The most harmless painkillers. List of strong over-the-counter painkillers in the form of injections and tablets. Rating of the best painkillers of the NSAID group

Painkillers should be used with caution, and in some cases their use is completely contraindicated. So, the action of an analgesic can change the clinical picture, make it difficult to make a diagnosis when sharp pains in the abdomen, pain in the heart, etc. It is important to remember that pain is always the result of some health problem. Accordingly, it is important not only to relieve pain, but also to eliminate the causes of its occurrence.

The following is an overview of effective yet relatively safe pain medications. Before dwelling on one of them, we advise you to carefully read not only the specific purpose of the drug, but also possible side effects, as well as contraindications.

Analgin

Analgin is a classic, well-known remedy that is used to relieve pain in very many cases. Headaches, joint pain at high temperatures, toothache, pain in places of injuries and bruises - in all these cases, analgin becomes an indispensable assistant.

Analgin was synthesized back in 1920. Until now, it is 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 a fairly wide spectrum of action of analgin.

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

Analgin is not prescribed for pregnant and lactating women, as well as children under the age of 3 months. Strictly speaking, analgin is not recommended for use even in older children - it is better to use it only for adults. Also contraindications are kidney disease and prolonged alcohol consumption.

Analgin can give side effects, namely allergic reactions, decreased blood pressure, 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 the form of tablets.

The cost is about 10 rubles. (table)

Aspirin

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

Along with this, aspirin is enough dangerous drug. It is not prescribed for 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 3 g / day (6 tablets of 0.5 g each). Aspirin can cause side effects, including stomach pain, nausea and vomiting, dizziness and tinnitus (in overdose), and risk of bleeding. As a rule, such effects are associated with an overdose of the drug. However, it must still be used with caution.

The cost is about 10 rubles.

Paracetamol

Paracetamol is on the WHO list of essential medicines and is very effective. It is used as an analgesic and antipyretic, is a relatively safe medicine.

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

Paracetamol is not combined 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 with the systematic use of paracetamol for a long time, or with a one-time significant excess of the permitted dosage.

The cost is about 10 rubles.

No-shpa

No-shpa is an antispasmodic drug that 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, in lactating women. In pregnancy, renal failure, cardiac, hepatic insufficiency, the drug is used with caution. Side effects from taking No-shpa are very rare and may include nausea, decreased blood pressure, palpitations, 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, oncological, toothaches, to relieve pain as a result of muscle injury, for osteochondrosis, colic, etc. Ketanov is considered effective for relieving severe and moderate pain, usually it is 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 The drug has not been tested in humans, but presumably it can cause pallor, weakness, nausea and vomiting, drowsiness, shortness of breath.

Ketanov is not prescribed for 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 stomach ulcers, kidney failure, and disorders of the blood coagulation system.

Despite an extensive list of contraindications and possible side effects, Ketanov remains one of the most effective non-narcotic painkillers. It effectively relieves pain, but it is important to remember that it should be taken with great care, carefully observing the dosage.

Cost - from 50 rubles.

Nurofen

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

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

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

The cost is about 120 rubles.

Diclofenac

Diclofenac are injection solutions, tablets and gels for pain relief for muscle and joint pain. The drug is widely known and actively used both in cases of injuries and in diseases of the OPD.

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 (in the third trimester) women. Locally, the drug is not used in cases of violation of the integrity of the skin.

Side effects of Diclofenac include allergic reactions, but they appear extremely rarely. In general, the drug is considered a safe analgesic and anti-inflammatory agent, one of the most effective drugs for removal of joints and muscle pain.

The cost is about 20 rubles. (table), about 120 rubles. (gel).

He took - an anesthetic that is used to relieve mild and moderate pain in renal, intestinal, biliary colic, colitis, neuralgia, in the postoperative state, with menstrual pain, etc. The drug has not only analgesic, but also antispasmodic action.

