home Analyzes Harmless painkillers. List of strong painkillers without prescriptions in the form of injections and tablets

Harmless painkillers. List of strong painkillers without prescriptions in the form of injections and tablets

A person's pain comes suddenly. Most often, a person is not ready for the manifestation of pain. The question arises where it came from and what to do. The feeling of pain takes over the consciousness, an attack of fear and a feverish search for a solution to relieve the pain begin.

Only after calming down pain syndrome, the person returns to his previous state and mood. As a rule, tolerable pain passes quickly and is soon forgotten. If the pain becomes unbearable, and after temporary relief it still returns, the person’s life rhythm is disrupted.

In this case, it is necessary to urgently take action to improve your health. Pain signals the presence of an illness in the body. The intensity, duration and cause of pain affect the need operational actions about taking medications.

Types of pain, their localization

Pain is the body’s ability to signal problems within. Pain is divided into two types: physiological (acute) and pathological (chronic).

Physiological pain is determined by a small long-term process and manifests itself at the moment of perception of sensations by pain endings. It has a clear location of detection and manifests itself when exposed to mechanical, thermal and chemical factors.

Pathological pain formed and characterized by a longer development time existing pathology in body. Pathological pain can be congenital due to a hidden illness or acquired later.

The pain is weak, constantly reminding you of itself, and over time you get used to it. The pain may manifest itself as headache, chest pain, abdominal pain, or pelvic pain.

Headache- a common phenomenon. Tension pain, migraine, hypertensive and sinus pain are more common.

Tension pain appear from overvoltage. The pain lasts for several hours, possibly days, and squeezes and squeezes the head from all sides. The sources of tension headaches are stress, poor diet, sleep disturbances, long work at the computer, etc.

Migraine accompanied by throbbing pain in the temples. Migraines affect creative and purposeful people and teenagers. Migraines may occur due to changes in weather, strong odors, bright light, food products, menstrual pain etc.

For hypertensive pain influences the increase blood pressure cerebral vessels, appear in the occipital part. Pain occurs due to psycho-emotional stress, overuse salt and alcohol, etc.

Sinus pain characterized by aching painful sensations in the areas of the cheekbones, forehead or bridge of the nose. Any slight turn of the head increases the pain. Pain is the result of nasopharyngeal disease.

Chest pain is a consequence of disease musculoskeletal system, of cardio-vascular system, digestive system, lungs and nerves.

Disease of the musculoskeletal system manifests itself in impaired blood circulation in blood vessels, nutrition nerve endings, muscle spasms. Osteochondrosis can provoke an attack by pinching a nerve.

Disease of the spine and joints can be recognized by the following signs: musculoskeletal stiffness, pain when bending and straightening the knees and elbows, pinching and pain in the neck, lumbago in the lower back.

Angina pectoris is a cardiovascular disorder, during illness, pain usually occurs with physical activity and after, but weakens after a while. The pain impulse can radiate to left hand, neck or back.

During a heart attack, compression occurs chest, there is a feeling of embarrassment. Other symptoms also appear: pallor, sweating, weakness, numbness in the arms and legs, and dizziness.

May cause pain in the digestive system organs abdominal cavity. The cause may be gastritis, appendicitis, ulcers, renal colic, liver failure. Abdominal pain that constantly intensifies is considered dangerous.

The first signs of diseases of the digestive system are discomfort, heaviness in the stomach, bitterness in the mouth, constant thirst, diarrhea and constipation, the appearance of blood discharge from the rectum, sudden weight loss, manifestations of exhaustion and malaise.

The most common types of lung disease: bronchitis, pneumonia and pleurisy.

Bronchitis characterized by attacks of severe night cough, causing acute pain.

Pneumonia - This internal inflammation lungs, arises and develops due to infection. Characteristic features include difficulty breathing, cough, chills, and fever.

With pleurisy When inhaling and exhaling, severe pain occurs in the chest. Pleurisy is a disease of the outer lining of the lungs. The body temperature remains low and does not drop.

Intercostal neuralgia or thoracalgia causes excruciating pain, the symptoms of which are often confused with pleurisy. Neuralgia is a disease of the nerve. Causes pain inflamed nerve, shortness of breath appears, inhalation and exhalation become painful and difficult.

Pelvic pain cause the pelvic organs and urinary system, the cause is adnexitis, cystitis.

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Classification of painkillers

Painkillers differ in chemical composition and mechanism of action. They have different shapes release: tablets, capsules, suppositories, injection solutions, ointments and gels.

Painkillers also differ in chemical nature and pharmacological properties: narcotic and non-narcotic drugs.
Analgesic, pain reliever - a medicine intended to relieve pain - analgesia.

Analgesics are narcotic and non-narcotic

Narcotic analgesics- these are drugs whose action affects the depression of the central nervous system.

Narcotic analgesics are divided into:

Opioid receptor agonists(morphine, promedol, fentanyl)
Agonists-antagonists and partial opioid receptor agonists (pentazocine, butorphanol, buprenorphine)

Non-narcotic analgesics- these are medications that do not have a significant effect on the central nervous system, are effective for mild intense pain, and are not addictive. Considered safe, but caution must be exercised when using.

Non-narcotic analgesics are divided into:

Derivatives salicylic acid : acetylsalicylic acid, sodium salicylate.
Pyrazolone derivatives: analgin, butadione, amidopyrine.
Aniline derivatives- phenacytin, paracetamol.
Alkanoic acid derivatives- ibuprofen, flurbiprofen, diclofenac sodium.
Anthranilic acid derivatives(mefenamic and flufenamic acids).
Others- pirosikam, dimexide, chlotazol.

By action:

Biochemical action:

Acting on the source of pain (blocking the production of prostaglandins).
Blocking the transmission of pain signals in the brain.

Narcotic effect:

Opioid (narcotic) analgesics- remove severe pain, predominantly affect the peripheral and central nervous system, can cause psychophysical dependence, an overdose can be fatal, therefore the storage and use of opioid analgesics is under the criminal responsibility of doctors.
Non-opioid (non-narcotic) analgesics- used to reduce temperature.

Anti-inflammatory effect:

Non-inhibiting inflammatory processes (antipyretics).
Suppressing inflammatory processes (non-steroidal anti-inflammatory drugs).

Strong painkillers

The use of potent painkillers for acute unbearable pain can significantly alleviate the patient's condition. Such medications are taken judiciously, observing the dosage and taking into account individual intolerance.

Among these medications you should choose:

Acecardole– used for the prevention of myocardial infarction, unstable angina, ischemic stroke.
Voltaren– a medicine against non-rheumatic pain, improves functional state body, reduces pain during movement and swelling of joints.
Ibufen– reduces body temperature, swelling, pain.

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It has the following properties:

Relieves pain syndrome
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Fights swelling and eliminates inflammation

Strong painkillers without prescriptions

Strong painkillers can be purchased at pharmacies without a doctor's prescription. Such drugs can relieve attacks or relieve symptoms, but do not completely cure.

