NSAIDs for the treatment of back pain. Medicines for back and lower back pain

Unpleasant and painful sensations V spinal region spine can significantly limit a person’s performance. The appearance of back pain is not uncommon these days, and this contributes to sedentary lifestyle everyday life, work associated with performing stereotypical movements and lifting weights, chronic diseases.

Taking pills for back pain must be prescribed by a doctor at the first signs of the disease; perhaps the pain is not just a limitation of the mobility of the vertebrae, but more serious problems– intervertebral hernia, widespread osteochondrosis. If there is no real opportunity in the first days of the onset of discomfort in the spine to be examined and consult a neurologist, then you can use drugs from the list below.

Groups of drugs that relieve back pain

Back pain most often accompanies inflammatory and degenerative changes. Simple analgesics will not help in this case; it is necessary to use drugs from pharmaceutical group non-steroidal anti-inflammatory drugs. These medications have anti-inflammatory and analgesic effects, it is recommended to buy them yourself

Ibuprofen or Nurofen- uh These drugs have fewer side effects and can be used for several days. Ibuprofen is recommended after meals to accelerate its therapeutic effect. Ibuprofen contains a long-acting drug Solpaflex , it is accepted at a lower daily dosage. How many times to take the chosen drug must be read in the instructions; exceeding the dose will lead to unnecessary effects.

Such tablets for back pain as Diclofenac, Meloxicam use with caution. They have a negative effect on the gastric mucosa and are contraindicated in patients with peptic ulcers. It is not recommended to take them for more than 3 days, especially if the effect is not noticeable. Has the most powerful analgesic and inflammation-relieving effect Ketoprofen , it can also be produced in tablets with long-term action, which allows patients to take it less often. Has an analgesic effect Nimesulide , but it is also recommended to drink it with extreme caution for three, maximum five days.

anti-inflammatory drug with analgesic, anti-inflammatory and antipyretic effects

Tablets from the non-steroidal anti-inflammatory group of drugs will not help with back pain if the discomfort is associated with muscle spasm. With this pathology, it is recommended to take muscle relaxants - Tizanidine, Tolperisone , usually these medications are used only if prescribed by a doctor. Muscle relaxants pronounced positive effect They also provide treatment for spasms of the back muscles after bruises and injuries. You can use antispasmodics yourself - Spazgan, Baralgin or an ordinary analgesic - Analgin .

Tablet medications prescribed by a doctor

If there is severe pain in the spine and if the treatment is ineffective, the doctor may prescribe narcotic analgesics or corticosteroids. These groups of drugs quickly and effectively cope with pain, but can be addictive, so their prescription must be justified.

Will help eliminate pain syndrome special medications. The most common pills taken are for back pain. They have a pronounced anti-inflammatory effect. The effectiveness of this treatment lies in the simultaneous use of external and warming agents along with analgesics local action. A special place in treatment is given to complex therapy, this will alleviate the condition and lead to a complete recovery.

Indications for the use of tablets for back pain

Consider this question necessary by specific drug. Thus, the drug Diclofenac falls under general review. It is widely used for rheumatic diseases. This can be either arthritis or osteoarthritis. Tablets for back pain eliminate pain in the spine, gout attacks, postoperative pain which are accompanied by inflammation and swelling. Diclofenac relieves biliary colic and migraine attacks.

Most often, the remedy is used to eliminate rheumatological diseases. It was in rheumatology that it first showed itself as a remedy that can not only relieve pain, but also relieve inflammation. Moreover, it is well tolerated by patients, so it is prescribed in most cases. Permanent use The drug significantly reduces morning joint stiffness, relieves pain and reduces swelling. For all rheumatoid diseases this tool is one of the most popular.

The main indications for which it is used this remedy, are problems with musculoskeletal system. These include rheumatoid arthritis, osteoarthritis, osteoporosis, osteochondrosis, as well as inflammatory diseases soft tissues.

Pharmacodynamics

This issue will be considered using the example of the non-steroidal anti-inflammatory drug Diclofenac. This drug is a non-selective cyclooxygenase blocker. It has anti-inflammatory and antipyretic effects. Moreover, it is also an analgesic. The main mechanism of action of this tablet for back pain is to inhibit the biosynthesis of prostaglandins. They play one of the most important roles in the genesis of inflammation.

The tool provides clinical effect. It is characterized by a significant decrease pain syndrome during movement and at rest. In case of post-traumatic or postoperative inflammatory process, the drug actively relieves pain. It quickly relieves swelling and promotes healing of the postoperative wound.

The drug is an excellent analgesic. This is noticeable with moderate to severe pain. Diclofenac eliminates pain and reduces the severity of blood loss. Tablets of this type have a beneficial effect on the manifestation of migraine attacks.

Pharmacokinetics

Slow absorption of the drug occurs immediately after its introduction into the muscle. Maximum amount in the blood is observed 20 minutes after using the medication, it is 2.5 mcg/ml. Immediately after this, the concentration decreases sharply. How much of the active substance penetrates the body depends entirely on the prescribed dose.

After repeated administration, pharmacokinetic parameters do not change. Cumulation is not observed, but only if the interval between administrations of the tablet for back pain is observed.