He took it in the form of a solution for injection, as well as tablets. Tablets can be prescribed to adults and children over 5 years of age. In the form of a solution for injection, Bral can be used for children older than 3 months. (weight must be more than 5 kg). It is not prescribed for pregnant and lactating women, it is used with caution in case of violations of the liver and / or kidneys. The drug rarely gives side effects. They may consist of allergic reactions, lowering blood pressure, dry mouth, etc. The appearance of side effects is usually associated with an overdose, and therefore it is important to follow the dosing regimen when taking Brala.

Cost - from 50 rubles.

Mig 400

Mig 400 is an anesthetic drug, the main active ingredient for which 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 pain in the joints and muscles, headaches and migraines, toothaches, menstrual pain and pain during feverish conditions.

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

Cost - from 110 rubles.

Tramal

Tramal is a very strong analgesic that belongs to the category of opioid analgesics. The drug is dispensed from pharmacies only by prescription and is used to relieve severe pain syndromes in oncology, injuries, and for medical or diagnostic procedures that are painful. Tramal is also prescribed to patients after surgery.

Given the effectiveness of anesthesia, 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, with drug withdrawal syndrome, with severe violations of the liver and kidneys. Contraindication is childhood. During pregnancy and lactation, Tramal is prescribed only for health reasons and is used once.

Cost - from 80 rubles.

Reviews

Wow, I didn't know there were so many different types of painkillers!

So far I only have Nurofen Lady, for the period of menstruation, and I rarely use it, I hope there will be no reason to fill the first-aid kit with other pills 🙂

Take a nice and everything will be ice!

for toothache...

people are tricked to get money

Took - an excellent pain reliever, was complex operation, the pain is crazy, not a single painkiller helped, only I took it, It relieves pain from 5 to 7 hours. Well, tramal - but you just can’t buy it, only if the doctor prescribes

I stopped buying Nurofen, now I take ibuprofen-Akrikhin. It's the same, only several times cheaper))) Well, it's true, active substance one thing, the effect is exactly the same, no difference. So I take the cheaper one.

PILLS BOSH. PAIN IS TURNED OFF BY THE BRAIN. LEARN TO CONTROL THE BODY)))

Let's break your leg? And show you how to control the body

All painkillers have a very strong effect on the liver. Well, if you choose from safe ones, then Nimesan is very effective for pain, besides, it dissolves in water, so it’s a pleasure to use it, well, something like that ..

When you don’t want to live from pain, I’ll see how you control your brain. You eat all the painkillers that you can find at home, and it will not matter whether there will be a side effect or not, just to get rid of the excruciating pain.

That's for sure, but it's worse when they still don't work, then there's hysteria in the brains

I agree with elena

I have kidney stones, after crushing and their release, the pain is indescribable. Any strong painkillers simply do not help. Only Tramal saved me - an injection in a soft spot

Pain is hellish torment and it is very difficult to choose painkillers because everyone different pain and in different places but it is very difficult to endure it is better to die

And I am familiar with almost all painkillers from the list. But lately I have been buying only Revalgin. The effect is achieved quickly, relieves spasms and pain. In my opinion, a worthy pain reliever at a very modest price.

By the way, I also bought Revalgin, a good drug.

My father-in-law underwent surgery, or rather two, she has a fracture of two ankles and a fracture of the femoral neck, she complains of severe pain, we don’t know what painkillers to take. I've tried a lot, can you give me any advice. Thank you.

Tramal in ampoules helps with joint pain. Nise is a good tool. From a headache - an ax.

Painkillers

Painkillers in the form of tablets are analgesics of various pharmacological classes that eliminate or alleviate the feeling of pain. They can be called the most popular for a person, since pain accompanies any disease.

Popular painkillers are on everyone's lips. They are widely advertised on television and are present in home first aid kit. Each of them has its own characteristics and common features. It is important to know which is better to choose in a particular case.

