Drug treatment of sciatica: which drugs can help
August 28, 2012
- Drug treatment of sciatica: which drugs can help
- Injections and antidepressants
It should be understood that in most cases of sciatica significant improvement occurs in the first month, even with the conservative treatment. Most often, for the treatment of pain associated with sciatica prescribe nonsteroidal anti-inflammatory drugs (NSAIDs).
Experience has shown that short-term use of nonsteroidal anti-inflammatory drugs gives the desired result in patients with acute back pain. The benefits of NSAIDs in chronic back pain less studied.
Preparations for the treatment of sciatica and the result of their actions
The most common NSAIDs:
- OTC NSAIDs are aspirin, ibuprofen (Motrin, Advil, Nuprin, Rufen), naproxen (Alev), ketoprofen (Aktron, Orudis);
- Prescription NSAIDs: ibuprofen (Motrin), naproxen (Paracetamol, Anaprox), flurbiprofen (Anseyd), diclofenac
Diclofenac - relieve inflammation and pain
(Voltaren), tolmetin (Tolektin), ketoprofen (Orudis, Oruveyl) and dexibuprofen (Seraktil).
Nonsteroidal anti-inflammatory drugs with food reduces discomfort in the stomach, although it may slow down their analgesic effect.
Regular use of NSAIDs for a long time increases the risk of heart attack, especially in people who have heart problems.
Long-term use of NSAIDs - the second most common cause of ulcers and gastrointestinal bleeding. To reduce the risks and complications associated with NSAID should take the lowest dose that can relieve pain.
Other side effects of NSAIDs:
- Stomach upset;
- Dyspepsia (burning sensation in the lower abdomen bloated);
- High blood pressure;
- Fluid retention, edema;
- Reduced kidney function.
- Ulcers and gastrointestinal bleeding caused by NSAID
NSAIDs for a long time is not recommended as it may lead to ulceration. These ulcers often bleed than ulcers caused by bacteria Helicobacter pylori.
Those most at risk of bleeding faced by people over 60, who already had an ulcer or gastrointestinal bleeding in the past, patients with serious heart disease, those who abuse alcohol and take certain medications, such as anticoagulants (blood thinners) and corticosteroids.
Inhibitors (blockers) proton pump (PPIs) to help prevent and treat ulcers caused by nonsteroidal anti-inflammatory drugs. For PPIs include omeprazole (Prilosec), esomeprazole (Nexium) and lansoprazole (Prevasid).
COX-2 inhibitors (Koksibs). Koksibs inhibits the enzyme COX-2 promotes inflammation. It was supposed that drugs of this class have the same properties as the non-steroidal antiinflammatory drugs, but have fewer side effects in the gastrointestinal tract. However, after numerous reports of complications from the heart, skin rashes and other side effects, strengths and weaknesses of this class of drugs have been revised.
Ulcer - a sore gliboky epithelial defect of the skin or mucous membrane and underlying tissues that occurs due to infection, mechanical, chemical or radiation damage, as well as a result of circulatory disorders and / or innervation. To avoid irritating an ulcer, quit smoking and eliminate certain foods from your diet, including caffeine and alcohol. The pharmacy prescription drugs can be purchased for the suppression of stomach acid, which causes erosion of the stomach. To stop bleeding ulcer used endoscopic therapy.
Tramadol (Ultra) - anesthetic, which is used as an alternative to opioids. Although the drug has properties of opioids, it does not cause the same severe addiction and dependence (although such cases are known). Tramadol may cause nausea, but, in contrast to non-steroidal antiinflammatory drugs has no serious side effects in the gastrointestinal tract. Some patients taking tramadol, complain of severe itching.
The combination of tramadol
Tramadol: kills the pain
and paracetamol (Ul'traset) is more effective, as quickly relieves pain than Tramadol.
Drugs - a chemical that causes stupor and insensibility to pain. Most often the term is used to refer to opiates (morphine and codeine are derived from natural opium) or opioids (synthetic drugs: oxycodone (Percodan, Percocet, OxyContin), hydrocodone (Vicodin), and oxymorphone (Numorfan)), which are called narcotic analgesics. It is the most powerful painkillers.
Lately, there are new ways to use painkillers. Skin patch containing opioids (transdermal fentanyl), helping to reduce back pain and lower back better than opioids taken orally.