The drug binds to serum proteins to the maximum, 99.7%. It occurs with albumin. As for the volume of distribution, it is 0.17 l/kg body weight. The drug is able to penetrate into the synovial fluid. The maximum level in the blood is reached 4 hours after use (depending on the medication). The half-life is an average of 6 hours. After 2 hours, after reaching the maximum content of the active substance in the blood plasma, the content of the drug is much higher than in synovial fluid. This value is maintained for 12 hours.

Metabolism occurs via glucuronidation of the unchanged molecule. This happens due to single and multiple methoxylation. This process promotes the formation of several phenolic metabolites. The total ground clearance is 263 minutes. The half-life is two hours. Almost 60% of dose taken excreted unchanged in the urine. The rest is excreted along with bile and feces.

Using pills for back pain during pregnancy

Using products during pregnancy is risky. It is necessary to use tablets for back pain during pregnancy with extreme caution. Not all drugs can be used. Therefore, self-medication in in this case may cause irreparable harm. Particular care should be taken during the first and third trimester of pregnancy. This period is characterized high risk causing harm to the baby, including pathologies. On early stages termination of pregnancy is possible.

The safety of tablets depends entirely on their composition. Thus, Diclofenac should never be used during pregnancy. A similar demand is being made to Movalis. But Nise can be used quite well. It is not capable of harming the baby, moreover, it does not pass into mother’s milk, which allows it to be used even during breastfeeding. To eliminate the possibility of harm to the baby’s health, you should not take medications on your own. Even if they are among the approved medications.

Contraindications to the use of tablets for back pain

The main factor due to which one or another drug cannot be used is hypersensitivity to the main component that is part of it. Many back pain pills should not be used if you have peptic ulcer stomach and duodenum. A similar requirement is put forward for erosive and ulcerative lesions.

Naturally, pregnancy and breastfeeding do not require the use of any medications. Funds are used only if the positive effect is much higher than possible negative impact for the fruit. As for other contraindications, they need to be studied individually. Thus, Diclofenac should not be taken if you have bronchial asthma, nasal polyposis and paranasal sinuses. The drug should not be used if you are intolerant acetylsalicylic acid and drugs of the pyrazolone series.

Side effects of back pain pills

Pain relievers often cause side effects. This is due to intolerance of the body. Quite often the gastrointestinal tract begins to manifest itself. It is characterized by the appearance of pain in epigastric region, nausea, vomiting, diarrhea and bloating. Getting rid of the problems is simple, just change the dosage or stop taking one or another pill for back pain.

The central nervous system may respond negatively to the use of the drug. It is characterized by headache, drowsiness and sensory disturbances. The last symptom occurs extremely rarely. Anxiety, nightmares and psychotic reactions may occur. From the sensory organs, tinnitus and hearing impairment appear.

Meet and allergic reactions. Sometimes skin rash, extremely rarely urticaria and eczema. From the kidneys: swelling, renal failure, changes in urine sediment. Liver: hepatitis. From the outside of cardio-vascular system tachycardia may occur.

Painkillers for back pain

Analgesics are often used for pain. They are represented by a large group of drugs that can relieve pain and completely eliminate it. All of them are divided into two types: non-narcotic and narcotic tablets for back pain.

Narcotic medications very powerful. Research has revealed that these drugs are most often used to eliminate chronic pain. These include Codeine and Tramadol. These are weak drugs. Strong combination drugs include Morphine, Fentanyl and Methandone. Although these medications can quickly and effectively relieve pain, they are used with caution. They can have a detrimental effect on the nervous system and cause addiction.

• Codeine. The product is applied 0.01-0.03 grams at a time. You can take no more than 0.2 grams per day. The dosage is prescribed by the attending physician depending on the chosen therapy and pain syndrome. Contraindications: prohibited for children younger age. Side effects: constipation, long-term use– addiction.
• Tramadol. For adults and children over 14 years of age, it is administered intravenously. 50-100 mg is enough, daily - 400 mg. In the same dosage, the drug can be used intramuscularly and subcutaneously. Contraindications: alcohol intoxication, hypersensitivity, age under 14 years. Side effects include: rarely nausea, vomiting and dizziness.
• Morphine. The drug is used internally, in the dosage prescribed by the attending physician. The dose is prescribed depending on the pain syndrome. Contraindications: hypersensitivity, brain injury, pulmonary heart failure, severe inflammatory processes in the intestines. May cause: nausea, vomiting, intestinal atony, constipation, headache.
• Fentanyl. The drug is administered intramuscularly along with droperidol, at a dosage of 0.05-0.1 mg. The dosage is prescribed on an individual basis. Contraindications: obstetric operations, drug addiction, bronchial asthma. The drug can cause negative reaction from the body: respiratory depression, dependence, short-term muscle rigidity.
• Methandone. The drug is prescribed orally depending on the severity of the pain syndrome. Usually, 15-40 mg per day is enough. The dose is adjusted by the attending physician. Contraindications: intolerance to the drug, pregnancy, breastfeeding and respiratory failure. Possible: sweating, constipation, sleep disturbance.

Non-narcotic analgesics are used quite often. These include painkillers. They are divided into non-steroidal and analgesics. The main representatives of these classes are Tempalgin, Benalgin, Citramon, Indomethacin.