Such means include:

Meloflex– prescribed for osteoarthritis, ankylosing spondylitis, rheumatoid arthritis.
Ketorol– suppresses any pain syndrome, applicable for neuralgia and radiculitis.
Papaverine– used for spasm of smooth muscles, bronchospasm, renal colic.
Nimesulide– reduces platelet aggregation, thins the blood, is an antioxidant, relieves fever, suppresses inflammation and relieves pain.
Ibuprofen– used in the treatment of moderate pain syndrome, febrile syndrome with infectious diseases, diseases of the spine and joints.

Narcotic painkillers

The most potent painkillers are a group of narcotic drugs. These drugs are used when experiencing intense and unbearable suffering after injury and surgery.

They cause blocking of signal transmission in the brain and spinal cord, helping to relieve anxiety and panic. Use them in emergency situations with extreme caution

Although the use of drugs in this group is effective and, like no other drugs, they are able to cope with pain, it is strictly prohibited to prescribe them in any other cases.

Drugs are highly addictive, psychophysiological dependence appears, and a lot of side effects appear. Medicines are available only with a prescription.

Narcotics that can provide effective pain relief are prescribed by a doctor in case of severe pain that cannot be controlled by other means. Caring for the patient and faith in recovery are an important component in the treatment of an illness.

Use of painkillers

Narcotic drugs are used in emergency cases:

At malignant neoplasms, causing prolonged, severe attacks.
For burns to stop pain.
During childbirth by caesarean section.
For pain due to chest injury.
For heart attacks.
Premedication for anesthesia.
As a pain reliever after surgery.

For example, PropHydrochloride, Fentanyl, Morphine, Buprenorphine, Codeine.

Non-narcotic drugs are used with caution for any manifestations of pain in the following cases:

Mig 400, Pentalgin, Citramon, Relpax, Sedalgin Neo, Sumatriptan - used to relieve headaches.
Aspirin, Ketoprofen, Paracetomol, Nurofen, Bareltax, Spazmolgon - used for colds, as an anti-inflammatory and antipyretic agent.
Analgin, Tempalgin, Caffetin - used for pain of moderate and mild severity.
Ketanov, Bral, Tramal, Dolospa, Trigan - are considered effective against toothache, pain after surgery, pain from muscle injuries, colitis, neuralgia.
Diclofenac, Celebrex, Arcoxia - effective remedy for joint pain relief.
Drotoverin, No-spa, Dicetel - remedies that are indispensable for pain in gastrointestinal tract, spasms.

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IN Everyday life person experiencing pain shock, engages in self-medication, limiting itself to identifying the location of pain without clarifying possible reasons duration of pain, does not allow for the possibility of developing an illness and side effects.

Tips and special cases:

Suddenly in the evening an adult developed a sharp and stabbing pain when inhaling and exhaling, sleep is disturbed because With each change of position during sleep, the pain intensified. Fear arose, such symptoms were for the first time, analgin + aspirin did not help. The temperature on the thermometer turned out to be 37.4 degrees. In the morning it was decided to see a doctor.
Shortness of breath appeared when walking. The feeling of pain everywhere caused discomfort. The doctor tentatively diagnosed pleurisy and prescribed antibiotic treatment with Sumamed. Over the course of three days, the pain not only did not go away, but also intensified.
An X-ray of the chest organs showed that no pathology was detected. The doctor puts next diagnosis Thoracalgia. This is followed by an appointment in the form of Movalis injections. Five days after using the injections, the pain subsided.Thanks doctor!
The teenager developed pain in the lower abdomen on the right, the temperature rose to 37.2 degrees, and nausea. Ambulance paramedics diagnosed appendicitis. At the emergency department, the surgeon immediately ruled out the possibility of appendicitis.
IN children's department, where the child was assigned, taken full examination. An ultrasound showed the presence of a bend in the gallbladder, and accordingly, after examination for FGS, gastritis was revealed.
Local doctors refused to prescribe treatment. I had to contact a gastroenterologist, who prescribed me to take Trimedat and Gaviscon double acting. After long-term treatment the child's condition has improved.
PAfter a leg injury in an adult, there are constant sharp and nagging pain, They advised me to try Nimesil powder at the pharmacy.
The medicine really has a strong analgesic effect. Then, after inserting the dentures, they were aching pain, this remedy also helped.

Do not self-medicate - consult a doctor!

Among all medicines, sold by pharmacists, are in greatest demand. Such medications can relieve spasms. They eliminate the production of prostaglandins - the causative agents of unpleasant sensations. The drugs also have a pronounced anti-inflammatory effect. Consumers especially often use non-steroidal painkillers. You can buy them without a special prescription. The task of such drugs is to reduce temperature, relieve pain and inflammation. Also used in injuries and (only some) after surgical interventions. Let's take a closer look at what medications there are and what their features are.

Acetylsalicylic acid: a proven remedy for adults

This drug, used as a pain reliever, belongs to the group of non-steroidal anti-inflammatory drugs. The active substance here is This component has a pronounced analgesic and antipyretic effect, it thins the blood. The drug also has a slight anti-inflammatory effect. Indications for use include fever and various types of pain, heart attack, stroke, ischemia, arterial diseases and heart valve pathologies.

Medicines based on acetylsalicylic acid should not be used by pregnant women in the first and last trimester due to the risk of bleeding. Also, the drugs are strictly prohibited for children under 15 years of age. You should not take medications for certain diseases of the heart, blood vessels and blood. Kidney and liver failure, ulcers and erosions digestive tract- this is a reason to refuse to use painkillers containing acetylsalicylic acid. Medicines containing the described substance have the following names:

"Aspicor".
"Aspirin".
"CardiASK".
"Upsarin UPSA" and many others.

IN last years These drugs are practically not used for the treatment of rheumatism, arthritis, and pericarditis.

Metamizole sodium, or analgin

A drug used as a painkiller may have metamizole sodium as its main substance. This compound is a pyrazolone derivative, it also belongs to NSAID group. The medication is capable of providing analgesic, anti-inflammatory and Metamizole sodium is often used in the treatment of white fever. Prescribed for rheumatism, arthralgia, pain of various types, inflammation, myocardial infarction and thrombosis. This drug, used as a painkiller, is used for tumors, injuries, insect bites, and in the postoperative period.

The use of medications based on metamizole sodium is contraindicated in case of suppression of hematopoietic function, liver and kidney failure, anemia, expectant mothers and nursing women. The medicine is available in the form of tablets and solution for injection. Trade names you may come across:

"Analgin."
"Spazdolzin."
"Baralgin."

During treatment with metamizole sodium-based products, urine may turn red.