Classification of painkillers

Most "work" at the level of the central nervous system. It is the activation of neurons (in subcortical structures and the cerebral cortex) causes subjective pain. Some bind specific receptors directly in tissues.

The division into groups is based on the mechanism of action. The strength of the analgesic effect and the severity of the negative effect on the body depend on it.

• Narcotic. Brain receptors are inhibited, and not only those responsible for the formation of the pain syndrome, but also many others. This explains the large number adverse reactions: hypnotic and sedative, depression of the respiratory and cough centers, increased tone of the intestinal muscles and Bladder, mental disorders (hallucinations).
• Non-narcotic. Do not oppress the central nervous system and do not have a psychotropic effect. There is no habit. These are popular medicines known to most people.
• Mixed mechanism. The most popular is Tramadol.
• Peripheral. They prevent the spread of pathological excitation in the tissues of the body. Additionally relieve inflammation - NSAIDs, salicylates, pyrazolone derivatives and others.

For patients, it is not the classification group that is important, but the features of the application: in which cases it is better to use it, what adverse reactions it has, to whom it is contraindicated. Let's dwell on these issues in more detail.

List of Effective Pain Relief Pills

Trademarks containing the same active ingredient are often advertised on television. AT this case The "hype" of the brand is not a sign of its effectiveness. Each should be prescribed taking into account the mechanism of action, indications and contraindications.

There are several analgesics in the home first aid kit. They are accepted into different situations, unaware that most of them are universal. We list effective pills.

Paracetamol (Efferalgan, Panadol)

It is an analgesic-antipyretic. It effectively reduces the temperature. It blocks the formation of prostaglandins, which increase the sensitivity of receptors to pain mediators, and the thermoregulation center in the hypothalamus.

It is prescribed in such cases: headache, toothache, myalgia, painful periods, injuries, hemorrhoids, burns. Adverse reactions are rare. Available in tablet form and suspension for children.

Contraindicated in childhood (up to 1 month), pregnancy (III trimester), renal failure, inflammatory diseases of the gastrointestinal tract. Does not mix with alcohol. It is prescribed for a short course - no more than 5-7 days.

Aspirin

Acetylsalicylic acid (non-steroidal anti-inflammatory drugs). It is prescribed for inflammation in the joints and muscles. Reduces temperature, but is used for this purpose only in adults.

Adversely affects the stomach and intestines (with prolonged use). Prohibited in bronchial asthma, hemorrhagic diathesis, erosive and ulcerative processes of the gastrointestinal tract in the acute stage.

The course of admission should not exceed seven days. Of the side effects, heaviness in the abdomen, nausea, vomiting, dizziness, and tinnitus are more common. Long-term use should be agreed with the doctor.

Analgin

The most famous analgesic, reduces body temperature and inflammation. It is prescribed in the same way as paracetamol - after surgical interventions (in injectable form), with renal and hepatic colic, traumatic injuries and bruises.

Release form: tablets and solution for injections. Included in lytic mixture(together with papaverine and diphenhydramine) - an urgent need to reduce the temperature or relieve pain.

Contraindicated up to 3 months, pregnant and lactating women, with severe damage to the liver and kidneys. Not compatible with alcohol. Among the adverse effects are the ability to reduce pressure and cause allergies.

Ibuprofen (MIG, Nurofen)

Complex NSAID, blocks several mechanisms inflammatory response. Effectively relieves pain in the joints, in the back, headache, toothache, myalgia, discomfort in dysmenorrhea and rheumatoid arthritis.

There are tablet forms, suspension, rectal suppositories. Used in pediatrics as an antipyretic. It is considered one of the safest, subject to age dosages.

Contraindications are similar to aspirin, as it can cause erosive changes in the mucous membrane gastrointestinal tract. Undesirable effects occur when overdosed or taken for more than 3 days. These are dyspeptic phenomena, weakness, hypotension.