• Tempalgin. The product is used in tablet form. It is enough to use one tablet three times a day. It all depends on the pain syndrome. Contraindications: childhood, drug intolerance, lactation period, severe liver or kidney damage. May cause: dizziness, tachycardia, urticaria.
• Benalgin. The drug is used three times a day, one tablet. It is important not to exceed a single dose. Contraindications: bronchial asthma, hypersensitivity, hematopoietic disorders. May cause: sleep disturbances, tremor, leukopenia.
• Citramon. The product is used one tablet three times a day. Main contraindications: intolerance, ischemic disease heart, impaired liver or kidney function. Can cause: nausea, vomiting, kidney damage, tinnitus, deafness.
• Indomethacin. The drug is used orally, after meals. The initial dose is 25 mg. The medication should be taken three times a day. Contraindications include: gastric ulcer, hypersensitivity, pregnancy, breastfeeding. Rarely causes: recurrent headaches, nausea, vomiting, loss of appetite.

Tablets for radiculitis and back pain

Self-medication can lead to the development severe consequences. Even a banal failure to follow all the rules can aggravate the situation, causing sciatica. The effectiveness of treatment depends on determining the cause of the pain syndrome. To eliminate radiculitis, use anti-inflammatory tablets for back pain, such as Ketoprofen and Ketorolac. It is worth noting that they can cause irritation of the gastric mucosa. Therefore, their use is highly not recommended for patients with ulcers. You should pay attention to Movalis and Nimesulide, they have minimal side effects.

• Ketoprofen. At the beginning of treatment, the drug is used in high dose, it is equal to 300 mg per day, before meals. Use it three times a day. Contraindications: presence of gastric ulcer, childhood, intolerance, functional changes liver or kidneys. May cause: disorders gastrointestinal tract, headache.
• Ketorolac. It is used once, in the amount of 10 mg. When repeated use, it is better to use 10 mg 4 times a day. The exact dose is prescribed by the attending physician. Contraindications: inflammatory processes in the intestines, increased sensitivity, severe liver and kidney damage, pregnancy, childbirth. Rarely causes: nausea, loss of appetite, headaches, surges in blood pressure.
• Movalis. The dose is prescribed by a doctor on an individual basis, depending on the severity of the pain syndrome. Contraindications to the use of the drug: hypersensitivity to the active substance of the drug, impaired liver or kidney function. Side effects include nausea, vomiting, abdominal pain, allergic reactions, and tinnitus.
• Nimesulide. Take one tablet twice a day. A single dose is 100 mg and should not exceed this figure. The duration of use of the drug depends on the person’s condition. Contraindications: pregnancy, childhood, intolerance. The drug can cause: disorders of the gastrointestinal tract, allergic reactions are possible.

Tablets for back and joint pain

Sabelnik-Evalar is a good remedy. He can improve general state musculoskeletal system. The product shows bactericidal effect. In addition, it is characterized by anti-inflammatory properties and also acts as an analgesic. It helps relieve swelling and also improves joint mobility. The product has two forms of release: in the form of tablets and powder. Adults are recommended to take 2 tablets for back pain per day; they should be taken with meals. The duration of treatment does not exceed one month.

To date, more than forty drugs have been recorded that help cope with pain. The main ones are: Tenoxicam, Analgin, Naproxen and Butadione.

• Tenoxicam. Use the drug in the amount of one tablet, once a day. You can take no more than 40 mg of the drug per day. You should not take the drug if you have: hypersensitivity, peptic ulcer, gastritis. Side effects: nausea, skin rawness, itching, rarely - swelling.
• Analgin. The drug is used in the form of tablets, intramuscularly and intravenously. It must be used after meals. The dose is 0.25-0.5 mg per day. It may vary depending on the person's condition. Contraindications: hypersensitivity, hematopoietic disorders. Side effects: itching, peeling of the skin.
• Naproxen. IN acute stage the drug is used at a dose of 0.5-0.75 mg 2 times a day. It all depends on the person’s condition, the dose is subsequently adjusted. Contraindications: intolerance, pregnancy, childhood, impaired liver or kidney function. May cause: nausea, vomiting, drowsiness.
• Butadion. Used orally at 0.1-0.15 mg 2-4 times a day. Treatment is carried out for 5 weeks. Contraindications for use: presence of gastric ulcer, impaired liver and kidney function, intolerance. May cause side effects: nausea, stomach pain, anemia, hematuria.

Names of tablets for back pain

To date, many drugs have been recorded that can relieve pain. All of them are divided into certain types, having a more pronounced or weaker effect. There are pills for back pain that are taken most often. These include Nurofen, Ibuprofen, Ketoprofen, Ortofen, Rapten Rapid, Voltaren retard, Metindol, Celebrex, Naproxen, Meloxicam and Baclofen.

