Painkillers are the simplest. The most common painkillers: how to use them correctly. Tips and Special Cases

In the work brought to your attention, we will discuss inexpensive painkillers. Many probably know the opinion of Fyodor Mikhailovich Dostoevsky about pain - it is needed for a "big heart". From a medical point of view, this statement is false. Do not take the words of a great man literally. Any pain must be treated.

If it is not possible to buy expensive imported drugs, you can always buy inexpensive painkillers. Do right choice you can by studying the information provided in the article.

Painkillers

Most often, people suffer from acute pain. It comes on and on and on limited quantity time. To the reasons pain of this nature include:

• fracture;
• stretching;
• injury internal organs;
• caries and so on.

That is sharp pain occurs as a result of damage to human tissues. In order to get rid of these discomfort, you can use inexpensive painkillers that belong to the group of analgesics. They are able to drown out the pain, and this has a beneficial effect on the psyche, improves well-being and brings relief.

Also, there are often cases chronic pain(they talk about it if the discomfort lasts for 6 or more months). As a rule, such pain is caused by chronic diseases. For example, some pathologies can manifest themselves as prolonged aching spasms and other unpleasant sensations. These include the following diseases:

• osteoarthritis;
• rheumatism;
• gout;
• malignant tumors and so on.

Of course, therapy should be aimed at eliminating the causes of the development of the disease. But you can take inexpensive painkillers that can muffle the pain.

No matter how sad it may sound, but more than 80 percent of the inhabitants of the Earth are faced with different forms soreness. She is able to lead a person into a deep stressful condition. To prevent this, you need to know when and what pain medication to take.

Classification

Regardless of whether you buy cheap painkillers or expensive imported drugs, they are all subject to the same classification. It should also be taken into account that drugs belonging to the same group have a similar effect. Whatever drug is taken from one group, it will reduce pain in the same way as others.

Agree, when you go to the pharmacy to buy painkillers, it seems that there will be no difficulties. However, the pharmacist begins to ask a lot of additional questions and selects the drug that is right for you. The thing is that in pharmacology there are just a lot of groups of painkillers. Now we will try to deal with them. Allocate:

• pyrazolones;
• combined analgesics;
• migraine medications;
• narcotic painkillers;
• antispasmodics;
• specific analgesics.

Headache

In this section, we will discuss the question of what are inexpensive painkillers for headaches. To begin with, we note that headache is a common problem of our time. It can help:

• loss of working capacity;
• irritability;
• nervousness and so on.

If headaches appear very often, then it is better to consult a doctor. The thing is that it can be a symptom of so many diseases. There are several in total:

• migraine;
• overvoltage;
• vascular pain;
• liquorodynamic.

Take off this unpleasant pain preparations containing:

• ibuprofen;
• acetylsalicylic acid.

That is, they are non-steroidal anti-inflammatory drugs. Also solve this problem:

• antispasmodics;
• analgesics.

For headaches, you can take the following medicines:

• "No-shpa";
• "Papaverine";
• "Galidor";
• "Analgin";
• "Paracetamol";
• "Baralgin";
• "Nurofen";
• "Citramon" and so on.

This is, of course, an incomplete list. On the this moment exists great amount painkillers. It is important to know that each organism is unique, so medicines should be selected individually. Do not self-medicate, because this can lead to serious problems. Follow the instructions on the package, do not exceed the dosage. Doctors do not recommend taking painkillers for more than five days. You should not combine several drugs at once. Do not drink alcohol along with medications.

Toothache

In this part of the article, you will learn which inexpensive painkillers to buy for toothache. Surely, every person at least once in his life experienced these unpleasant sensations. Some remedies can help you get rid of the pain. Whatever you choose cheap painkillers for toothache, they all belong to one of the following groups:

• painkillers;
• anti-inflammatory;
• freezing.

Painkillers act as follows: they suppress the production of prostaglandins and the activity of cyclooxygenesis. Because of this, nerve endings are temporarily blocked.

Anti-inflammatory drugs block the enzyme cyclooxygenesis. As a result, the sensitivity and intensity of inflammation are reduced.

Freezing agents work when applied directly to the inflamed area. As a rule, they are presented in the form and sprays. They have in their composition a small amount of an anesthetic that is absorbed and blocks the transmission of nerve impulses.

If a toothache weak, then you can resort to the help of drugs such as:

• "Paracetamol";
• "Analgin";
• "No-shpa";
• "Drotaverine";
• "Askofen";
• "Spazmalgon";
• "Baralgin";
• "Nurofen".