Ibuprofen: proven active ingredient

Painkillers for children are often required for toothaches, headaches, injuries, otitis media, sprains and bruises. Children need medications during the period after vaccinations to relieve signs of viral and bacterial infection. The most popular among all formulations is a medication based on ibuprofen. This NSAID is capable of inhibiting COX 1 and COX 2. The drug reduces vascular permeability, thereby relieving inflammation. The medication works almost instantly after ingestion. It relieves stiffness of movement, eliminates swelling, and relieves painful sensations of various types. Painkillers based on ibuprofen eliminate pain during teething and alleviate the condition of children with fever.

Formulations are available in the form of suspensions, suppositories, tablets and injections. Trade names of drugs:

"Nurofen".
Advil.
"Moment".
"Faspik" and so on.

It is not recommended to take these medications for gastric ulcers, hypersensitivity, certain blood pathologies and severe renal failure. For children younger age(from three months) medications are prescribed in the form of a suspension and suppositories.

"Ketorolac": a strong pain reliever

Represents the anti-inflammatory and analgesic drugs drug "Ketorol" and its structural analogues. They contain the active ingredient ketoroloc. It has a strong analgesic effect and has a pronounced anti-inflammatory effect. Such medications cope with high body temperature worse than the previous ones, but are still characterized as antipyretics. Painkillers based on ketorolac are prescribed for pain syndrome of different origins: trauma, toothache and headache, migraine, arthrosis and arthritis, dislocations, postoperative period, oncological diseases and so on.

The active substance has the following names:

"Ketorol".
"Ketanov."
"Ketorolac".
"Ketalgin".

The compositions are available in the form of injections, tablets, products for external use and eye drops. It is unacceptable to use medications for high sensitivity, somatic diseases, heart and liver failure, diabetes mellitus, during pregnancy and lactation. You cannot combine these medications with corticosteroids and anticoagulants. There is no proven safety of using these antipyretics in children under 16 years of age.

Paracetamol and its derivatives: well-known drugs

Antipyretic and painkillers, which are often prescribed to young children, contain the active ingredient paracetamol. It has long been used in medicine, including pediatrics, and has proven safety. In the absence of contraindications, it can be used even in newborns. Medicines based on paracetamol:

"Calpol."
"Panadol".
"Cefekon".
"Efferalgan" and so on.

Medicines are available in the form of suppositories, tablets and suspensions. They cope well with pain and reduce body temperature. But the compositions do not have a pronounced anti-inflammatory effect. In this regard, paracetamol-based products are used for different types pain and fever. The drugs should not be used if there is impaired liver or kidney function or alcoholism. Tablets are contraindicated in children under 6 years of age. For kids, you should choose candles or syrup.

Diclofenac: an effective anti-inflammatory substance

If you need anti-inflammatory and painkillers, then give preference to diclofenac-based medications. Their trade names:

"Ortofen".
"Diclofenacol".
"Dicloran."
"Voltaren" and others.

It is unacceptable to take them only in case of hematopoietic disorders, in the last trimester of pregnancy and ulcerative inflammatory diseases digestive tract. The medication is not used in children under 6 years of age due to the lack of clinical studies. prescribed for pain and fever, they effectively relieve symptoms of a cold and improve well-being. The drug has a strong anti-inflammatory effect. Therefore, it is recommended for joint diseases and neurological pathologies. It is also used in gynecology. The medication also has antirheumatic and antiaggregatory effects.

Indomethacin: a substance with less popularity

Often a person needs painkillers for toothache. These include drugs based on indomethacin. This substance has a pronounced analgesic effect. It is effective for migraines, neurological and gynecological pain. The medicine also has a good anti-inflammatory effect. It is recommended to use the composition for joint diseases and tissue injuries, infectious pathologies ENT organs. Medicines will be effective for disorders of the musculoskeletal system.

Contraindications to the use of drugs based on indomethacin include stomach ulcers, bleeding, some diseases of the organs of vision, pathologies vestibular apparatus, pregnancy and childhood. Trade names of medications that you may encounter in pharmacies:

"Indomethacin".
"Metindol."
"Indotard" and others.

Products are available for oral use, rectal administration, external use and in the form of eye drops.

Naproxen: antiplatelet agent with anti-inflammatory effect

Pain and its other types are represented by the active substance naprxen. This medication relieves inflammation and alleviates the patient's condition. IN short time The medicine relieves pain caused by various reasons. The composition is used for toothache, headache, myalgia, arthralgia, neuralgia, muscle discomfort, and women's periodic ailments. Naproxen is effective for degenerative diseases supporting apparatus. The composition should not be used if you have kidney or liver failure or intolerance to the active substance. It is dangerous to use the medication in children of the first year of life. The following medications are usually well tolerated by adult patients:

"Nalgesin".
"Naprxen."
"Sanaprox."
"Naprios" and so on.

Nimesulide and drugs based on it

If you need strong painkillers, you can give preference to medications that include nimesulide. These medicines have the following trade names:

"Nise."
"Nimesil".
"Nimika."
Nemulex and so on.

Medicines are classified as non-narcotic analgesics. They quickly and permanently eliminate pain of various localizations. The drug also has a pronounced anti-inflammatory effect. Medicines based on nimesulide are used to eliminate febrile syndrome when drugs with ibuprofen and paracetamol are powerless. Clinical researches showed that this medicine is more powerful in its action than its predecessors. It is important to remember that Nimesulide and its structural analogs cannot be used for ulcerative lesions of the intestines and stomach, liver failure, drug addiction and alcoholism. Some abnormalities in the functioning of the cardiovascular and hematopoietic system should be a reason to replace the medicine with another composition. The indication for the use of drugs is acute pain syndrome.

Oxycams: a group of NSAIDs

Among all non-steroidal and anti-inflammatory drugs, oxicam medications can be distinguished. They have different active ingredients and trade names. Here are some of them:

lornoxicam (“Xefokam”, “Zornika”);
meloxicam (“Movix”, “Lem”);
piroxicam (“Finalgel”, “Calmopirol”);
tenoxicam (“Tenikam”, “Tobitil”).

Medicines are prescribed to relieve pain and relieve inflammation. Each drug also has an antipyretic effect, the effect of which may differ in one case or another. Before using any of these medications, you should study the instructions, since all drugs have individual restrictions on use and special instructions.

Features of the use of analgesic and anti-inflammatory compounds

Almost all painkillers medications dispensed from pharmacies without medical prescription. But this does not mean that they can be taken thoughtlessly and in unlimited quantities. All painkillers have their own duration of treatment. To relieve pain, they are taken for no longer than five days in a row. If means to lower the temperature are needed, then it is permissible to use them only for three days. Doctors may prescribe medications for a longer period of time to relieve inflammation. But at the same time you need to monitor the functioning of vital important organs and monitor blood condition. Painkillers are taken after a strictly defined time. Usually the interval is set to at least 4 hours. Some products cannot be used again until after 6-8 hours. This information is always written in the instructions, read it carefully.