• Nurofen. The drug is used at a dose of 200 mg 4 times a day. The dose is prescribed depending on the patient's condition. Contraindications: intolerance, disorders auditory perception, pregnancy, diseases optic nerve. Side effects include: headache, dizziness, gastrointestinal upset.
• Ibuprofen. The drug is taken according to the same regimen as Nurofen. 200 mg up to 4 times a day is enough. The duration of taking the drug is determined by the doctor, depending on the patient’s symptoms. Contraindications: pregnancy, breastfeeding, inflammatory processes in the intestines. Side effects: hearing loss, pancreatitis, depression, acute renal failure, heart failure.
• Ketoprofen. The drug is used with meals, 3 times a day at a dosage of 100 mg. The duration of treatment depends entirely on the patient's condition. Contraindications: impaired liver or kidney function, hypersensitivity, inflammatory processes in the intestines. Side effects: digestive disorders, allergic reactions.
• Ortofen. The drug must be taken after meals. Daily dose varies within 200 mg, it should be divided into 3-4 doses, 50 mg each. If the drug is used in the form of a gel, then it must be applied to the skin area up to 4 times a day in a thin layer. Contraindications: hypersensitivity, inflammatory diseases of the gastrointestinal tract, heart, liver or kidney failure. May cause: headache, swelling, intestinal upset, loss of appetite.
• Rapten Rapid. The dose should be prescribed individually, depending on the severity of the pain syndrome. Typically the daily dose is 100-150 mg, divided into 3 times. Contraindications: bleeding from the gastrointestinal tract, pregnancy, intolerance, hematopoietic disorders. Side effects: vomiting, stomatitis, nausea, loss of appetite, chest pain.
• Voltaren retard. Initially, 1-2 tablets per day are prescribed. Only the attending physician can adjust the dose. Contraindications: intolerance, stomach ulcer, severe kidney or liver damage, inflammatory processes in the intestines. It can lead to headaches, drowsiness, often causes gastrointestinal disorders, and allergic reactions occur.
• Methindol. The product is used during meals. 1-2 tablets per day are enough, it all depends on the patient’s condition. Therapy is individual. Contraindications: pregnancy, breastfeeding, kidney or liver damage, blood clotting disorders. Possible: decreased appetite, nausea, vomiting, intestinal upset, drowsiness, depression.
• Celebrex. The drug is used at a dose of 100 mg 2 times a day. For rheumatoid arthritis, the dose can be increased to 300-400 mg. At acute conditions 600 mg can be used. Optimal dose prescribed by the doctor. Contraindications: pregnancy, hypersensitivity. Side effects: flatulence, nausea, vomiting, anemia, tinnitus, rhinitis.
• Naproxen. In the severe stage, the drug is used at a dose of 0.5-0.75 mg 2 times a day. Only the attending physician can adjust the dose. Contraindications: intolerance, pregnancy, breastfeeding, childhood, impaired liver or kidney function. Possible: nausea, intestinal upset, drowsiness.
• Meloxicam. The product is used once, during a meal. Contraindications: ulcer, age under 15 years, hypersensitivity, kidney or liver damage. Side effects include: disorders of the central nervous system, impaired liver or kidney function. Side effects include: tinnitus, dizziness, nausea, vomiting.
• Baclofen. It is recommended to use the product during meals. In this case, the tablet is washed down with a sufficient amount of liquid. The initial dose is 5 mg 3 times a day. Contraindications: intolerance, presence of gastric ulcers, psychosis, Parkinson's disease. Side effects: drowsiness, dizziness, nausea, decreased liver function.

Movalis

Main active ingredient The medication is meloxicam. The drug belongs to the group of non-steroidal anti-inflammatory drugs. Active substance tablets for back pain have pronounced anti-inflammatory properties. In addition, it plays the role of an analgesic and antipyretic drug

The main component is 99% bound to plasma proteins. Penetration into the affected organs occurs through the histohematic barrier. Metabolism occurs in the liver. Withdrawal occurs 20 hours after administration. Almost 5% of the drug exits unchanged through the intestines.

The drug is widely used for rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, arthrosis and joint diseases. The product is used according to individual scheme. It can lead to the development of side effects. From the outside digestive system Nausea, vomiting, diarrhea, and constipation are noted. Hematopoietic system: anemia, extremely rarely leukopenia. Other symptoms include dizziness and allergic reactions.

This remedy should not be used by people suffering from peptic ulcers, severe forms of liver and kidney failure. This also includes patients with hypersensitivity to the main components of the drug. During pregnancy, taking the drug is prohibited.

Nise

The drug has a pronounced anti-inflammatory and antipyretic effect. In addition, it is an analgesic. At the site of inflammation, it suppresses the formation of prostaglandin. When taken orally, it is perfectly absorbed from the gastrointestinal tract. The maximum concentration of the tablet for back pain in the body is recorded 2 hours after administration. The half-life does not exceed 3 hours. Excretion is carried out by the kidneys.

The medication is used for osteoarthritis, bursitis, rheumatism, muscle pain, spinal pain and infectious lesions. In tablet form, the drug is used 2 times a day, 100 mg. The permissible daily dose is 400 mg. In the form of a gel, Nise is applied to the affected area in a thin layer 3-4 times a day. The duration of treatment does not exceed 10 days.

Despite all the positive properties, this remedy can lead to side effects. Gastrointestinal tract disorders are common. This manifests itself in the form of nausea, vomiting, diarrhea, constipation and abdominal pain. Allergic reactions such as itching and peeling of the skin may occur.

The product should not be used by people with peptic ulcers, hypersensitivity to the main components of the drug, asthma, or liver failure. During pregnancy and lactation, the product can be used, but after permission from a doctor.

