Although pain relievers can not cure back pain, they relieve the pain and make it possible to deal with its causes, such as physical therapy, and the ability to work. There are many categories and types of drugs for pain. Choose them according to the strength of symptoms, duration, location and possible side effects.
The first means to which people usually resort is sold without a prescription non-hormonal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen. They are considered the easiest analgesics, and usually they try first. Acetaminophen, although not related to the NSAIDs are also widely analgesic for pain in the back.
There are NSAIDs that are sold by prescription, such as celecoxib, diclofenac
Diclofenac - relieve inflammation and pain
, Nabumetone and meloxicam.
Although it is soft enough money, they can have side effects - especially if you take high doses for a long time. This may be a problem with the digestive tract, ulcers and kidney damage, and acetaminophen can adversely affect the liver.
Do not take the medication without a prescription for more than three months. If the pain continues - so it is a chronic disease, you should definitely see a doctor and choose the right medication with him.
You can also use anti-inflammatory agent in the form of a topical cream, putting it on the sore spot. Although potentially have the same side effects, the risk is generally lower because the drug does not interact with the whole organism.
Other topical agents may contain components such as capsaicin, camphor, menthol, and eucalyptus oil
If the painkillers do not help, your doctor may suggest that you relaxants - means to relax the muscles.
These may be substances such as cyclobenzaprine, tizanidine, baclofen, carisoprodol, and so on. These tools help fight muscle spasms that cause back pain.
Muscle relaxants can be particularly useful in traumatic pain. For example, carisoprodol considerably reduces the pain and improves the functioning of the three days of treatment.
Most of these funds have side effects, the most common - drowsiness. If you have not received these funds, you should not drive a car and perform other tasks related to the high concentration.
For some patients, NSAIDs and muscle relaxants are not sufficiently effective. People with chronic back pain, especially after surgery, sometimes prescribe opioids. These compounds act on nerve cells in the brain to relieve pain. There weaker drugs such as Vicodin (acetaminophen and hydrocodone) and Tylenol with codeine, but is more powerful, such as morphine.
Common side effects include drowsiness, constipation, the risk of addiction, allergies.
There weaker stage between NSAIDs and narcotics. Tramadol also affects the opioid receptors in the brain, but it is weaker than morphine or hydrocodone therefore not considered addictive substance.
But sometimes, in the most severe cases, drugs are needed. However, to avoid prolonged use, because, in addition to the side effects they cause and increased pain.
As anti-inflammatory agents, corticosteroids reduce inflammation and pain. They can take a pill or by injection.
Steroids - the strongest anti-inflammatory drugs. A short course of steroids prescribed if NSAIDs and muscle relaxants do not help. This can help overcome inflammation, until it has become chronic.
Often prescribed high-dose methylprednisolone, followed by several smaller doses for five or six days.
Corticosteroids may also be administered in spinal ganglia or in the joints to prevent the development of arthritis. This is the most targeted use of medicines, which reduces the likelihood of side effects.
How safe are steroids? Doctors believe that the safety of about three injections a year.
Side effects of steroids include excessive bone loss, weight gain, and the problems with blood sugar
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Why back pain prescribe antidepressants or medication for seizures? Because they can be effective for treating a particular kind of pain caused by nerve problems.
Some antidepressants such as duloxetine and means of epilepsy, such as pregabalin or gabapentin, can be useful for nervous symptoms. Other antidepressants, such as amitriptyline or nortriptyline, may prescribe for chronic back pain. If back pain is due to nerve entrapment (in such cases, the pain is often passed up, as well as numbness), one of these tools can be effective.
These drugs are similar side effects. The most common ones are: headache, nausea, constipation, diarrhea, insomnia, sexual side effects, fatigue.
Be sure to call your doctor if you have any serious side effects, such as allergic reaction (itching, rash, swelling), changes in heart rate, convulsions, hallucinations, aggression, mood swings
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Regardless of what medicines you are taking pain in the back, they should not be your only way to ease the pain. It is also important to apply physical therapy, especially pain have not become chronic. Be sure to consult with your doctor.