Interesting information about the presented drugs obtained by comparing them

You already know that all painkillers and antipyretics have an anti-inflammatory effect to a greater or lesser extent. Studies have shown which remedy will be more powerful.

According to the analgesic effect, the active substances are in descending order:

ketorolac;
diclofenac;
indomethacin;
naproxen;
ibuprofen.

Judging by the strength of the anti-inflammatory effect, we can obtain the following classification:

indomethacin;
diclofenac;
naproxen;
ibuprofen.

Taking any of these medications may cause bleeding in the gastrointestinal tract, vomiting, or nausea. Also, some compounds individually cause an allergic reaction. If during treatment you suddenly feel worse or new symptoms of the disease appear, then do not hesitate. See your doctor as soon as possible. You need to be especially responsible and careful when using painkillers for children. It is strictly forbidden to take such compounds for abdominal pain of unknown origin. Medicines can lubricate clinical picture dangerous pathological conditions. The consequences of this are very unpleasant.

Instead of a conclusion

From the presented article, you could learn about drugs that are used by consumers to relieve pain and relieve inflammation. It is worth remembering that many medications have exclusively symptomatic treatment. They alleviate the patient’s condition, relieve discomfort and eliminate fever. But at the same time, they do not act in any way on the cause of the malaise. At feeling unwell It is advisable to seek medical help. Only qualified specialist will be able to determine the cause of your illness, and then prescribe correct treatment. Be healthy and live without pain!

If a person periodically experiences intense pain in the back, as well as in the lower back, in the joints, first of all, it is important to determine the reasons why such signs appear. After all, your back can hurt due to various reasons: this could be a lumbago due to hypothermia, lumbago , development. Pinching also causes pain sciatic nerve, as well as other manifestations. But if your back hurts, taking painkillers is not enough. It is necessary to undergo a course of therapy prescribed by a doctor, in particular, to take anti-inflammatory injections for the back, which were prescribed by a specialist.

To choose the right treatment tactics, it is important to consult a number of specialists: visit an osteopath, neurologist, if necessary, consult with a gynecologist, urologist, gastroenterologist, because sometimes the back hurts not only due to spasms of muscles and ligaments, but also due to diseases of the internal organs.

After the doctor has made a diagnosis, the patient is prescribed complex treatment: the course includes B vitamins, NSAIDs, painkillers, and sometimes steroid drugs.

Treatment of back pain with injections

Currently, doctors offer many schemes for treating acute back pain. Moreover, there are much more algorithms for how to relieve pain if you have a pain in the back than several decades ago. The main drugs that are prescribed to relieve acute pain are non-steroidal anti-inflammatory drugs, which help relieve inflammation, help relieve pain, and are used for the purpose of muscle blockades .

After the medicine has alleviated the patient's condition, it is currently not recommended to practice immobilization of the patient. He is prescribed not only pain-relieving injections for back and lower back pain, but also massage sessions, physical therapy. Typically, doctors advise patients with pain not to limit activity as much as they can manage.

Before taking painkillers for back pain, it is important to know the exact diagnosis and take into account all the contraindications and side effects of such drugs. Any injections for back pain (the name of the medicine does not matter) are used only after approval by a specialist.

Currently, injections and tablets for back pain and lower back pain are very often prescribed, which contain a combination B vitamins . It has been proven that B vitamins in injections can provide moderate pain relief. Complex preparations used for this purpose contain vitamins B1, B12, B6 .

Injections of B vitamins provide a neurotropic effect. They normalize the innervation of muscles, affect metabolic processes, improve the condition of the nervous system, promote the restoration of damaged nerves.

A lot of different studies were carried out, during which scientists obtained evidence that B vitamins in injections made it possible to relieve pain in the acute phases of the inflammatory process when used in complex therapy.

Therefore, these vitamins can be used both in combination and separately - vitamins B6 and B12. Injections, instructions for use of which are always included in the kit, must be carried out correctly. It is important to consider how to properly inject B vitamins in order to avoid a local reaction and get the desired effect.

Complex vitamins in injections, as a rule, contain an anesthetic, which enhances the analgesic effect. They also contain , .

But it makes sense to use complex vitamin preparations intramuscularly only if acute pain in the joints or back occurs, with , alcoholic polyneuropathy. They are made over 10-14 days. But if we are talking about chronic course illness and frequent relapses, such injections are ineffective.

In some cases, conventional pain medications do not bring the desired effect. Then the injection and stretching method can be practiced. This process goes like this: the patient lies on his stomach, the doctor finds the most painful points and compactions in the muscles, and injects the solution perpendicularly. Immediately after the injection, passive stretching of the muscle is performed, then a hot compress is placed at the injection site. After it is removed, it is necessary to carry out active movements so that the painful muscle actively moves.

Novocaine back blockade is carried out with the aim of “disabling” the muscles. That is why it is important that the injection point is as close as possible to the exit points of the nerves. Accordingly, if the patient has an injection, the injection is performed in the intercostal space, with inflammation of the sciatic nerve – at the greater trochanter of the femur, in case - at the outer edge of the back extensor. Epidural blocks are also performed in case of chronic pain, for example, in patients with hernias intervertebral discs . But in any case, you need to know before a back block is performed, what it is and what the consequences of such treatment may be.

To relieve back pain, the so-called triad injection is sometimes used. The composition of the triad injection includes, and, all three drugs are mixed in one syringe. But this remedy is used infrequently for back pain. So-called hot prick It is not used for back pain.

In order to use any drugs, the list of which you will find below, strict doctor's instructions are required. It is a specialist who can determine whether it is advisable to use B vitamins, NSAIDs, chondoprotectors, and muscle relaxants. This list is provided for information only about the variety of medicines available. It is up to the attending physician to determine whether the disease can be treated with a certain remedy, how often injections should be given, what doses to use, and what injections are given for a spinal hernia.

B vitamins for back pain

Currently, there is a large list of painkillers and injections that contain B vitamins. You can also take medications in tablet form, but vitamins in ampoules are more effective. The list of medications that contain vitamins of this group is quite wide. Below you can find brief description such funds.

All medications contain the same components: thiamine , pyridoxine , cyanocobalamin , medocaine .

Contained in packs of 5 ampoules or 10 ampoules.

Indicated for nervous system disorders and neurological diseases as part of complex treatment. The following indications are determined:

trigeminal nerve, facial nerve paresis, neuritis;
back pain associated with spinal diseases, and neurological symptoms(, lumbago, intercostal neuralgia, radicular syndrome and etc.);
muscle cramps, diabetic and alcoholic polyneuropathy, herpes zoster.

The information provided by drug manufacturers is not always true. Thus, recently the drug manufacturers (Cox-2 inhibitor) stated that this drug causes the least significant side effects. However, this information was not confirmed during the research process.