Diclofenac

This drug belongs to the group of anti-inflammatory non-steroidal drugs. It has a pronounced anti-inflammatory and antipyretic effect. When treating rheumatic diseases, it significantly reduces pain. Tablets are used for back pain in rheumatoid arthritis, rheumatism, gout, arthrosis, postoperative syndrome, bursitis.

The drug is administered intramuscularly at 75 mg 1-2 times a day. The course of treatment should not exceed 5 days. If therapy is carried out with tablets, then 1-2 tablets 2-3 times a day are enough. The dosage is prescribed by the attending physician.

The product may cause side effects. They manifest themselves in the form of disorders of the gastrointestinal tract. These include nausea, vomiting, abdominal pain, and constipation. Often occur: dizziness, allergic reactions, drowsiness, irritability. The use of tablets is highly discouraged for peptic ulcers of the stomach and duodenum, as well as diseases of the liver and kidneys. During pregnancy, especially the last trimester, use is strictly prohibited.

Directions for use and doses

The products are used according to an individual scheme. It varies depending on the medication itself. If these are tablets for back pain, then use them 1-2 pieces 2-3 times a day. It is advisable to do this during or after meals. The dose should be prescribed by a specialist, based on the symptoms.

This issue should be considered for a specific drug, because all medications have different ways reception. In this case we're talking about o Diclofenac. It is entered in the form intramuscular injections. They cannot be used 2 times in a row. If necessary, treatment continues with tablets. The maximum daily dose of the drug should not exceed 150 mg. It all depends on the person’s condition and the severity of pain.

The duration of therapy is also calculated individually. After all, back pain is a loose concept. It may include pain as a result of severe overload of the vertebrae or be the result of a serious inflammatory process. That is why the treatment regimen is prescribed by the doctor, depending on the cause of the pain.

Overdose

Anything, even the most safe remedy can lead to overdose. This condition can be caused by an incorrectly selected dose (which happens extremely rarely) or self-increase dosage. Most often, people take pills for back pain uncontrollably. I want to get rid of the pain syndrome faster, so the dose is adjusted independently. Unfortunately, this does not entail anything good. Because of high concentration the drug in the body, unpleasant symptoms occur.

Most often, the gastrointestinal tract begins to suffer. Nausea, intestinal upset and vomiting appear. All this may be accompanied by headache, dizziness, tinnitus and respiratory depression. Liver and kidney dysfunctions often occur.

Eliminating the symptoms is simple, just rinse the stomach and call ambulance. After removing the drug from the body, specialists will prescribe symptomatic therapy.

Interactions with other drugs

It is not recommended to “mix” products that have the same effect with each other. This may result in high concentrations active ingredients drugs in the blood, which will lead to an overdose. If we consider this issue regarding Diclofenac, then it should not be used together with diuretics. Simultaneous use These medications can lead to an increase in serum potassium levels. Therefore, tablets for back pain are used only as recommended by a doctor.

There is a risk of bleeding when using anticoagulants and Diclofenac at the same time. Therefore, their combination should occur under the strict supervision of a physician. Patients undergoing treatment according to this regimen are constantly monitored.

• Antidiabetic drugs. Taking the drugs together is allowed; their effectiveness will not be reduced. True, there have been cases of hypoglycemia developing in a patient. Therefore, caution must be exercised.

Caution should be exercised while taking Methotrexate and Diclofenac. There should be at least 24 hours between the use of these drugs. This will reduce toxic effect Methotrexate on the body.

• Cyclosporine. Simultaneous use with non-steroidal anti-inflammatory drugs can lead to increased nephrotoxicity of Cyclosporine. Concerning antibacterial agents- were recorded individual cases occurrence of seizures in people.

Storage conditions

In order for a drug to serve for a given period, it needs to be provided proper storage. It is very important to comply temperature regime. Tablets for back pain should be stored at a temperature not exceeding 25 degrees Celsius. It is better to put suppositories in the refrigerator, because they can melt quickly.

It is advisable to store the drug out of the reach of children. This will avoid damage to the medication itself and harm to the child. After all, the use of this product is strictly prohibited for people under 18 years of age. A warm, dry place without sun rays. Under the influence of dampness and light, the drug can deteriorate.

It is also necessary to monitor the appearance of the tablets. If color and odor change, it is not recommended to use them. Most likely, the storage technology was violated, as a result of which the product became unusable. It is very important to comply with storage conditions; the duration of the “service” of medications depends on this.

Best before date

The drug can be used for 5 years after the date of manufacture. This long term, therefore it is worth observing certain storage conditions. Negatively affects pills for back pain sunlight. This leads to overheating of the drug and its deterioration. Therefore, it is advisable to store the product in a first aid kit or a dark, dry place. Naturally, the child should not have access to the drug.

It is prohibited to use the product after the expiration date. In this case, there are two outcomes of the situation. The product can either cause harm or fail to produce any results due to lack of pharmacological properties(they may disappear over time).

As mentioned repeatedly, even if all conditions are met, it is worth paying attention to appearance tablets. For many reasons, they can change smell, color and consistency. Under no circumstances should you take such a remedy. Most often this happens due to damage to the blister in which the tablets are located.

Good pills for back pain

Finding quality tablets is quite easy. The modern pharmaceutical market is simply overflowing with all kinds of medicines. Thus, tablets for back pain include more than 40 items. Get acquainted with the most popular ones.