The cost of the drugs provided varies from 10 to 200 rubles. All of them are available without a prescription. Pay attention to side effects, contraindications, correct dosage. All this must be indicated in the instructions for the purchased drug.

With severe pain, drugs will help:

• "Nimesulide";
• "Ketanov";
• "Pentalgin".

They are more effective, begin to act 15-20 minutes after ingestion. The analgesic effect lasts for 4-5 hours. The cost varies between 50-100 rubles. Although these drugs are recommended to be dispensed with a doctor's prescription, many pharmacies can provide them without one.

Haemorrhoids

In this section, we list painkillers (inexpensive and effective). Often people with such an ailment put off going to the doctor, trying to get rid of it on their own. This is a very big mistake.

In the treatment of hemorrhoids, two methods are distinguished:

• operational;
• conservative.

The second is only effective early stages. For this reason, it is worth visiting a proctologist after the first symptoms appear - he will prescribe the right treatment. Now we will analyze conservative means treatment. Therapy includes the use of several groups of medicines:

• ointments for hemorrhoids;
• tablets to normalize blood circulation;
• drugs to relieve inflammation;
• medicines for correct operation intestines;
• funds traditional medicine;
• physiotherapy;
• massage.

Now about painkillers. It is important to note that this problem often occurs in women during pregnancy or after childbirth. Almost all drugs are natural, therefore, will not harm the baby. The following medicines will help to anesthetize hemorrhoids:

• "Detralex";
• "Hemoroidin";
• "Flebodia";
• "Litovit B";
• "Pilex";
• "Asklezan A";
• "Pentalgin";
• "Ibuklin";
• "Nise".

It is important to remember that self-medication can only harm, so consult a doctor. He will draw up a therapy regimen, write out a prescription for the purchase of drugs in a pharmacy.

Painkillers for menstruation

Pain in the first days of menstruation is common occurrence. As a rule, they are quite tolerable, but there are cases when the pain is intense.

To begin with, let's decide on the wrong tactic - to endure. Why shouldn't this be done? Pain is not only a physical discomfort, but also the strongest stress factor. It is for this reason that we will highlight inexpensive pain pills for menstruation.

What is causing this pain? Before and during menstruation, the endometrium is rejected, and the uterus itself begins to shrink randomly. This is what causes pain. In this case, relaxing the uterus will help. For cash, we list antispasmodics that will cope with pain:

• "No-shpa";
• "Drotaverine";
• "Papaverine";
• "Spazgan";
• Trigan.

It is important to note the fact that with heavy periods, taking antispasmodics is highly discouraged. Be sure to follow the instructions on the package.

• "Analgin";
• "Baralgin";
• "Panadol";
• "Efferalgan";
• Novalgin.

All drugs have side effects, contraindications. Read the instructions carefully.

Now we will arrange painkillers for menstruation in descending order of power:

• "Ketanov";
• "Indomethacin";
• "Ibuprofen";
• "Aspirin".

Be sure to eliminate the pain syndrome, as it has a bad effect on the whole body.

Painkillers for the throat

Everyone, without exception, at least once in their life felt a sore throat. Pain may be mild or severe to the point that it is impossible to eat or talk.

The causes of discomfort can be very diverse, but more often they are viruses that cause infectious and inflammatory diseases. Remember what a cold usually starts with? Of course, with a sore throat! A few days later, other symptoms appear.

Viral pharyngitis resolves on its own in about 5 days. The help of a doctor in such cases is not required. But what if the pain is severe enough? Medicines will come to our aid. Now we list the cheapest pain relief pills for throat:

• "Paracetamol";
• "Ibuprofen";
• "Naproxen".

In addition, you can resort to the help of traditional medicine and sprays that can relieve pain.

Pain in the stomach

Now we list cheap pain pills for stomach pain. Incidentally, the discomfort epigastric region may indicate the presence of a variety of ailments. To determine the problem, you need to go comprehensive examination. But many medicines can relieve pain. They can be divided into the following groups:

• antispasmodics;
• antacids;
• blockers;
• preparations containing bismuth.

Antispasmodics that relieve stomach pain:

• "Papaverine";
• "Drotaverine";
• "No-shpa";
• "Spasmomen";
• Buscopan and so on.

Antacids:

• "Phosphalugel";
• "Almagel".

Proton pump blockers:

• "Omeprazole";
• "Pantoprazole".

These drugs not only reduce pain, but also promote recovery. They are prescribed for gastritis and ulcers.

• "De-nol";
• Vikair, etc.

Be sure to consult a doctor with this problem, because the consequences of stomach diseases can be very unpleasant. Do not self-medicate, carefully read the instructions for the drug.