Thus, in the process of choosing NVSP, you should find out what painkillers are available in tablets and injections. It must be remembered that both the strongest painkillers and drugs in ampoules have a number of side effects. They may be different. For example, a remedy has a less pronounced negative impact on the gastrointestinal tract, without causing such negative changes in the stomach and intestines as other NVSPs. PM They provide an analgesic effect, but with prolonged use they have a negative effect on cartilage. However, the cost of medications can vary greatly.

Patients who need pain medication should note that using double doses of such medications does not reduce the severity of pain. Therefore, there is no point in replacing NVSP, which does not help, with another medicine from the same group. Ointments for back pain are described in more detail below.

How to choose painkillers

Most often, complex treatment of back pain in the lumbar region requires the prescription of a number of medications, including painkillers. But you should not decide on your own what to do if you have a shot in the lower back and choose painkillers or injections for lower back pain. The question of what to do for lower back pain and how to relieve very severe pain should be immediately asked to a doctor. As a rule, in addition to analgesics, the specialist also prescribes other medications - vitamins, muscle relaxants, etc.

But even if there is a lumbago in the lower back, what to do in this case and what first aid should be, becomes clear after determining the causes and nature of the pain. Why the lumbago occurred in the lower back, how to treat it, what the treatment regimen should be, a specialist can accurately determine after a full examination.

Chronic pain can be neuropathic , central , reflected .

In case of acute pain, a specialist must determine whether there is a risk side effects from the gastrointestinal tract, as well as cardiovascular complications. If the likelihood of such complications is low, the doctor prescribes medications taking into account the following:

in the absence of dyspeptic symptoms - any NSAID drug;
if you have dyspepsia, it is better to use Ibuprofen (,), (Miloxicam);
at high probability for the development of complications of the heart and blood vessels, opioids are prescribed. If the risk is moderate, Nimesulide is prescribed, but the indicators need to be adjusted;
with an increased risk of gastrointestinal bleeding, proton pump inhibitors are prescribed along with NSAIDs ();
in case of risk of gastrointestinal diseases and complications from the heart and blood vessels, it is advisable to combine Nimesulide with Omeprazole and.

If severe pain subsides within 5-7 days, you need to continue therapy until the pain is completely relieved. If sharp pain does not go away within a week, not only anti-inflammatory drugs are prescribed, but also local anesthetics, muscle relaxants.

You can also administer local corticosteroids (), but only if tuberculosis affecting the joints or spine is excluded.

If the pain still continues and the anti-inflammatory does not give the desired effect, it is important to rule out infection, tuberculosis, joint pain, and etc.

Painkillers in injections

The main injections for osteochondrosis and other diseases, the names of which are given below, are used for their intended purpose and according to the scheme determined by the doctor. Read more about what injections are prescribed for cervical osteochondrosis and other diagnoses, you can find out directly in consultation with a specialist.

NVSP is indicated for use for the symptomatic treatment of osteoarthritis, ankylosing spondylitis, muscle pain, back pain, and postoperative pain.

Price Amelotex – from 200 rubles, Movalis – from 700 rubles, Arthrozan – from 300 rubles. Mesipol – from 200 rub.

Ketoprofen

NVSP is contraindicated in the following cases:

high sensitivity to the components of the drugs;
lactation, pregnancy;
severe liver and kidney diseases;
age under 18 years;
intestinal diseases inflammatory in nature;
gastrointestinal bleeding;
exacerbation of ulcers;
cerebrovascular diseases;
severe vascular and heart diseases, ischemic heart disease, heart failure, severe somatic illnesses.

You cannot combine medications with antiplatelet agents (acetylsalicylic acid, clopidogrel), prednisolone.

Take with caution in case of gastrointestinal diseases, presence Helicobacter pylori, edema, prolonged use of NSAIDs

The price of Artrosilene is from 200 rubles, Flamax is from 120 rubles, Ketonal is from 220 rubles, Flexen is from 300 rubles.

NVSP is administered intramuscularly, injections are administered deeply in the dose prescribed by the doctor. This takes into account the age of the patient, as well as how severe the pain and spasm are. People under 65 years of age are prescribed 10-30 mg every 4-6 hours. In case of impaired renal function, as well as in elderly patients, doses of 10-15 mg are prescribed every 4-6 hours. Such doses can also be prescribed for single administration for the purpose of pain relief. In this case, the duration of treatment should not be more than five days, and the daily dose should not exceed 60-90 mg.

The price of Ketorolac is from 100 rubles, Ketanov – from 120 rubles, Ketorol – from 150 rubles.

This component contains , Voltaren .

When using NVSP, numerous side effects:

digestion : gastralgia, vomiting, nausea, hepatitis, ;
respiratory system : swelling of the larynx, difficulty breathing, ;
urinary system : nephritis, frequent urination, renal failure swelling;
heart and blood vessels : increased blood pressure, fainting, pulmonary edema;
nervous system : headache, psychosis, hyperactivity, dizziness, depressive state, visual impairment;
hematopoiesis : anemia, leukopenia, eosinophilia;
skin reactions : rash, peeling, Stevens-Johnson syndrome, Lyell's syndrome;
blood clotting : bleeding from wounds after surgery, rectal, gastric, nasal bleeding;
allergy : shortness of breath, swelling of the eyelids, wheezing, itchy skin, feeling of heaviness in the chest;
other manifestations : weight gain, swelling, excessive sweating.

The price of Diclofenac is from 50 rubles, Naklofen – from 60 rubles, Ortofen – from 50 rubles, Voltaren – from 300 rubles.

Lornoxicam

The component lornoxicam contains the drug . The cost of Xefocam is from 700 rubles.

This component contains the product.

In case of overdose, the following side effects may occur: abdominal pain, nausea, vomiting, peptic ulcers stomach, renal dysfunction, metabolic .

At simultaneous administration NSAIDs and acetylsalicylic acid or other non-steroidal painkillers, as well as calcium supplements, orticosteroids, ethanol, increase the likelihood of developing gastrointestinal ulcers and bleeding. When used simultaneously with Paracetamol, the risk of nephrotoxicity increases.

The cost of Texamen is from 200 rubles.

Steroid drugs

Steroid drugs include Prednisolone , .

After injections of this group of drugs, rapid pain relief is noted, but their duration of action is short. It should be noted that steroid drugs have many contraindications, so they can only be used according to indications and under the supervision of a specialist. These drugs can be used directly at the site of pain. The blockade is carried out using a direct injection into the area of the lower back where severe pain is noted. To carry out a blockade, corticosteroids are combined with Novocaine or Ledocaine. The cost of Prednisolone is from 50 rubles.

If you have back pain or joint pain, you can also take medicine for joint and back pain in tablets. Previously, it was generally accepted that painkillers for joint pain do not act so quickly and effectively, and that strong painkillers for joint pain cause serious side effects from the digestive system.