Amidopyrine (pyramidone)

Belongs to the pyrazolone group with a pronounced property to lower body temperature. Pain relief applies to all types of pain syndrome of moderate and low intensity.

Among the indications in the first place is neuralgia (arising along the nerve), articular changes (arthritis, arthrosis), rheumatism, feverish conditions in adults.

Children are rarely prescribed due to stronger side effects: on hematopoiesis, gastrointestinal mucosa. It is forbidden for patients with bronchial asthma, pregnant and lactating women. Severe cases of allergy to amidopyrine have been described.

Ortofen (Diclofenac, Voltaren)

NSAID, which is effective primarily for joint and muscle pain. It has a moderate antipyretic effect. It blocks the synthesis of prostaglandins at the level of the brain and in the tissues of various organs.

Removes swelling of the joints, increases the range of motion. Reduces tissue swelling during inflammation. It is prescribed in the postoperative period and after injuries. It is not usually used to lower body temperature.

Contraindicated in bronchial asthma, problems with the stomach and intestines, kidney and liver failure. Not prescribed to women III trimester pregnancy, in adolescents under 18 years of age.

Papaverine

A drug from the group of antispasmodics. Blocks the smooth muscles of the gastrointestinal tract, blood vessels, including the brain, bronchi. Used for spastic pain (with cholecystitis, enterocolitis, renal colic, angina pectoris).

In addition to analgesic, it has a hypotensive effect (lowers blood pressure), relieves convulsions, and soothes (sedative effect). By slowing down intracardiac conduction, it relieves an attack of tachycardia.

Contraindicated in children under 6 months of age, with AV heart block, renal failure, glaucoma and allergic reactions to the components of the drug. Available in various dosage forms.

Spazmalgon

Complex drug. Contains NSAIDs (metamisole sodium, similar to pyramidone), antispasmodic (piperidine derivative, which completely repeats the effects of papaverine) and M-anticholinergic (fenpiverinium bromide), which enhances the antispasmodic effect.

Indications are very similar to papaverine: diseases of the stomach and intestines ( spastic colitis, gastritis), biliary tract, urolithiasis disease, dysmenorrhea, pathology of the bladder (cystitis) and kidneys (pyelonephritis).

Contraindications: suspicion of "acute abdomen" ( surgical pathology, requiring emergency operation), renal and hepatic insufficiency, glaucoma and others.

Unfortunately, many sharp and chronic diseases accompanied by severe pain that makes the patient's life unbearable. In such cases, potent analgesics cannot be dispensed with. Most of them are used under strict medical supervision in a hospital or are prescribed by prescription.

Drink medicine from following list need to be careful. Most have severe adverse reactions and many contraindications. Able to be addictive with a long course of treatment.

Tramal

Sold in pharmacies by prescription only. mixed type– narcotic and non-narcotic, which makes it effective in severe pain. It is not as addictive as pure opioids, it does not depress the respiratory center.

Popular in oncology, traumatology, surgery (in the postoperative period), cardiology (with myocardial infarction in the acute stage), during painful medical manipulations. Available in the form of drops, injection, rectal suppositories.

Do not prescribe in conditions with depression of the nervous system (poisoning by alcohol and drugs), in children, with severe renal and hepatic insufficiency. During pregnancy, use only for health reasons.

Promedol

Refers to narcotic analgesics of central action. It is used for conditions that cannot be alleviated with the help of non-narcotic drugs: for burns, injuries, oncological diseases, myocardial infarction and many other conditions.

Available in tablet form and solution for injection. In pharmacies, it is sold only by prescription. It is a drug subject to strict reporting. It is usually used in a hospital setting.

Contraindicated in oppression of the respiratory center, intolerance to individual components. The list of situations where promedol should be used with caution is very extensive. Adverse reactions can occur from all body systems.

Codeine

Refers to the central narcotic natural analgesics. It is actively used to treat dry cough because of its ability to block the cough center.