Painkillers for joints

Cheap pain pills can also help with joint pain. The list is given below. But first, it’s worth saying that joint diseases are very common. As a rule, pathologies are accompanied by severe pain, which must be disposed of. Choosing the right drug can help experienced specialist. This article is for informational purposes only - do not self-medicate.

List of drugs for joint pain:

• "Analgin";
• "Baralgin";
• "Ibuprofen";
• "Nurofen";
• "Paracetamol";
• "Pentalgin";
• Spazmalgon;
• "Nise";
• "Nimesil";
• "Promedol".

It is also important to note that last drug belongs to the group of drugs. It should only be taken extreme cases and strictly on the advice of a doctor. It is impossible to buy it without a prescription in a pharmacy.

Painkillers during pregnancy

In this section, we will briefly cover the question of which painkillers can be used during pregnancy. Even this wonderful time in every woman's life can be overshadowed. various diseases. Expectant mothers try, if possible, not to use any medications and their fears are justified. But what if painkillers are still needed? Give preference to the following:

• "Paracetamol";
• "Nurofen";
• "No-shpa";
• "Riabal".

All drugs should be taken with caution: be sure to consult your doctor.

Painkillers for children

What are cheap and effective painkillers for children? You will find the answer to this question in this section. Give preference to the following medicines:

• "Ibuprofen";
• "Paracetamol";
• "Nimesulide".

Strong painkillers

The most powerful painkillers are made on the basis of opioid analgesics. These include:

• "Tramal";
• "Morphine";
• "Codeine".

You cannot buy such medicines in a pharmacy without a doctor's prescription, as they are narcotic. Do not forget that it is almost always possible to find cheap analogues of painkillers.

If a person's pain intensifies, then strong painkillers are prescribed.
These drugs can only be prescribed by a doctor.
Many have significant contraindications.

Orthopedist-traumatologist: Azaliya Solntseva ✓ Article checked by Dr.

The most powerful injections

AT modern medicine All painkillers are divided into 2 groups:

• non-narcotic;
• narcotic.

Among narcotic drugs are painkillers: morphine, codeine, they are classified as opioid drugs.

Widely used are:

• morphilong;
• omnopon;
• ethylmorphine;
• nabulfin;
• promedol;
• tramadol.

Anesthesia is carried out for the partial or complete disappearance of pain. Depending on the etiology of the disease and its symptoms, the severity of the disease, anesthesia is performed. If painkillers in the form of tablets do not help, a person is given intramuscular or intravenous injections.

Postoperative preparations

What is the best pain reliever after surgery? After surgery, injections with a strong analgesic effect are most often administered in combination with other analgesics - paracetamol and narcotic analgesic.

The best drugs deserve attention in medical practice:

1. An anesthetic injection Ketorol relieves exacerbation in postoperative period. Its main active ingredient is ketorolac, which reduces severe pain. Contraindicated in people with intolerance to the drug, if there is an allergy to aspirin, ulcers, bronchial asthma, various postoperative bleeding, liver and kidney diseases. It cannot be used for a long time.
2. Rofecoxib, or Denebol - the most modern facility. Its properties are to suppress the synthesis of the inflammatory process. It differs in the duration of action, is safe: it can be prescribed to patients with peptic ulcer.

The strongest painkillers postoperative injections for oncology are divided into 3 groups:

• non-narcotic;
• narcotic;
• auxiliary.

Analgesics are prescribed depending on the stage of the disease and the degree of pain.

If the pain syndrome is very pronounced - opiates are used, with an average pain syndrome - non-narcotic content, with mild pain- Auxiliary painkillers.

Powerful drugs:

• diamorphine is used to anesthetize only incurable patients;
• tramal is a narcotic analgesic that is rapidly absorbed into the blood, therefore, contributing to rapid pain relief.

The strongest painkillers injections are drugs of the narcotic group, they are administered at the most severe forms oncology and other diseases. They have special value in the postoperative period.

Along with this, they have some psychotropic properties, as a result of which they cause dependence, in connection with this there is a clear restriction in their use.

Hydromorphone, oxidone, morphine - a kind of one group of substances that have general indications for use, differing in doses and time of use. They are considered the most powerful.

These funds suggest complete relief from pain during the period of the active substance. Pain relief occurs almost immediately.

All drugs of the opiate group cause side effects, expressed depending on the drug (to a greater or lesser extent):

• insomnia;
• nausea;
• vomit;
• depression;
• muscle pain;
• convulsions;
• thoughts of suicide.