However, experts currently believe that both tablets and pain-relieving injections for joint and back pain provide the same bioavailability of active substances. Side effects when using oral and injectable drugs are also the same. Therefore, a specialist can suggest both the name of the tablets and the names of intramuscular injections for joints when prescribing a treatment regimen.

NSAIDs in tablet form

If pulling, stabbing and other types of back pain occur, your doctor may recommend the following tablets:

Name	Active ingredient	Price
Arcoxia	etoricoxib	Arcoxia cost – from 450 rubles.
Celebrex	celecoxib	cost of Celebrex (Celecoxib) tablets – from 500 rubles.
Nise, Nimika,	nimesulide	cost of Nise from 200 rubles, Nimika – from 250 rubles, Nimulid – from 150 rubles.
Texamen, also tenoxicam, is contained in the drugs Tenoctil, Tenikam, Tilcotil.	tenoxicam	cost of Texameni - from 250 rubles.
Nalgesin	naprxene	price from 150 rub.
Meloxicam, Artrosan, Movalis, Amelotex	meloxicam	cost from 250 rub.
Ketorolac, Ketarol, Ketanov	ketorolac	cost from 50 rub.
Flexen, Bystrumcaps, Ketonal, Artrosilene	ketoprofen	cost from 150 rub.
Faspik, Nurofen, Ibuprofen, Burana	ibuprofen	cost from 20 rub.
Ortofen, Naklofen, Diklak, Voltaren	diclofenac	cost from 30 rub.
Aertal	aceclofenac	Airtal cost from 400 rub.
Xefocam	lornoxicam	cost from 130 rub.

Combined painkillers

Included in funds And includes diclofenac and paracetamol. The cost of Penoxen is from 130 rubles, Dolaren – from 100 rubles.

Chondroitin sulfate – an anti-inflammatory drug that is indicated for the treatment of diseases of the spine, joints, intervertebral hernia etc. The drug slows down the resorption process bone tissue, improves the exchange of calcium and phosphorus in cartilage tissues, stops the destruction of cartilage and connective tissues, and promotes tissue restoration. Reviews indicate that these drugs reduce painful sensations and increase the mobility of joints and spine. Since the active substance is structurally similar to heparin. Consequently, the use of this remedy (Mukasad et al.) stops the formation of blood clots in the subchondral and synovial beds.

The cost of the product is Chondrogard - from 850 rubles, Chondrolon - from 110 rubles, Mucosat - from 600 rubles, Artradol - from 750 rubles.

A modern remedy - a concentrate from small breeds marine fish, which provides regulation of the metabolism of cartilage tissue. The bioactive concentrate contains ions of potassium, copper, sodium, calcium, iron, zinc, as well as amino acids, peptides, and mucopolysaccharides. During the intake process, stimulation of the restoration of cartilage tissue and stopping the destruction of osteochondral tissues are noted. As a result, treatment with the drug reduces the severity of pain.

The medicine is prescribed only to adult patients suffering from polyosteoarthrosis and osteochondrosis. It must be administered deeply intramuscularly at a dose of 1 ml per day. Treatment lasts 20 days. In case of joint damage, the drug can be administered in a dose of 1-2 ml inside the joint once every 3-4 days, the course is 5-6 injections. Cost of the product – from 1500 rub.

There are moments in the life of any person when, for one reason or another, he is faced with pain. Analgesics come to the rescue. Analgesics are medications that dull or completely eliminate pain syndromes. Such painkillers are divided into two types - narcotic and non-narcotic. Each type of analgesic has a certain range of effects on humans. Painkillers differ in dosage, composition, and area of application, but their common factor is that they are all aimed at eliminating the pain itself, but not its cause.

You can find it on sale a large number of painkillers made by all sorts of pharmaceutical companies. But how to make the right choice?

Grodzisk Pharmaceutical (Poland)
Ranbaxy (India)
Reckitt Benckiser (UK)
FSUE "MEZ" (Russia, "Moscow Endocrine Plant")
Berlin-Chemie ( pharmaceutical company based in Germany, but on this moment the company has become multinational and its factories are located in Italy, Spain, Russia)
Synthesis OJSC (Russia, Joint Stock Kurgan Society medical supplies and products")
Organika JSC (Russia, Kemerovo region, Novokuznetsk)
Micro (Russia, Moscow)

People's rating 2017 - 2018 8 best painkillers.

The best painkillers (opioid drugs)

Nurofen

Recommended for mild to moderate pain. The main component is ibuprofen, which stops the process of prostaglandin synthesis (prostaglandins are active substances in the body that are not a conductor of pain, but increase the sensitivity of nerve receptors). The content of codeine in small doses (a narcotic substance) also affects nerve receptors, resulting in an analgesic effect. In addition, the drug helps well in the fight against inflammation and reduces high fever.

Indications: pain of various etiologies (in joints, headaches, rheumatic), neuralgia.

Release form: tablets, suppositories, suspensions, gel.

The advantages of Nurofen include:

a children's series has been produced (with minimum dosages for each age group);
variety of forms (tablets, suspensions, suppositories, gels);
has a compound approach (fights pain, reduces temperature and inflammation);
has instant absorption (pain syndromes recede after a quarter of an hour).

there are contraindications;
side effects are likely (all kinds of skin reactions, sleep disturbances, etc.).

Promedol

Painkiller strong action, which is based on trimeperidine. With the help of this substance, the sensitivity of nerve cells decreases, as a result of which the conductivity of impulses decreases and the pain subsides.

Promedol is found in tablets and injections.

Pros of analgesic:

quick response to pain relief (15 minutes);
not dangerous for newborns (use when labor activity, as an effective medicinal drug that moderates pain and stimulates sluggish labor);
is a moderate antispasmodic.

The painkiller is in demand:

During a bone fracture, to prevent shock due to pain, for anesthesia.
In oncology.

But such an effective pain reliever is not without its drawbacks. When using the medication, you may experience: dizziness, weakness, slowing of the speed of psychomotor reactions, ringing in the ears, convulsions, swelling at the injection sites. Rarely - hallucinations, confusion. Promedol is prescription drug which is addictive. It should be taken strictly according to the doctor's instructions. After receiving a certain dose of the drug (tablets or injections), the pain goes away in just a couple of hours.

Tramadol

People turn to this pain reliever if they feel moderate or severe pain. It is not as effective as codeine or morphine, but has a quick and long-lasting effect.

Tramadol is found in tablets, capsules, injections, suppositories and drops.

variety of release forms;
quick and long-lasting effect;
good tolerance;
does not affect breathing, blood circulation, gastrointestinal tract activity;
solves cough problems.

develops dependence and addiction;
occasionally possible: dizziness, nausea.

The best non-narcotic painkillers

Ketanov

Doctors recommend this painkiller for severe pain, as the drug has powerful analgesic activity. Contains ketorolac, which effectively inhibits the synthesis of prostaglandins.