Common side effects of opioids include: anxiety, constipation, nausea, vomiting, dizziness, drowsiness, paranoia
Paranoia - explicit symptoms are not observed
, Urinary retention, anxiety
Anxiety - how to distinguish normal from disease?
, Shortness of breath or slow. There is a risk of dependence, although it is not as high as assumed. In fact, when used correctly in the long term opioids even safer than NSAIDs. Unfortunately, there is the problem of opioid abuse among young people, so doctors usually abstain from prescription opioids.
The noise in the ears and head - a sign of various diseases
October 13, 2012
The noise in the ears and in the head may be a sign of various diseases and periodically occur even in healthy people. But if the noise in the ears and in my head suddenly started, you need to see a doctor and get tested to rule out a serious illness. During the examination it is not always possible to establish the cause of the noise in the ears and in the head, then try to make it less noticeable.
The causes of tinnitus in the head
Tinnitus and the head can occur after severe inflammatory or allergic processes in the middle and inner ear, eardrum injuries
Eardrum injuries: this is serious
. This happens because of the dysfunction of the auditory nerve.
Sometimes tinnitus and head there in violation of cerebral circulation, such as background compression of the vertebral artery, which passes through a narrow opening in the cervical spine, and carries blood to the brain tissue. When osteochondrosis vertebral artery can compress, which leads to turbulent flow of blood and the appearance of a pulsating noise in the head and ears. The same noise may occur when cerebral atherosclerosis.
Very often tinnitus develops when excessive noise in the workplace, at the same time it can be seen, and hearing loss. Often tinnitus and head appears in adolescents with constant listening to loud music. Older people have tinnitus in my head is the result of metabolic disorders in the auditory nerve.
The appearance of tinnitus and the head may also cause high or, conversely, low blood pressure, vascular disease in diabetes
Diabetes - threatening and incurable disease
, Traumatic brain injury. In some cases, the cause of this noise can be cerumen impaction in the ear canal.
Finally, the noise in the ears and head may be due to increased sensitivity to different sounds. This increased sensitivity to auditory and visual stimuli characteristic of the neuroses and chronic stress.
What happens in our bodies when tinnitus
Our hearing organ is arranged so that the conversion of sound vibrations into nerve impulses takes place with the help of hearing cells of the inner ear, which have special hairs. Nerve pulses are applied to the center of hearing brain, which analyzes and recognized as speech, music, noise, and so on. In the normal state of an ear hairs move to the beat of sound vibrations. But if the hairs are changed, inflamed or irritated, they begin to move randomly, creating nerve impulses that are perceived by the central nervous system as the noise in the ears and in the head as a ringing, crackling, buzzing, and so on. Often, tinnitus and dizziness in the head accompanied by - is a sign of the organ of equilibrium.
Constant noise in the ears and head, many patients suffer very hard, with the formation of neurotic disorders, depression, impaired concentration, insomnia.
As there is noise in the ears and in my head sick
The noise in the ears and in the head often is subjective, that is, it can be heard only by the patient. Usually it is some not too pleasant, compulsive constant sound - ringing, buzzing sound of the surf, whistles and so on. Against this background noise is often reduced hearing. It may be a permanent hearing loss, or slow paroxysmal, sudden as a complete temporary loss of hearing.
Sometimes tinnitus and head accompanied by dizziness
Dizziness - if the ground is slipping from under his feet
, Headaches, pain and a feeling of stuffiness in the ears.
How to get rid of tinnitus
When tinnitus is necessary to conduct a full investigation and to establish the cause. Depending on the cause of the noise in the ears and head is appointed and treatment. But very often the survey does not reveal the cause of the noise in the ears and in the head, in such a case, you can either make the noise less noticeable, or simply do not pay attention to him.
Make noise less noticeable can help a variety of devices, including hearing aids - hearing improvement will reduce noise. But the most effective way to deal with the noise in my ears and in my head is their complete disregard.
Can not this is not all and not at once, but the result will be a full life without depression and neurosis. To achieve this effect, patients are encouraged to take a course of psychotherapeutic treatment.
Will be able to help themselves and the patients themselves. To do this, they need to avoid loud sounds, control your blood pressure
Blood pressure - dangerous if his swing?
Reduce the use of salt (which causes swelling of tissues, including brain and the area of hearing aids), strong coffee and tea (caffeine contained in them narrows blood vessels).
The noise in the ears and in the head of unknown origin - a problem that has not yet been solved.