Contraindications to the use of opiate prescriptions occur when:

• individual hypersensitivity to the drug;
• in the case of conditions associated with respiratory depression or severe depression of the central nervous system;
• with severe liver and kidney failure;
• drug withdrawal syndrome.

In almost all cases when pain relief is needed - from the simplest headache or abdominal pain, and complex operations, in modern medicine, injections are used intramuscularly and intravenously based on diclofenac, ketorolac or ketoprofen. Sometimes pills are prescribed.

Joint pain

List of painkillers in the form of injections for joint pain:

1. Hydrocortisone - anti-inflammatory, anti-allergic agent; broad spectrum drug. When administered, there is a caveat: an injection is injected into no more than 3 joints in one day, then a three-week break must be taken. The same joint can be treated only 3 times a year.
2. Prednisone is the most good analogue hydrocortisone, can reduce inflammation. It can not be used for a long time due to a decrease in the body's resistance to infections.

Video

Painful periods

With menstruation, accompanied by severe pain, sometimes nausea, analgesic injections of No-shpa are prescribed. The main active ingredient is drotaverine hydrochloride. There is a specially designed formula for injections during menstrual pain.

Contraindications:

• do not use the drug in case of hypersensitivity to it;
• with severe renal, hepatic or heart failure;
• for medical reasons.

To relieve symptoms

In pharmacies there are drugs produced in various forms: patches, ointments, gels, injection solutions, tinctures. But painkillers remain the most convenient: they are easy to use, do not cause local reactions in the form of redness, itching, you do not need to additionally purchase syringes and contact qualified personnel, as is the case with injections.

Powerful medicines

Painkillers are narcotic and non-narcotic.

The former are prescribed exclusively by prescription only if conventional means no longer provide desired action. As a rule, these are oncological diseases on final stages. Strong painkillers belong to the opioid group and are addictive. The mechanism of action is based on the suppression of pain, resulting in a feeling of euphoria in a person.

The list of strong painkillers includes drugs such as morphine, promedol, methadone, codeine, pentazocine, buprenorphine, tramal, and others.

The second is conditionally divided as follows:

1. Pyrazolones and their combinations.
2. Combined analgesics.
3. Antimigraine.
4. NSAIDs (non-steroidal anti-inflammatory drugs).
5. COX-2 inhibitors.
6. Antispasmodics.

Cheap analgesics

Regardless of which drugs are used, imported or cheap painkillers, the principle of the effect of drugs of one group is similar, but individual reaction organism may differ.

Inflammatory pains

NSAIDs and painkillers of the combined group are best to cope with pain caused by inflammatory processes. The following inexpensive pain relievers are sold over-the-counter in pharmacies:

• Nurofen;
• Nalgezin;
• Ibuklin;
• Movalis or its cheaper analogues Amelotex, Artrozan, Movasin, Meloxicam.

All of them are similar in mechanism of action and are aimed at blocking the synthesis of prostaglandins, which cause an inflammatory reaction.

Ketanov belongs to the category of strong painkillers, in terms of effects on the body it is similar to drugs, but, in fact, belongs to the NVPS group.

Spasmodic pain

Pain of a spastic nature can occur in the following cases: migraine, gastrointestinal diseases, menstruation or illness genitourinary system. Help them eliminate antispasmodics:

• No-shpa or more cheap analogue Drotaverine;
• Sparex;
• Spazmalgon.

The main function of these drugs is to suppress the production of prostaglandins, to reduce calcium entry into smooth muscle cells. This results in relaxation smooth muscle and the spasms are gone.

Caution in use

Regardless of whether you have to accept strong pills or simple antispasmodics, first of all you need to deal with the cause of the pain. Only a doctor will help with this, who will recommend medicines for the first time, prescribe tests, and make a diagnosis.

This advice is especially relevant for pregnant, lactating women and children. After all, almost all drugs have contraindications. And to harm the fetus or the child is the easiest.

Pregnant women are allowed to use drugs containing only paracetamol or drotaverine, and then in case of emergency.

For children, drugs are suitable: paracetamol and ibuprofen, nimesid (nimesulin), if the child is over 12 years old.

Remember that pain medication only relieves the symptoms, not the cause.

Vitamin complexes

The body is very fragile, so any ailment can reduce protective functions immune system which will lead to a new disease. To prevent this from happening, doctors prescribe a course of maintenance drugs.

Calcium, magnesium and vitamin D

This is especially true for patients with problems in the musculoskeletal system. Calcium can strengthen bone tissue, elasticity and nutrition is supplied by magnesium, and vitamin D helps in the absorption and combination of these two elements. In this article, we have already considered in detail the issue of preparations with calcium citrate.