The mechanism of analgesic action is the excitation of opiate receptors in various organs, including the brain. Due to this, the emotional perception of sensations changes.

Compared to other drugs in this group, it depresses the respiratory center less. It is used to treat migraine, bronchitis and pneumonia (soreness occurs with a strong painful cough).

Ketorol

NVPP, acting only as an analgesic. Not able to reduce body temperature and fight inflammation. It is similar in strength to narcotic analgesics, but does not have their side effects.

Since it does not cause depression of the central nervous system and addiction, it can be used for a long time with severe pain of any localization: oncology, burns, toothache, trauma, neuralgia.

Contraindicated in peptic ulcer and intolerance to the components. Not used in pediatrics and in pregnant women (no clinical trials). Adverse effects on the body are rare: nausea, vomiting, heaviness in the abdomen, drowsiness.

Nimesulide ("Nise", "Aponil")

NSAIDs - refers to a new generation, as they act selectively. It inhibits the synthesis of prostaglandins in the focus of inflammation, but does not affect healthy tissues. Due to this, it is safer and has a wider range of applications.

It has anti-inflammatory, analgesic, antipyretic and antiaggregatory effects. Popular for pain in the musculoskeletal system (arthritis, arthrosis, myalgia, radiculitis and other diseases). It is also effective for headaches, algomenorrhea.

Contraindications do not differ from those for this group. It is not used during pregnancy, in childhood, with impaired liver and kidney function, with erosive and ulcerative lesions of the gastrointestinal tract and bronchial asthma.

What are pain pills and which one is better and more effective?

Painkillers are available in every home first aid kit and are used in emergency cases when you need to relieve a headache, toothache or alleviate the condition with other pathologies. Doctors say that pain is an alarming signal that may indicate the onset serious illnesses. Therefore, it cannot be ignored, but it is also not worth using painkillers uncontrollably. It should be understood that drugs with an analgesic effect do not cure, but only temporarily eliminate an unpleasant symptom. If a persistent pain syndrome occurs, it is necessary to undergo an examination and take analgesics after clarifying the diagnosis and as prescribed by the doctor.

Painkillers, depending on the composition and form of release, affect the nervous system, brain, or exhibit a local analgesic effect. They are widely used in all areas of medicine and are produced in a variety of dosage forms. In pharmacology, analgesics are represented by many groups, each of which is designed to treat a specific type of pain. How to figure out a wide range drugs and find good painkillers that are safe for health? We will try to answer this question in our article.

Classification of painkillers

What pills are best for pain relief, and what type of pain can be treated with certain drugs? The answer to this question can only be given by a specialist, depending on the clinical picture of the disease. In fact, all painkillers can be divided into 2 main groups:

• Narcotic analgesics. The mechanism of action of such drugs is based on the depression of the central nervous system. The impact of active components allows you to change the nature of the pain syndrome due to a direct effect on certain parts of the central nervous system and the brain. As a result, pain attacks stop, and the patient experiences a state of euphoria. Narcotic analgesics are dangerous because they cause drug addiction therefore, they are used only as prescribed by a doctor for the treatment of pain syndrome that develops against the background of serious cardiovascular, oncological diseases and other serious conditions.
• Non-narcotic analgesics. An extensive group of drugs with an analgesic effect that does not affect the central nervous system. Such drugs are devoid of the disadvantages of opioid analgesics, do not provoke addiction, do not have sedative, hypnotic and other side effects. In addition to the analgesic effect, the drugs of this group exhibit an anti-inflammatory effect, quickly stop pain cider and are included in the complex treatment of many diseases.