• Naproxen. This is a non-steroidal anti-inflammatory drug belonging to the group of propionic acid derivatives. It has a pronounced analgesic and antipyretic effect. It is often used in the treatment of diseases of the musculoskeletal system.
• Ketoprofen. According to its structure and pharmacological action it is similar to Ibuprofen. It is used for rheumatoid arthritis. Ketorolac is medicine, which belongs to the group of derivatives acetic acid. The product has a pronounced analgesic effect. Finally, Diclofenac, it is used most often. Moreover, it is currently widely used in dentistry, oncology, urology, gynecology and ophthalmology. Detailed description drugs were presented above.

Backache - characteristic feature many neurological and orthopedic diseases. Muscle inflammation intervertebral hernia, ankylosing spondylitis, osteoarthritis, congenital anomalies vertebral structure, osteochondrosis - against the background of these and other pathologies, negative symptoms appear varying degrees gravity.

Analgesics are used to eliminate pain. List of drugs, features of the effect on the source of pain, effectiveness in cases of damage to the lumbar, cervical, and thoracic regions. Additional groups of medications that quickly eliminate severe pain in the spine and back muscles.

general information

The main purpose of analgesics is to relieve the patient of discomfort in soft tissues, bone structures in the back area. Pain can be acute or chronic. Before prescribing medications, the vertebrologist and neurologist take into account the nature of the pain syndrome: central, neuropathic, referred.

Analgesics reduce or completely eliminate pain. Depending on the composition, narcotic and non-narcotic painkillers are distinguished.

Important points:

• for chronic pain syndrome against the background of severe damage intervertebral discs, constant friction of neighboring vertebrae with the destruction of the cartilage lining requires potent drugs;
• for mild to moderate pain, early stage pathologies, conventional analgesics are sufficient, which not only relieve pain, but also reduce fever;
• at negative symptoms in the back and vertebral structures, conventional analgesics (Baralgin, Benalgin, Paracetamol, Analgin, Tempalgin) are used less frequently than other types of drugs: NSAIDs (injections). Reason - non-steroidal drugs have a triple effect: relieve pain, suppress infectious and non-infectious inflammation, reduce temperature, swelling.

Advantages

Painkillers combined action show complex impact: not only reduce discomfort in the spine area, but also suppress the production of inflammatory mediators that cause pain. Use of NSAIDs, unlike simple analgesics, blocks the synthesis of components that activate pathological process in the source of pain, reduce tissue swelling, reduce local and general temperature to optimal levels.

Conclusion: for pain in the lower back, thoracic region, cervical area, areas of the sacrum, coccyx, muscle spasms, you need to use muscle relaxants, NSAIDs, injections of vitamins B1, B12 and B6 or. It is advisable to use simple analgesics for spasms and pain accompanying renal/hepatic colic, menstruation, diseases of the gastrointestinal tract, and damage to the blood vessels of the brain and heart. Preparations based on analgin and paracetamol are effective for fever, toothache, and migraines.

Indications for use

Painkilling injections and tablets are used for many types of pathologies of the spine and back, neurological disorders:

• exacerbation;
• rheumatic pains;
• osteoarthritis;
• tunnel syndrome;
• myalgia;
• severe;
• myotonic syndrome;
• spinal cord tumors;
• multiple sclerosis;
• cancer with metastases to the spine;
• degenerative sacroiliitis;
• Meniere's disease;
• arthralgia;

Contraindications

Most simple analgesics have several times fewer contraindications than NSAIDs, corticosteroids and muscle relaxants. Special attention You need to pay attention to the choice of drugs for pregnant women, children, nursing mothers, allergy sufferers, asthmatics, those with intolerance to aspirin, and other components of NSAIDs.

Caution must be observed when prescribing painkillers for orthopedic and neurological pathologies patients with hepatic, cardiac and renal failure, at autoimmune diseases, ulcerative lesions Gastrointestinal tract, in old age.

It is important to know: injections and tablets have more restrictions on use and side effects, rectal suppositories and local remedies (plasters, ointments, gels) are safer.

Types of analgesics

Medicines with an analgesic effect are weak, moderate and powerful. Potent compounds quickly relieve even excruciating pain, but have many side effects, including several serious complications.

Non-narcotic

The main components are analgin and paracetamol. Popular analgesics: Baralgin, Paracetamol, Analgin, Tempalgin. Drugs are sometimes prescribed for mild pain in the back, but for neurological pathologies, orthopedic diseases More often, doctors use NSAIDs, muscle relaxants, injections of B vitamins, local remedies, and medications.

The main area of ​​application of non-narcotic analgesics is different:

• relief of headaches and toothaches;
• normalization of well-being high temperature, reducing indicators to acceptable values;
• pain relief for liver disease, renal colic, painful menstruation;
• Elimination of pain due to spasms coronary vessels, arteries supplying the brain.