Most often produced in the form of tablets. Allowing it to be gently absorbed in the stomach. Use this medicine 1 tablet once a day for at least 30 days.

Pain is an unpleasant sensation that occurs in the human body due to different reasons(injuries, dysfunction of internal organs, etc.). The purpose of pain is to give a signal about the destructive effect of the stimulus, which must be eliminated, or at least reduce its negative impact.

Pain is explained stimulation of receptors in the nervous system which fall into 2 categories:

1. Receptors located on the skin and mucous membranes and responding to mechanical displacement of tissues (stretching, injections, etc.).
2. Receptors located on the skin, internal organs and mucous membranes and responding to certain chemical substances, whose concentration at various pathological processes increases. A large number of such substances leads to an increase in pain.

1. Due to occurrence:

• Protopathic.

• Epicritical.

2. By the nature of the manifestation:

• Acute.

• Chronic.

3. According to the affected area:

• Superficial somatic.

• Deep somatic.

• Visceral.

Types of painkillers

You can eliminate or reduce pain with the help of medicines- analgesics.

Painkillers are classified according to the degree of impact:

• General anesthesia (narcosis).
• Local anesthesia(temporary anesthesia of a small area).
• Regional anesthesia (disabling the sensitivity of a certain part of the patient's body).
• Sedation (introduction to peaceful, calm state, in which the patient is relaxed, but can follow the instructions of the doctor during the medical procedure).

Local anesthesia may be required for minor surgical or dental procedures. The anesthetic is administered as an injection in the area of ​​the site, the sensitivity of which must be turned off. A few minutes after the administration of the drug, the pain syndrome of the operated area is completely blocked.

The principle of operation of the anesthetic in regional anesthesia is to turn off the sensitivity of the nerves responsible for a certain part of the body (arm, leg, etc.). The analgesic effect persists for several hours after the operation.

History of the discovery of anesthesia

Since ancient times, intoxicating substances have been used as the main method of anesthesia. Hippocrates also invented inhalation anesthesia - inhalation of vapors of opium, belladonna, hemp to create an analgesic effect. Then they began to rub the skin with a Memphis stone, which caused local cooling, then for these purposes they used cold water, ice, tug-of-war. Of course, this did not good pain relief. And until the middle of the 19th century, they could not find such a method of anesthesia, which would not eventually lead to torment and lethal outcome patient.

October 16, 1846 was the first operation under ether anesthesia: Surgeon John Warren at Boston Hospital removed a patient vascular tumor in the submandibular area. Also, this type of anesthesia was used for tooth extraction. Later, chloroform was used as an anesthetic, but it turned out to have increased toxicity. In 1853, syringes and needles were invented - this was a revolutionary discovery, because now it was possible to inject drugs into tissues.

After that, morphine was used as an anesthetic, then cocaine, which was used first in operations in otolaryngology and ophthalmology, and only then in surgery. It was later abandoned due to its high toxicity. They began to use spinal, infiltration, conduction anesthesia. In 1905, novocaine was synthesized, which is still actively used as an anesthetic.

The principle of action of painkillers

The principle of action of modern ones is aimed at suppressing pain, and not at treating the disease, causing pain. Depending on the active substance, analgesics act either on the brain or on the peripheral nervous system, or produce a local anesthetic effect.

Yes, painkillers central action block pain centers different levels in the brain. Anesthetics peripheral action block the formation of substances that can stimulate pain centers, that is, they suppress pain sensations outside the brain. Action local anesthetics It is aimed at preventing the passage of a pain impulse from neuron endings by blocking sodium channels.

Types of painkillers

The main classification division consists in the allocation of 2 groups of painkillers according to pharmacological characteristics:

1. Non-narcotic.
2. Narcotic.

The second group includes drugs whose action is aimed at suppressing the functionality of the central nervous system. They change the nature of pain by affecting certain parts of the brain. Often such drugs cause a feeling of euphoria, and when long-term use habit is developed. Appointed mainly for serious illnesses of cardio-vascular system or in oncology.

Separately, it is worth noting drugs - antispasmodics, which are able to eliminate attacks of spastic pain. This pain syndrome is manifested due to spasms of the smooth muscles of the internal organs. Spasms can cause various chronic diseases, malnutrition or other reasons. It is the reception of antispasmodics that is most effective in this case, since the elimination of spasms will lead to the elimination of pain.

Painkillers - a list of the main ones

All painkillers are divided into groups depending on the active substances used:

1. Metamizole sodium.

Suppresses the activity of cyclooxygenase and prevents the spread of pain impulses. Shown at different types pain (tooth, intestinal, headache, trauma, bites, burns, etc.). Not recommended for frequent use.