Depending on the composition and principle of action, all painkillers are usually divided into several subgroups:

1. Simple (traditional) analgesics. This group includes pyrozolones and preparations based on their combinations (Analgin, Spazmalgon, Tempalgin).
2. Combined analgesics. The composition of such medicines includes several components at once, providing an analgesic effect. As a rule, the basis of the drug is paracetamol in combination with other synthetic components. Such drugs, in addition to a powerful analgesic effect, exhibit antipyretic, anti-inflammatory or antispasmodic properties (Ibuklin, Trigan, Kaffetin, Pentalgin, Vix Active SymptoMax).
3. Remedies for migraine. Headache with persistent migraine attacks is difficult to stop with conventional analgesics. Therefore, special painkillers are used, which additionally exhibit a vasodilating and antispasmodic effect (Relpax, Sumatriptan, Frovatriptan).
4. NSAIDs (non-steroidal anti-inflammatory drugs). The drugs of this group are distinguished by pronounced analgesic and antipyretic properties, they quickly stop the inflammatory process. Such funds are prescribed for headache, dental, joint, muscle pain, used for diseases of the spine, osteochondrosis, rheumatism and other inflammatory pathologies accompanied by pain. The list of painkillers from the NSAID group includes drugs Ibuprofen, Nurofen, Nalgezin, Naproxen, Ketanov, Dolomin, Ketorolac, etc.
5. COX-2 inhibitors (coxibs). Safe painkillers from the group of NSAIDs, which are separated into a separate subgroup. This is due to the fact that such drugs, unlike other NSAIDs, protect the gastric mucosa. Therefore, such drugs have an analgesic and anti-inflammatory effect without a negative effect on the digestive tract. They are prescribed to relieve pain in peptic ulcer, arthritis, osteochondrosis and other diseases of the joints (omeprazole, celecoxib, parecoxib, etoricoxib).
6. Antispasmodics. The action of drugs in this group is aimed at dilating blood vessels and relaxing smooth muscle, due to which an analgesic and antispasmodic effect is provided. Representatives of antispasmodics: Drotaverin, No-shpalgin, Nomigren.
7. Narcotic analgesics. These are powerful remedies that a doctor can prescribe to a patient in extreme cases in acute pain syndrome. Similar drugs inhibit the transmission of pain impulse, eliminate the emotional perception of pain, causing the patient a feeling of euphoria and comfort. The list of narcotic painkillers includes medicines based on codeine, morphine, fentanyl. This group includes such well-known pain medications as Nurofen Plus and Sedalgin Neo.

As you can see, the list of painkillers is huge, and it is difficult to navigate in such a variety of drugs. To help with the choice, we present an overview of the most popular analgesics used for different types of pain.

Painkillers for headaches

For the treatment of headaches caused by overwork, nervous tension or colds, inexpensive painkillers are used: Analgin, Citramon, Tempalgin, Baralgin. With migraine caused by vasospasm, stronger medications are prescribed.

1. Citramon. A popular combined remedy for the treatment of headaches of unknown origin, used for decades. Combination of caffeine and acetyl salicylic acid dilates blood vessels and relieves spasm, eliminates pain and has an anti-inflammatory effect. Another active substance - paracetamol exhibits antipyretic and analgesic properties. The drug should not be taken for violations of blood clotting, stomach ulcers and gout. The price of Citramon in pharmacies is from 10 to 30 rubles.
2. Analgin (similar to Tempalgin). An anesthetic from the group of non-narcotic analgesics based on metamizole sodium. It has a pronounced analgesic, antipyretic and anti-inflammatory effect. It is used for pain syndrome of various origins (including headaches and migraine pains). It's inexpensive and available remedy, but today it is considered obsolete and preferred by more modern counterparts(Tempalgin, Baralgin). Analgin can cause allergic reactions and adversely affect the hematopoietic system. The drug is contraindicated for use during pregnancy, impaired liver and kidney function and hypersensitivity to its components. The price of Analgin is from 12 to 50 rubles.
3. Sumatriptan. A drug with anti-migraine activity, used for regular attacks of severe headache. Produced in the form of film-coated tablets. Sumatriptan has quite a few contraindications, so a doctor should prescribe a medicine for migraine and control its use. Pain reliever for correct application can cause adverse reactions from the nervous, digestive, respiratory, cardiovascular systems. The dosage of the drug is selected by the doctor individually, taking into account the severity of the pain syndrome. The cost of an analgesic is from 120 rubles.