Indications: cancer pain, dental pain, trauma, menstruation;

They come in the form of a solution and tablets.

The advantages of the drug include:

potent analgesic;
found application in many areas;
does not entail addiction;
fast action (15 minutes).

Ketanov acts as a semblance of opioid analgesics.

contraindications (pregnancy, age group under 16 years old, asthma, ulcers, etc.)
side effects are likely (lethargy, palpitations, increased sweating and nightmares)

Dexalgin

A medicine that relieves pain of moderate and light weight. It will help with inflammation and moderate fever. Based on dexketoprofen.

Release form: injections and tablets.

exhibits a collecting effect (targets various inflammations, as well as an excellent antipyretic and analgesic);
fairly quick impact (after half an hour the pain subsides);
the pain relief effect lasts up to six hours;
good tolerance.

not applicable for long-term treatment;
there are contraindications (increased bleeding, lactation period, ulcerative colitis, etc.).

Butorphanol

The painkiller belongs to one of the more productive medicinal drugs non-narcotic opioid type. There is a similarity with morphine (in terms of potency and duration of effect), but unlike it, it is effective in smaller doses.

Indications for use: postoperative and postpartum condition, severe pain of various etiologies. Suitable for oncology treatment. Widely used in the process of childbirth.

Release form: ampoules.

quickly and effectively fights pain;
dependence (when compared with other opioids) is extremely rare;
the effect lasts up to 4 hours;
has an antitussive effect.

contraindications (traumatic brain injury, acute heart attack, pregnancy, age group up to 18 years);
with constant and long-term use, addiction develops;
Sold by prescription.
side effects (lethargy, dizziness, nausea; in in the rarest cases- confusion, palpitations, anorexia, allergic reactions).

Recommended for use for mild to moderate pain (anti-inflammatory non-steroidal painkiller).

The main component is diclofenac sodium, which inhibits the synthesis of prostaglandins.

Used for: bruises and sprains, various inflammations, headaches and toothaches and in many other cases.

Release form: tablets, injections, gel.

has antirheumatic effects;
aimed at collecting action (relieves: inflammation + heat + pain);
the duration of the analgesic effect lasts up to 6 hours;
fairly rapid impact (30 minutes after administration, the pain begins to dull);
low cost;
increases joint mobility;
removes easily and quickly various kinds swelling and swelling (during postpartum and postoperative recovery).

disturbances in the activity of the gastrointestinal tract are possible;
dizziness;
allergic reactions;
irritability;
insomnia
contraindications (arthrosis, neuritis, stomach diseases, lactation, etc.).

Took

Experts prescribe this painkiller for moderate pain symptoms, with spasms and various colics (renal, intestinal),

after operations. Bral is based on three active substances: Pitophenone (has a myotropic effect, that is, it relaxes the muscle walls of blood vessels), Metamizole sodium (reduces fever and moderates pain), Fenpiverinium bromide (affects smooth muscles, making them less tense).

Release form: tablets, injections.

a medication of a combined nature (relieves pain, relieves spasms, reduces temperature, targets the inflammatory process);
approved for use by children over 3 months;
side effects are expressed very rarely;
affordable pricing policy;

This drug can also be used in case of onset of fever due to inflammation or a cold.

there are contraindications (pregnancy, low blood pressure, etc.);
long-term treatment cannot be carried out.

Which painkiller to buy

If the pain is mild and you need a quick painkiller, then Nurofen is best suited for this role. Especially if a child needs help, since Nurofen offers a wide selection of children's analgesics (suppositories and suspensions for babies from three months and small children's tablets with a special dosage for children from 6 years).
If the pain is severe, then Promedol will help.
If the pain is severe, but there is no time or desire to go to the doctor for a prescription, then Ketanov will cope with the problem perfectly. A non-narcotic, non-steroidal pain reliever that also fights inflammation well.
If you need medicine for acute pain or chronic(postoperative period, trauma, oncology), then Tramadol will cope with this task.
Dexalgin is suitable for reducing mild or moderate pain.
If you need a strong painkiller, but of a non-narcotic class, then you should choose Butorphanol.
If you need to relieve pain syndromes associated with back pain, joint pain, as well as when eliminating postoperative or postoperative pain postpartum period, then Diclofenac will help.
A medicine that relieves mild to moderate pain - Took. The medicine works well for colitis, spasms, and neuralgia. The drug can also be given to children from three months of age.

Today, painkillers are in every home medicine cabinet. Most of them are sold without a prescription, and therefore it is very important to choose the right analgesics. The fact is that painkillers can be quite dangerous - many of them have very serious side effects.

Painkillers should be used with caution, and in some cases their use is completely contraindicated. Thus, the effect of an analgesic can change the clinical picture and complicate the diagnosis of sharp pain in the stomach, pain in the heart, etc. It is important to remember that pain is always a consequence of certain health problems. Accordingly, it is important not only to relieve pain, but also to eliminate the causes of its occurrence.

Below is an overview of effective and at the same time relatively safe painkillers. Before choosing one of them, we advise you to carefully read not only the specific purpose of the drug, but also the possible side effects, as well as contraindications.

Analgin

Analgin - classic, everyone known remedy, which is used to relieve pain in many cases. Headaches, joint pain during high temperature, toothache, pain in places of injuries and bruises - in all these cases, analgin becomes an indispensable assistant.

Analgin was synthesized back in 1920. It is still the basis of many more expensive medicines. Its action is to partially block pain impulses, as well as suppress the activity of pain centers. This explains enough wide range actions of analgin.

Additionally, analgin has an anti-inflammatory effect and also increases heat transfer. Therefore, it is often prescribed for colds, feverish conditions, and fever.

Analgin is not prescribed to pregnant and lactating women, as well as children under 3 months of age. Strictly speaking, analgin is not recommended for use in older children - it is best used only by adults. Also contraindicated are kidney disease and long-term use alcohol.

Analgin can have side effects, namely allergic reactions, decreased blood pressure, and impaired renal function. The risk of side effects becomes significant when the recommended dosage is seriously exceeded.

Analgin is available in tablets, suspensions, solutions for intramuscular injections. Most often it is used in tablet form.

Cost - about 10 rubles. (table)

Aspirin

Aspirin is another very famous medicine. It is believed that its main purpose is to reduce temperature, but aspirin also has a pronounced analgesic and anti-inflammatory effect. It effectively relieves joint and muscle pain at high temperatures and helps with headaches.

At the same time, aspirin is sufficient dangerous drug. It is not prescribed to children under 15 years of age, pregnant and lactating women. Aspirin is used with great caution in patients with impaired renal or hepatic function. As an analgesic, it is used for no longer than seven days in a row, and the dosage should not exceed 3g/day (6 tablets of 0.5g). Aspirin may cause side effects, including stomach pain, nausea and vomiting, dizziness and tinnitus (in overdose), and bleeding risks. As a rule, such effects are associated with an overdose of the drug. However, it must still be used with caution.