2. Pitophenone.

It is an antispasmodic and is often used with other painkillers, which together enhance the effect of each other. It is prescribed for both adults and children with fever, colic, headache and other types of pain caused by muscle spasms.

3. Aceclofenac.

This is a derivative acetic acid. Belongs to the category of non-steroidal anti-inflammatory drugs.

Prevents the destruction of cartilage.

Used for arthritis and joint pain.

Eliminates pain of a weak or moderate nature, caused by various reasons.

It is prescribed for arthritis and arthrosis, pain in the spine, as well as aid in infectious and inflammatory diseases.

Almost all substances that have an analgesic effect additionally have anti-inflammatory and antipyretic effects.

List of the strongest painkillers in tablets

There are several painkillers that fall under the category potent means. These include prescription drugs and over-the-counter drugs.

Aertal

Active substance- Aceclofenac.

Compound- Microcrystalline cellulose, croscarmellose sodium, glyceryl palmitostearate, povidone.

The form

Indications- Rheumatoid arthritis, spondylitis, osteoarthritis.

Contraindications- Ulcers in the digestive tract, impaired hematopoiesis, liver and kidney disease, children under 18 years of age, during pregnancy and lactation.

Dosage and application- 100 mg twice daily with water.

Side effects- Rash, headache, dysfunction of the digestive tract, liver and kidneys, leukopenia.

Vacation from pharmacies prescription .

nise

Active substance- Nimesulide.

Compound- Microcrystalline cellulose, calcium hydrogen phosphate, silicon dioxide, magnesium stearate, sodium carboxymethyl starch, talc, corn starch.

The form- Biconvex tablets with a smooth surface.

Indications- Rheumatoid arthritis, inflammation of soft tissues, ligaments and tendons, spondyloarthritis, osteochondrosis, osteoarthritis, as well as dental, headache, postoperative pain.

Contraindications - Bronchial asthma, changes in the work of the digestive tract, renal, cardiac and liver failure, hemophilia, children under 12 years of age, during pregnancy and lactation.

Dosage and application- 1 tablet twice daily with water.

Side effects- Violations of the functionality of the digestive tract and kidneys, itching, rash, dizziness, allergic reactions.

Vacation from pharmacies prescription .

Movalis

Active substance- Meloxicam.

Compound- Sodium citrate dihydrate, silicon dioxide, microcrystalline cellulose, lactose monohydrate, crospovidone, magnesium stearate.

The form- - are round convex yellow pills with beveled edge.

Indications- Degenerative inflammation of the joints, rheumatoid arthritis, spondylitis, osteoarthritis.

Contraindications- Bronchial asthma, disorders in the functioning of the digestive tract, kidney, heart and liver failure, children under 12 years of age, during pregnancy and lactation.

Dosage and application- For adolescents: 0.25 mg/kg body weight. For adults: 7.5-15 mg / kg of body weight, depending on the disease. Take after meals with water.

Side effects- Violations of the digestive tract and kidneys, changes in leukocyte formula, bronchial asthma, allergic manifestations, dizziness, conjunctivitis.

Vacation from pharmacies prescription .

Nimesil

Active substance- Nimesulide.

Compound- Ketomacrogol, maltodextrin, sucrose, lemon acid, orange flavor.

The form- - powder of light yellow color.

Indications- At severe pain in the back, lower back, as well as during menstruation, with sprains, injuries, toothache and osteoarthritis.

Contraindications- Fever, bronchial asthma, heart, kidney and liver failure, inflammatory processes in the intestines, blood clotting disorders, children under 12 years of age, during pregnancy and lactation.

Dosage and application- 1 sachet twice a day by mouth after meals. Dissolve the powder in 100 ml of water.

Side effects- Anemia, thrombocytopenia, allergic manifestations, dizziness, tachycardia, shortness of breath, diarrhea, vomiting, nausea.

Vacation from pharmacies prescription

Ibuklin

Active substance- Ibuprofen, paracetamol.

Compound- Microcrystalline cellulose, glycerol, silicon dioxide, starch, sodium carboxymethyl starch, magnesium stearate, talc.

The form- Tablets in a film orange cover.

Indications- Fever, neuralgia, pain in the back, joints and during menstruation, toothache, bruises, dislocations and after operations.

Contraindications- Pathologies circulatory system and organs of the gastrointestinal tract, bronchial asthma, renal and hepatic insufficiency, children under 12 years of age, 3rd trimester of pregnancy and during lactation.

