can help ensure they remain abstinent while simultaneously addressing pain relief.

What are some of these non-narcotic painkiller options, including the strongest non-narcotic painkiller? Let’s take a look.

List of Non-Narcotic Painkiller Options

Several therapies are proven to alleviate pain, reduce the need for reliance on narcotic painkillers, and help with adherence to strategic plans and goals in recovery. These non-narcotic painkiller options are also equally useful in treating all kinds of addiction, as well as mental health disorders such as anxiety and depression that so often accompany addiction.

Psychological Treatments

  • Mindfulness Training
  • Biofeedback
  • Cognitive-Behavioral Therapy (CBT) – CBT uses practical techniques that change physical activity and lessen distress and the tendency to catastrophize, while increasing social engagement and functioning. Coping strategies, relaxation techniques, exposure to activities that are feared, and those that divert the individual’s attention to pain are some elements of CBT.
  • Hypnosis
  • Stress Management

Complementary Non-Narcotic Painkiller Options

Many individuals in recovery from substance abuse who also suffer from chronic pain choose to take part in complementary nonnarcotic painkiller options. The American College of Physicians recommends acupuncture and massage for the non-narcotic treatment of chronic low back pain.

Other options include:

  • Meditation
  • Yoga
  • Guided Imagery
  • Chiropractic
  • Music Therapy
  • Heat Therapy
  • Exercise
  • Physical Therapy

Interventional Approaches

  • Transcranial Magnetic Stimulation (TMS) – For chronic pain that is resistant to other pharmacological treatments, some studies report that individuals with spinal cord injury pain experience some improvement with transcranial magnetic stimulation (TMS) and other forms of neural stimulation techniques.
  • Epidural Analgesia or Intrathecal Treatment – These interventional approaches may help reduce the uncontrolled pain associated with cancer.
  • High-Frequency Spinal Cord Stimulation and Stimulation of Dorsal-Root Ganglia – This is a new but not yet rigorously tested interventional approach for pain.

List of Non-Narcotic Pain Pills

Since opiates fall under the classification of narcotic pain relievers, and most are highly addictive, searching for a safe and effective non-opiate painkiller to relieve chronic pain is a worthwhile endeavor.

An article in the New England Journal of Medicine, discussing non-narcotic pain management methods, recommends non-steroidal anti-inflammatory drugs (NSAIDs), such as aspirin and acetaminophen, as safe and well-known, analgesic, over-the-counter drugs. They’re best for slight-to-moderate pain, including pain from migraine, post-operative pain, joint and muscle pain, toothache, menstrual pain, and tension headache.

Other non-narcotic and non-opiate analgesic agents include antidepressants such as tricyclic antidepressants and serotonin-norepinephrine reuptake inhibitors (SNRIs), and anti-epileptic medications, including gabapentin and pregabalin. Findings from a study in The Lancet, Neurology led to a strong recommendation for the use of the proposal of SSRIs, gabapentin, and pregabalin in the treatment of neuropathic pain. Some topicals can be used externally to manage pain, such as a lidocaine patch that is FDA-approved for postherpetic neuralgia, and a capsaicin patch that desensitizes and temporarily reduces the number of pain fibers in the skin.

Strongest Non-Narcotic Painkiller

Among the non-opiate painkiller options that may may qualify as the strongest are duloxetine, gabapentin, and pregabalin. Another study published in The BMJ pointed out that 75 percent of clinical practice guidelines endorse the use of duloxetine, a SNRI, for low back pain and osteoarthritis. All three are first-line therapy for treating neuropathic pain, while duloxetine is also for fibromyalgia and chronic musculoskeletal pain.

What is AA’s Stance on Painkiller Use?

AA has long encouraged an abstinence from drugs and alcohol. However, AA also recognizes that alcoholics have medical conditions like heart disease and epilepsy, mental and other conditions, and that some of these conditions are serious and require prescription medication. The AA stance is that it’s wrong to deprive individuals of required medications, including painkillers, that can control their conditions or alleviate their pain.

