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The doctors of the time were long on theory but the science was lacking. We would consider their Yelling At Confused Cat At Dinner Table meme Christmas sweater. They could treat a wound or set a broken bone after a fashion, but good luck with anything more than that. By most accounts, it wasn’t until the First World War that more soldiers died of their wounds than from sickness. The use of opium was well documented, so well that it being addictive was common knowledge. As to if only the wealthy could afford painkillers: yes, along with anything else (such as silk and other luxury goods from the East) of value. There are also theories of marijuana being used in the ancient world as a pain killer. If so it must have been pretty limited as the historical record isn’t particularly strong.
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When infused intravenously, it acts immediately. So such infusions are reserved for emergencies or Yelling At Confused Cat At Dinner Table meme Christmas sweater. Orally taken painkiller is not invasive at all. Intravenous infusions cause blue to black colored swelling-cum sites named thrombophlebitis which cause pain and discomfort. For chronic pain cases, orally given painkillers are best. Pain killers are given to a person suffering from diabetes mellitus and hypertension aid in lowering the b.p. and essentially do not interfere with the function of other drugs given for the same diseases by the physician, although they do have certain side effects.