In addition, for the relief of headache attacks, you can take such combined analgesics as Solpadein, Pentalgin. With vasospasm, Papaverine, No-shpa, Buscopan will help, with inflammatory processes accompanied by a headache, preference should be given to Aspirin, Ibuprofen, Diclofenac or Ketoprofen.

Painkillers for toothache

Painkillers for toothache eliminate discomfort, but cannot replace dental treatment. Therefore, they can be taken only for a short time, for the relief of acute pain syndrome and not to delay contacting a doctor. The most popular toothache remedies are as follows:

• Ketanov (Ketorolac). The most powerful painkillers that effectively relieve acute toothache. They differ in prolonged action, after taking the pill, the effect persists for 8 hours. At the same time, these drugs are toxic and cause a number of side effects various systems organism. If you have taken a pill before visiting the dentist, be sure to notify the doctor about this, otherwise the use of anesthetics during treatment may not have the desired effect. The cost of the drug - from 240 rubles.
• Nise (Nimesil) - painkillers based on nimesulide. It copes well with toothache with pulpitis, periodontitis, and exhibits an anti-inflammatory effect. The drug belongs to the group of non-steroidal anti-inflammatory drugs and is widely used to relieve pain of various etiologies. Almost all drugs in this group can not be taken with erosive lesions Gastrointestinal tract, pathologies of the liver and kidneys, during pregnancy and lactation. Before taking the pill, carefully read the instructions for the drug and read the list of possible side effects, which are many. The cost of Nise is from 200 rubles.
• Nurofen. Another drug from the NSAID group with a pronounced analgesic effect. The effect of taking the pill lasts up to 8 hours. The drug can be used for a short time, to eliminate acute attacks toothache. In addition, Nurofen is widely used in the treatment of joint and muscle pain, rheumatism, sciatica, neuralgia, sports injuries and others. infectious diseases and lesions of the musculoskeletal system. Like most medicines from this group, Nurofen has quite a few contraindications and side effects, so the drug should be taken with caution. The cost of Nurofen - from 90 rubles.

In addition to the above drugs, you can take Analgin, Spazmalgon, Pentalgin, Tempalgin to relieve toothache.

Painkillers for joint pain

Joint pain can be caused by various reasons (trauma, degenerative changes, inflammatory process). The pain reliever must be selected taking into account the factor that causes pain. For arthritis and arthrosis of various etiologies, the most popular groups of drugs are non-steroidal anti-inflammatory drugs based on ibuprofen, indromethacin or diclofenac. In addition, non-narcotic analgesics are used to relieve pain, or in severe cases prescribe narcotic drugs (Tramadol, Promedol, Tramal).

Diclofenac tablets are prescribed for the relief of joint and muscle pain. In addition to the analgesic effect, the drug exhibits an anti-inflammatory effect, relieves swelling, helps eliminate morning stiffness of the joints and improve their mobility. This is one of the most effective and safe drugs. It does not have many side effects, the restriction for use is children's age (up to 6 years), pregnancy, lactation, individual sensitivity, hematopoietic disorders, peptic ulcer, liver and kidney pathologies. The cost of the drug in tablets is from 15 to 45 rubles.

Texamen is a drug from the NSAID group with a powerful anti-inflammatory and analgesic effect. Quickly stops the inflammatory process and thereby eliminates the source of pain in muscle and articular pathologies. The list of side effects and contraindications is similar to most medicines from the NSAID category. The price of the drug is from 250 rubles.