Dosage and application- For adults: 1 tablet three times a day. For children over 12 years old: 1 tablet twice a day. Take 2-3 hours after a meal and drink water.

Side effects- Nausea, vomiting, headache, heartburn, pressure surges, anemia, shortness of breath, allergic reactions.

Vacation from pharmacies OTC .

Next

Active substance- Ibuprofen, paracetamol.

Compound- Calcium hydrogen phosphate, croscarmellose sodium, hyprolose, magnesium stearate, talc, silicon dioxide.

The form- Biconvex oval-shaped tablets with a red film shell.

Indications- Migraine, neuralgia, toothache, pain in the joints and back, fever, as well as bruises, fractures, sprains.

Contraindications- Renal and liver failure, bronchial asthma, pathologies of the digestive tract, children under 12 years old, 3rd trimester of pregnancy.

Dosage and application- For adults: 1 tablet three times a day. For children over 12 years old: 1 tablet twice a day.

Side effects- Tachycardia, dizziness, shortness of breath, vomiting, hearing or visual impairment, anemia, nausea, allergic reactions.

Vacation from pharmacies OTC .

Pentalgin

Active substance- Paracetamol, naproxen, drotaverine hydrochloride, pheniramine maleate, caffeine.

Compound- Microcrystalline cellulose, hyprolose, magnesium stearate, E321, croscarmellose sodium, starch.

The form- Film-coated tablets.

Indications- For a variety of pains, including those caused by spasms, as well as colds.

Contraindications- Tachycardia, pathology of the digestive tract, renal and hepatic failure, children under 18 years of age, pregnancy and lactation.

Dosage and application- 1 tablet 1-3 times a day. No more than 4 tablets per day.

Side effects- Allergic reactions, hearing loss, impaired renal function, headache, vomiting, nausea.

Vacation from pharmacies OTC .

Nurofen Express Forte

Active substance- Ibuprofen.

Compound- Potassium hydroxide, macrogol, water.

The form- Oval capsules with light pink liquid.

Indications- Headache and toothache, rheumatic pain syndrome, fever, neuralgia, migraine.

Contraindications- Bronchial asthma, kidney, heart and liver failure, pathology of the digestive tract, hemophilia, days up to 12 years, pregnancy (3rd trimester).

Dosage and application - Maximum dose per day for children 12-17 years old - 800 mg, for adults - 1200 mg. Drink water.

Side effects- Violation of hematopoiesis, allergic reactions, abdominal pain, shortness of breath, nausea, changes laboratory indicators when examining blood.

Vacation from pharmacies OTC .

!Contraindication for all medicines is an individual intolerance and hypersensitivity in relation to the components of the drug!

How to choose the right pain reliever?

Most safe way is to take pain medication as prescribed by a doctor. But with an unexpected and sharp pain syndrome best effect possess combined preparations, in which, in addition to the active substance - a pain inhibitor, there are additional components that enhance its effect.

Despite the fact that most analgesics help against a wide variety of pain, for each specific cause of pain, you can choose a specific drug. Before buying painkillers, it is recommended to carefully read the instructions.

Analgesics are medicines that can reduce or eliminate pain. Distinguish between narcotic and non-narcotic narcotic analgesics. Narcotic painkillers are prescribed extremely rarely for certain indications. Here's to use non-narcotic analgesics we resort often if we are worried about pain.

Features of narcotic analgesics

Narcotic painkillers depress the structures of the central nervous system that perceive pain. This group of drugs is represented by opioid receptor agonists: morphine, promedol, codeine, fentanyl, and others.

This group of drugs has a strong analgesic effect. However, narcotic analgesics affect not only the pain center, but also other parts of the central nervous system. So, these drugs depress the respiratory, cough, vasomotor, thermoregulatory centers. In addition, human behavior is disturbed due to a decrease in self-control. To narcotic analgesics, dependence is formed and, as a result, drug addiction.

Important! Considering the wide spectrum side effects as well as the risk of developing drug addiction, narcotic analgesics can be used only when prescribed by a doctor.

Basically, the use of these drugs is resorted to in acute, life threatening human pain, as well as pain syndrome against the background of inoperable malignant neoplasms.

Features of non-narcotic analgesics

Non-narcotic pain medications reduce the severity of pain and do not affect other structures of the nervous system. The mechanism of their action is based on a decrease in the excitability of the subcortical pain center, an increase in its threshold pain sensitivity, inhibition of the synthesis of prostaglandins - inflammatory mediators. Due to this multicomponent action, non-narcotic analgesics have not only analgesic, but also anti-inflammatory, antipyretic effects.