What if You Have Relapsed on Painkillers – Next Steps

Relapse is often a part of recovery and is nothing to fear or be ashamed of. Indeed, relapse is considered a common, although not inevitable, phase of the recovery process. As such, for those who have relapsed on prescription opiate painkillers and want to resume the progress they’ve already made in recovery, here are some effective and evidence-based next steps to take.

  • Remember that relapse is not a failure. It is a part of the recovery process and it is possible to get past this episode.
  • Step up participation in 12-step groups. Being with like-minded people, each intent on helping others with their sobriety, can reduce the risks of relapse and boost recovery.
  • Go back to rehab, starting with opioid addiction detoxification that’s medically monitored, followed by treatment.
  • Engage in continuing care or aftercare treatment, if available.
  • Continue counseling. Professional psychological help can help in sorting out the obstacles and blockages that may be preventing total commitment to sobriety.
  • Enlist the support of a strong network of loved ones, family members, and friends to help with accountability and staying on track toward sobriety.
  • Explore the possibility of taking non-narcotic and non-opiate painkillers to help with pain management.
  • Take advantage of complementary, non-narcotic painkiller options such as yoga, meditation, guided imagery, and more.
  • Maintain a hopeful, positive attitude and commit to resuming a healthier lifestyle complete with effective coping strategies.
  • Keep a list of what works and refer to it often when unexpected or anticipated hurdles and challenges arise that could otherwise derail sobriety and thwart the return to recovery.
  • Be gentle with yourself. This is a journey, not a race, and progress takes time to achieve. After all, you have your whole life to live. This is a step along the way, one that’s vitally important, to be sure, but not an end of the path by any means.

Stuck and need help? Contact us at FHE Health for a confidential discussion of the options. We can help you figure out what you need and get back on track to recovery.

Filed Under: Featured in Recovery, Life in Recovery

About Kristina Robb-Dover

Kristina Robb-Dover is a content manager and writer with extensive editing and writing experience... read more

Primary Sidebar

Learning Center

  • Help for You
  • Help For Loved Ones
  • Help For Alcoholism
  • Help With Substance Abuse
  • Behavioral & Mental Health
  • Life in Recovery
  • Rehab Explained
  • All Articles

Sign up for the Blog

Our Facilities

Take a look at our state of the art treatment center.

View Our Gallery

The Experience Blog

  • Addiction News
  • Alumni
  • Community Events
  • Expert Columns
  • FHE Commentary
  • FHE News
  • Treatment Legislation
  • All Articles

Footer

FHE Health

© 2025 FHE Health

505 S Federal Hwy #2,
Deerfield Beach, Florida 33441
1-833-596-3502
youtube facebook instagram linkedin twitter
  • Contact
  • Careers
  • AI Policy
  • Privacy Policy
  • Sitemap
A+ BBB and Top Places to Work - Sun Sentinel

Copyright © 2025 · FHE Theme On Genesis Framework · WordPress · Log in

Manage Consent
To provide the best experiences, we use technologies like cookies to store and/or access device information. Consenting to these technologies will allow us to process data such as browsing behavior or unique IDs on this site. Not consenting or withdrawing consent, may adversely affect certain features and functions.
Functional Always active
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
Preferences
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
Statistics
The technical storage or access that is used exclusively for statistical purposes. The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
Marketing
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.
Manage options Manage services Manage {vendor_count} vendors Read more about these purposes
View preferences
{title} {title} {title}

The FHE Health team is committed to providing accurate information that adheres to the highest standards of writing. If one of our articles is marked with a ‘reviewed for accuracy and expertise’ badge, it indicates that one or more members of our team of doctors and clinicians have reviewed the article further to ensure accuracy. This is part of our ongoing commitment to ensure FHE Health is trusted as a leader in mental health and addiction care.

If there are any concerns about content we have published, please reach out to us at marketing@fhehealth.com.

833-596-3502

Text/Call Me