Cost - about 10 rubles.

Paracetamol

Paracetamol is on the WHO list of essential medicines; the effectiveness of this drug is very high. It is used as an analgesic and antipyretic, and is a relatively safe medicine.

Paracetamol is used to relieve muscle, joint, headaches, and is used for toothaches and neuralgia. The drug is not used for severe renal dysfunction, inflammatory diseases of the gastrointestinal tract, in the third trimester of pregnancy, as well as for newborns under 1 month of age.

Paracetamol does not mix with alcohol. It should be used no longer than 5-7 days. Side effects from taking paracetamol primarily include the risk of developing acute liver failure, as well as allergic reactions. True, complications arise either when systematic reception paracetamol over a long period of time, or in case of a one-time significant excess of the permitted dosage.

Cost - about 10 rubles.

No-shpa

No-shpa is antispasmodic drug, which is taken for headaches, menstrual pain, pain in the stomach and intestines, as well as in the organs of the urinary system. The drug is very widely known and for many is perhaps the main pain reliever.

The drug is not used to relieve pain in children under 6 years of age or in nursing women. During pregnancy, renal failure, heart failure, liver failure, the drug is used with caution. Side effects from taking No-shpa occur very rarely and can include nausea, decreased blood pressure, rapid heartbeat, and an allergic reaction. In general, No-shpa is considered one of the safest and most effective painkillers.

Cost - from 60 rubles.

Ketanov

Ketanov is a very strong pain reliever that is used for postoperative pain, cancer, toothache, to relieve pain resulting from muscle injury, osteochondrosis, colic, etc. Ketanov is considered effective for relieving severe and moderate pain and is usually used for a short time. The dosage of this drug must be observed very strictly. It is not recommended to use Ketanov for more than two days.

Possible side effects from taking Ketanov include nausea, drowsiness, abdominal pain, pallor and weakness, nervousness, and rapid heartbeat. Experiments regarding acute overdose of the drug have not been conducted on humans, but presumably it can cause pallor, weakness, nausea and vomiting, drowsiness, and difficulty breathing.

Ketanov is not prescribed to pregnant and lactating women, as well as children under the age of 16 years. In addition, the drug should not be used by those who suffer from peptic ulcer stomach, kidney failure, blood coagulation disorders.

Despite the extensive list of contraindications and possible side effects, Ketanov remains one of the most effective non-narcotic painkillers. It is effective in relieving pain, but it is important to remember that it should be taken with great caution and careful dosage.

Cost - from 50 rub.

Nurofen

Nurofen is a pain reliever, the main active substance which is ibuprofen. Nurofen is available in the form of tablets, suspensions, gel, and suppositories. The drug has an analgesic, anti-inflammatory, antipyretic effect and is used to relieve pain from colds, feverish conditions, as well as to relieve dental, headache, muscle, joint, etc. pain.

When taking Nurofen it is not recommended to take Aspirin, Analgin or Paracetamol. The drug is not prescribed to children under 6 years of age, as well as to pregnant women in the third trimester. In the 1st and 2nd trimesters, the drug is used with caution; it is not prescribed to nursing women.

Among the contraindications of Nurofen are: ulcerative lesions gastrointestinal organs, renal failure, liver dysfunction and other diseases. Nurofen should be used with caution, strictly following the dosage. In case of overdose, as well as when taking the medicine for more than 3 days, side effects may occur, including vomiting, nausea, diarrhea, weakness, headaches, decreased blood pressure, etc.

Cost - about 120 rubles.

Diclofenac

Diclofenac is an injection solution, tablets and gels for pain relief for muscle and joint pain. The drug is widely known and is actively used both in cases of trauma and in diseases of the respiratory tract.

Diclofenac quickly relieves pain, and also has an anti-inflammatory effect and helps reduce swelling. The drug is used for adults and children over six years of age. It is contraindicated in lactating and pregnant (third trimester) women. The drug is not used locally in cases of violation of the integrity of the skin.

Side effects of Diclofenac include allergic reactions, but they occur extremely rarely. In general, the drug is considered a safe analgesic and anti-inflammatory agent, one of the most effective medicines to relieve joint and muscle pain.

Cost - about 20 rubles. (table), about 120 rub. (gel).

Took

Bral is an anesthetic that is used to relieve mild and moderate pain in renal, intestinal, biliary colic, colitis, neuralgia, in postoperative conditions, menstrual pain, etc. The drug has not only analgesic, but also antispasmodic effects.

Bral is available in the form of an injection solution and tablets. Tablets can be prescribed to adults and children over 5 years of age. In the form of an injection solution, Bral can be used for children over 3 months. (weight must be more than 5 kg). Bral is not prescribed to pregnant and lactating women; it is used with caution in cases of impaired liver and/or kidney function. The drug rarely produces side effects. They may include allergic reactions, decreased blood pressure, dry mouth, etc. The occurrence of side effects is usually associated with an overdose, and therefore when taking Bral it is important to follow the dosage regimen.

Cost - from 50 rub.

Mig 400

Mig 400 is an anesthetic drug whose main active ingredient is ibuprofen. Mig 400 also has an anti-inflammatory agent. It is believed that this medicine is most effective for relieving inflammatory pain. Mig 400 is also used to relieve joint and muscle pain, headaches and migraines, toothaches, menstrual pain and pain during feverish conditions.

The drug is not prescribed to pregnant and lactating women, children under 12 years of age. It is also not used in the presence of gastric ulcers and other erosive and ulcerative diseases of the gastrointestinal tract. For elderly people, patients with heart failure, impaired liver and kidney function, and blood diseases, Mig 400 is used with caution, and it is recommended to reduce the dosage. In case of overdose, the drug can cause a number of side effects, including nausea and abdominal pain, shortness of breath, dizziness, anxiety, weakness, increased blood pressure, and allergic reactions. It is not recommended to take the drug for a long time without a break - this also provokes side effects.

Cost - from 110 rubles.

Tramal

Tramal is a very strong pain reliever classified as an opioid analgesic. The drug is dispensed from pharmacies only with a doctor's prescription and is used to relieve severe pain syndromes in oncology, injuries, and during therapeutic or diagnostic procedures that are painful. Tramal is also prescribed to patients after operations.

Considering the effectiveness of pain relief, Tramal can be called a relatively safe analgesic. It can give a “standard” set of side effects (nausea, allergic reactions, drowsiness, etc.), and most of them are associated with an overdose. Tramal is not prescribed for conditions associated with severe depression of the central nervous system or respiratory function, drug withdrawal syndrome, or severe impairment of liver and kidney function. Contraindication is children's age. During pregnancy and lactation, Tramal is prescribed only for health reasons and is used once.

Cost - from 80 rubles.