Narcotic

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How to choose the right pain reliever

• with a high risk of complications from of cardio-vascular system, ulcerative lesions are prescribed Paracetamol, other types of simple analgesics, opioids. If the risk is moderate, then Nimesulide can be used in combination with drugs to lower blood pressure;
• if there is a possibility of heart problems and the risk of damage to stomach tissue, then Omeprazole (protection of the mucous membranes) + aspirin + Nimesulide is prescribed;
• at possible complications for the digestive system, the drug Omeprazole is also prescribed. This combination is the standard of care using non-steroidal anti-inflammatory compounds;
• if the pain does not subside within a week, then you need to use it in addition to NSAIDs local anesthetics And ;
• the inability to eliminate pain within two weeks is a reason for an in-depth examination. It is important to exclude dangerous pathologies infectious nature: syphilis, and bones, gonorrhea. If listed diseases are not detected, then you need to visit an oncologist to exclude a malignant tumor process in spinal canal, paravertebral zone or the spread of metastases to the spine due to cancer in various parts of the body.

Analgesics and other groups of painkillers for discomfort in the back provide noticeable effect only when correct selection names from a suitable group of medicines. Therapy for diseases of the spine, ligaments, muscles, nervous and vascular elements will be successful under the guidance of an experienced neurologist or vertebrologist, provided the patient follows the treatment regimen.

Analgesic, pain reliever - a natural, semi-synthetic and synthetic origin, designed to relieve pain. Find out more about the benefits and features of using analgesics after watching the following video:

To avoid painful shock, pharmacology has in its stock a whole arsenal of painkillers. The drugs are taken both during the treatment period and during diagnostic measures. To prevent addiction, it is important to follow the dosage and the duration of therapy limited by the doctor (5-10 days).

Groups of drugs with analgesic effect

Drugs with an analgesic effect are divided into narcotic and non-narcotic. Narcotics include, for example, Morphine, Fentalin, Butorphanol. Non-narcotic drugs are divided into alkanoic acids (Voltaren), pyrazolone derivatives (Butadione and Analgin) and anesthetic drugs Lidocaine, Novocaine, Anestezin).

Painkillers are also classified according to the characteristics of the narcotic effect:

1. Analgesics acting on the internal analgesic system in the central nervous system (opioid) lead to the elimination of severe severe pain. These drugs are distinguished by their effectiveness; their negative specificity lies in their ability to cause addiction. It is necessary to carefully monitor the dosage.
2. Non-opioid analgesics. Prescribed to reduce very high temperatures.

Due to the characteristics of their biochemical effects on the human body, analgesics are classified according to their biochemical effects:

• drugs that prevent pain signals from entering the brain.

• analgesics that resist along with prostaglandins and act directly on the center of pain.

Classification based on anti-inflammatory effect divides drugs into antipyretics, which eliminate pain caused by inflammation only for a limited time. Anti-inflammatory non-steroidal drugs along with eliminating pain, they relieve inflammation.

Narcotic analgesics are classified as follows:

• diphenylpiperidine derivatives: Fentanyl, Promedol;
• benzomorphine derivatives: Pentazocine;
• derivatives of opium alkaloids: Ethylmorphine hydrochloride, Codeine, Morphine;
• diphenylmethane derivatives: Dipidolor.

Indications for the use of narcotic drugs

List of indications for use narcotic drugs is strictly limited. The decision to prescribe is made by the doctor, who monitors the intake of funds. Medicines intended for use and indications for their use:

Non-narcotic

The use of non-narcotic analgesics has the following indications:

Fast-acting remedies for back pain

To eliminate pain in the back and joints, use fast-acting remedies in the form of tablets, injections, ointments, creams and suppositories. Depending on the composition and form of release, their dosage, duration of administration, and method of application differ.

Pills

The method of using the tablets is simple: take 1 tablet after meals. 2-3 times a day. The course of treatment lasts no longer than 3-5 days, unless otherwise prescribed by the doctor. Contraindications to taking the drug are:

• intolerance to components;
• exacerbation of peptic ulcer of the stomach or duodenum;
• diseases of the gastrointestinal tract;
• pregnancy, lactation, childhood.

The following groups of drugs are chosen for treatment:

• non-steroidal anti-inflammatory drugs: Celebrex, Diclak, Texamen, Arcoxia, Ortofen, Nalgesin, Nurofen, Movalis, Airtal, Nimesulide, Ibuprofen;
• combined agents: Dolaren, Neurodiclovit;
• muscle relaxants (relax muscles): Hydroxyzine, Baclofen;
• chondroprotectors: Alflutop;
• based on ketorolac: Ketorol, Ketanov;
• based on diclofenac: Voltaren, Naklofen.

Injections

The daily dose of injections in the lower back for rheumatic pain is administered in 1-2 doses, sometimes every other day.

Treatment lasts no longer than 3-5 days. Injections are given intramuscularly or inside a joint.

Contraindications for intramuscular novocaine blockades are:

• acute disorders heart function, heart failure;
• stomach ulcer;
• erythremia;
• thromboembolism;
• bradycardia, cardiogenic shock;
• porphyria, myasthenia;
• weakness syndrome sinus node;
• severe renal and hepatic disorders.

Fast-acting agents are used for treatment:

• combined vitamins: Neurobion, Milgamma, Trigamma, Combilipen;
• non-steroidal anti-inflammatory drugs: Meloxicam, Artrosan, Movalis, Ketoprofen, Ketonal, Flexen, Artrosilene.
• based on ketorolac: Ketanov, Ketorolac;
• based on diclofenac: Diclofenac, Voltaren, Naklofen;
• preventing the destruction of cartilage tissue: Chondroitin sulfate;
• corticosteroids: Methylprednisolone, Medrol, Diprospan, Dexamethasone.

