止痛药伤肾、伤肝，伤荷包？
每当我为针筒注入止痛药时，就会静候患者的经典提问：
“医生，止痛药会不会伤肾？”
“医生，止痛药会不会伤肝？”
“医生，这支止痛药需要 beribu-ribu 吗？”
很多患者怕吃止痛药的原因都八九不离十，是以上仨。
身为马来西亚资深疼痛管理专科医生，我非常负责任地告诉你，其实很多担心都是误解：
吃止痛药一定伤肾肝？
真相：在医生的用药指南指导下，超过 90% 的患者不会出现肾肝损伤。真正风险，来自患者自行长期服用或过量使用。
止痛药会不会上瘾？ 其实，大多数常用的止痛药，比如布洛芬、对乙酰氨基酚，是不会让你上瘾的。只有一些强效阿片类药物，长期使用才可能产生依赖。如果停药后疼痛又出现，那不是上瘾，而是疼痛本身的自然规律。
忍痛更安全还是伤荷包？ 真相：长期疼痛会影响睡眠、肌肉、情绪和康复，还可能导致额外的医疗费用。合理止痛不仅保护身体，也节省不必要的花费。
关键一招：用对药、用对剂量、做对监测，止痛药才是你的助力，而不是负担。Every time I fill a syringe with a painkiller, I quietly expect the classic patient questions:
“Doctor, will this hurt my kidneys?”
“Doctor, will this damage my liver?”
“Doctor, does this painkiller cost thousands?”
Most patients’ fears about taking painkillers usually come down to these three questions. As a senior Pain Management Specialist in Malaysia, I can assure you: many of these concerns are misconceptions.
Will painkillers damage my kidneys or liver? Truth: When used according to a doctor’s guidance, over 90% of patients do not experience kidney or liver damage. Real risk comes from long-term misuse or overdose. Will painkillers cause addiction? Truth: In fact, most common painkillers, like ibuprofen or paracetamol, do not cause addiction. Only some strong opioids, when used long-term, may lead to dependence. If pain returns after stopping the medication, it is not addiction, but simply the natural course of the pain itself. Is enduring pain safer or more costly? Truth: Chronic pain affects sleep, muscles, mood, and recovery, and may lead to extra medical costs. Proper pain management protects your body and your wallet. One key principle: Use painkillers right drug, right dose, right monitoring, then they are your ally, not your burden.Dr. Aldred Soo Cheng Wei | Pain Specialist Malaysia & Consultant Anaesthetist
苏程威医生 ｜ 马来西亚疼痛管理专科、麻醉科医生