Non-narcotic painkillers have a less pronounced analgesic effect compared to narcotic ones. However, their action is sufficient to stop, muscle pain which we often encounter. The main advantage of non-narcotic painkillers is the absence of drug dependence on them. It is due to these properties that non-narcotic analgesics are widely used in medicine.

The use of non-narcotic analgesics may be accompanied by the development side effects:

• Ulcerogenic action (ulceration of the mucous membrane of the stomach, duodenum);
• Nephro- and hepatotoxicity.

The main contraindications to the use of drugs from this drug group are peptic ulcer, blood clotting disorders, hepatic and, pregnancy, lactation.

note : in the annotation for many painkillers, manufacturers indicate that joint application with other analgesics is contraindicated. This is fraught with the occurrence of undesirable clinical effects.

Popular painkillers

The group of non-narcotic analgesics is represented by a wide variety of synthetic drugs. There are the following non-narcotic analgesics depending on their origin:

1. Derivatives of salicylic acid:;
2. Aniline derivatives:, phenacetin;
3. Derivatives of alkanoic acids: diclofenac sodium;
4. Pyrazolone derivatives: butadione, analgin;
5. Anthranilic acid derivatives: mefenamic acid;
6. Others: piroxicam, dimexide.

In addition, many pharmaceuticals now offering combined medical preparations, which include several drugs at once.

Analgin

This drug is known to everyone, it was synthesized in 1920. And although metamizole sodium (analgin) refers to NSAID group, its anti-inflammatory and antipyretic effects are insignificantly expressed. But analgin has a pronounced analgesic effect.

Analgin is rapidly absorbed from gastrointestinal tract, therefore, the analgesic effect occurs quickly, although it does not last very long. Analgin is used for muscle, menstrual pain, .

Important!A dangerous side effect of Analgin is the development of agranulocytosis. it pathological condition, which is characterized by a critical decrease in the level of leukocytes due to granulocytes and monocytes, as a result, the body's susceptibility to all kinds of infections increases. Because of this, Analgin was withdrawn from circulation in many countries. The risk of agranulocytosis when using Analgin is estimated at 0.2-2 cases per million.

Aspirin

Acetylsalicylic acid () is used not only as an analgesic, anti-inflammatory agent. The drug inhibits platelet aggregation, due to which it is used for the prevention of c. However, it is necessary to take into account the fact that in case of violation of blood coagulation (in particular with), bleeding may occur.

Aspirin is not recommended for use in children, especially if a viral infection is suspected. When using aspirin in this case, there is a risk of developing Reye's syndrome. The disease is characterized by rapidly progressive encephalopathy and fatty degeneration of the liver. Mortality in children with Reye's syndrome is approximately 20-30%.

It is also important to bear in mind that with long-term uncontrolled use aspirin causes ulceration of the mucous membrane of the stomach and intestines, as well as gastric bleeding. To reduce the ulcerogenic effect, aspirin should be taken after meals.

Ketanov

Ketanov (ketorolac) is a non-narcotic analgesic from the group of acetic acid derivatives. Ketanov is available in the form of tablets, as well as a solution for intramuscular injections. After intramuscular injection Ketanov's solution and after taking the tablet, the analgesic effect is noted after half an hour and an hour, respectively. BUT maximum effect reached after one to two hours.

Ketanov has a pronounced analgesic effect, exceeding the effect of other non-narcotic painkillers. Therefore, it is not surprising that many people with severe toothache, headache, manage to get rid of discomfort only with the help of Ketanov.

In addition to side effects traditional for non-narcotic analgesics, when using Ketanov, side effects from the central nervous system (drowsiness,) may occur. Therefore, when using Ketanov, it is recommended to avoid driving a car.

Dolaren

it combination drug, which contains and diclofenac sodium. Both of these medicinal substances reinforce each other. After taking Dolaren tablets, the maximum concentration active ingredients achieved after an hour and a half. Many people note a pronounced analgesic effect of Dolaren in comparison with other non-narcotic painkillers.

Dolaren is used for all kinds of diseases of the musculoskeletal system, as well as pain syndrome of any origin. The use of Dolaren will have to be abandoned if there is a hypersensitivity reaction to any NSAIDs, in the period after the operation, hepatic and, ulcer defects organs of the gastrointestinal tract, stomach bleeding. In addition, the drug is used with caution if a person has chronic and.

Nimesil

The active substance of the drug is nimesulide - it is an NSAID from the class of sulfonamides. Nimesil is available in the form of powder bags. The contents of the sachet must be dissolved in a glass with one hundred milliliters of water.