Ointments

Due to the action of ointments, tissue metabolism improves and restores cartilage tissue, swelling, inflammation, pain go away. Ointments, creams, gels and lotions are applied to the affected area 3-4 times a day, rubbed in thoroughly, the course lasts from 3 to 10 days. Contraindications are:

• intolerance to the components of the composition;
• damage skin, injuries, scratches, abrasions;
• tendency to appear skin rashes, bronchial asthma;
• pregnancy, lactation.

The means used are divided into groups:

• homeopathic: Tzel T, Traumeel S;
• warming agents: Viprosal, Capsicam, Finalgon, Nicoflex;
• chondroprotectors: Teraflex, Chondroxide, Artron, Arthrocin, Honda, Chondroitin;
• non-steroidal anti-inflammatory drugs: Nise, Fastum, Bystrum-gel, Finalgon, Ketonal, Voltaren, Finalgel, Ortofen, Dolgit, Butadione, Diclovit;
• combined: Dolobene, Relief.

Candles

To use suppositories, you need to open the pack and empty the intestines of the contents. naturally or using an enema, insert the suppository as deeply as possible into anus at night, after administration you should not get up for half an hour. You can use no more than 1 piece per day. The duration of treatment is 3-5 days. Contraindications to the use of candles:

• intolerance to components;
• damage to the skin of the perianal area, anal fissures;
• bleeding from the rectum;
• diarrhea;
• stomach ulcer;
• neurological, mental illness;
• exacerbation of internal hemorrhoids.

To quickly relieve attacks of back pain, use the following: rectal products:

• universal, based on diclofenac: Artrosan, Ortofen, Rapten, Diclovit, Voltaren;
• non-steroidal anti-inflammatory drugs: Indomethacin, Ibuprofen, Methindol, Nurofen, Indomin, Piroxicam, Erazon, Pirocam, Xefocam, Lornoxicam, Ketoprofen, Artrosilene, Ketonal, Ketalgin, Ketorolac;
• painkillers: Analgin, Efferalgan, Lidocaine, Pamol, Acamol.

Video

Probably, each of us at least once in our lives has been faced with the question of how to relieve back pain. There can be many reasons for its occurrence: from physical activity and drafts, and diseases of internal organs.

Accordingly, treatment is individual in each case.

But often the use of painkillers for the back is simply necessary.

Depending on the cause of the symptom, the pain may have different character: and, burning, prolonged and paroxysmal, localized and radiating to other parts of the body.

It is possible to use painkillers for back pain, but it is not always safe, since painful sensations- a beacon indicating a problem.

If completely stopped discomfort, you can forget about the problem for a while, but start the disease instead of curing it.

Thanks to advances in pharmacology, we have big choice drugs. However, questions constantly arise around the problem of how to choose the right painkillers for back pain.

As a rule, there are three ways to eliminate pain in the back.

Non-drug therapy

The group includes healing procedures, and maintaining a gentle regime for the spine: application, rest, and so on.

Drug treatment

Painkillers for back pain are divided into three groups:

1. Narcotic and non-narcotic analgesics. Strict records are kept on opiates; they are used as a back pain reliever in in rare cases and only with a doctor's prescription. They have a lot of side effects and can be addictive. Non-narcotic drugs include non-hazardous drugs for oral administration, which are found in every home medicine cabinet.
2. Inhibitors are non-steroidal anti-inflammatory drugs (NSAIDs). They are divided into two subgroups: COX and COX-2. The first include tablet medications and a range of back gels. However, COX-2 is considered a safer subgroup, as it has fewer side effects from use. NSAIDs are considered the best pain relievers for back neuralgia.
3. Muscle relaxants and neurotropic B vitamins. Muscle relaxants relieve muscle spasm and suppresses work spinal nerves. The latter help nerves recover.

A good pain reliever for back pain is a combination of muscle relaxants and NSAIDs, which allows you to reduce the dosage without compromising the effectiveness of treatment, which makes it possible to partially reduce side effects from the use of drugs.

Surgical intervention

Operation - last resort when the disease progresses and painkillers no longer help.

External back remedies

There is a whole range of gels, creams, balms and painkillers for back pain. Local preparations are aimed at reducing pain, some also have an anti-inflammatory effect. The effect of use is the weakest, but ointments cause fewer side effects.

They can be divided into several groups, depending on active substances they include:

1. homeopathic ointments for inflammatory processes;
2. in cases of osteochondrosis, spondyloarthrosis, traumas suffered; influence accelerated recovery damaged muscles and ligaments, and the metabolism in them, slow down the destruction of cartilage tissue;
3. pain-relieving ointments for the back, distraction and irritating effect; affect the dilation of blood vessels and blood flow to the sore spot, which causes an anesthetic effect;
4. NVPS group drugs have anesthetic and anti-inflammatory properties, long-term use not allowed as it may cause side effects;
5. combination back creams.

Injections for pain

There are a number of drugs intramuscular use for relief of back pain. They have the greatest effect and speed of action. Use is possible only after prescription by the attending physician.

If you don't know how to relieve back pain when...