To relieve joint pain, the doctor may prescribe oxicams (Piroxicam, Meloxicam), a distinctive feature of which is the possibility of long-term use and fewer side effects. In addition, medications based on celecoxib and nemisulide (Nise, Nemid) are widely used in orthopedic practice, or strong drugs with prolonged action (Ketorolac, Ketanov), which provide analgesic and anti-inflammatory effects. In severe cases, strong drugs are used (Tramal, Tramadol). Artropant joint cream has also proved to be excellent. Read reviews about it.

Pain pills for back pain

Back pain is a companion of such diseases as spondylosis, osteochondrosis, arthritis, arthrosis, sciatica, sciatica, etc. What groups of painkillers are used to eliminate an unpleasant symptom? Most often, for back pain, medications from the NSAID group (Ibuprofen, Nimesulide, Diclofenac, Indomethacin, Naproxen), non-narcotic analgesics (Baralgin, Tempalgin, Pentalgin, Ketanov) or drugs of the narcotic group (Tramadol, Tramal) are prescribed.

Indomethacin. A popular remedy with analgesic, anti-inflammatory and antipyretic effects. The drug from the group of NSAIDs helps to reduce pain, reduces swelling, and reduces morning stiffness. It is used for pain in the spine, inflammation in soft tissues and joints. The film-coated tablets are taken at the dosage indicated by the doctor twice a day. At the same time, this remedy has many contraindications and an extensive list of side effects, so they should be taken with caution. Price - from 45 rubles.

Naproxen. Non-steroidal anti-inflammatory drug based on naphthylpropionic acid with a pronounced analgesic and antipyretic effect. Effectively fights inflammation in the tissues of the joints, is used for pain in the spine, myalgia, neuralgia and other inflammatory lesions of the musculoskeletal system. This drug has fewer contraindications than other NSAIDs and the drug is much better tolerated, causing fewer adverse reactions from various body systems. The price of Naproxen tablets is from 180 rubles.

pain pills for hemorrhoids

With the progression of hemorrhoids, pain in the anus occurs during defecation. In the acute period, the pain syndrome intensifies and causes significant discomfort to the patient. To stop the discomfort will help painkillers, which should be prescribed by a specialist - a proctologist. The most popular painkillers for hemorrhoids are Detralex, Phlebodia, Hemoroidin, Ibuklin tablets, which not only show analgesic and anti-inflammatory effects, but also have venotonic properties. Their intake reduces congestion in the pelvic organs, strengthens the walls of blood vessels and thus allows you to deal with the main cause of hemorrhoids.

1. Detralex. The drug with a venotonic effect based on flavonoids and diosmin reduces pain within an hour after the first application. Detralex increases the tone of the veins, reduces vascular permeability, prevents the development of bleeding in hemorrhoids and effectively eliminates pain during an exacerbation of the disease. The drug is well tolerated, has a minimum of contraindications (hypersensitivity, lactation) and rarely causes side effects. If undesirable symptoms from the digestive or nervous system appear, then they proceed in mild form and disappear after discontinuation of the drug. The cost of Detralex is from 800 rubles.
2. Phlebodia. With hemorrhoids, the drug helps to eliminate pain, exhibits a venotonic effect, improves blood microcirculation and lymph flow, eliminates congestion and improves vascular tone. This is one of the most effective means with inflammatory processes in the rectum, which not only relieves pain, but also eliminates the causes that provoke its appearance. The therapeutic effect of taking the pill lasts for 5 hours. The average price of Flebodia is from 600 rubles.

In addition to the above drugs, to relieve pain during exacerbations of hemorrhoids, you can use drugs such as Ibuklin, Nise, Pentalgin, Pilex, Asklezan.

The strongest painkillers

Among the drugs with the strongest analgesic effect are drugs based on opioid analgesics. These are drugs such as:

They provide a powerful analgesic effect, but have a lot of contraindications and side effects. Among them, the most dangerous are addiction to the drug and the occurrence of drug dependence. Such funds should not be used in children and pregnant or lactating women. Strong painkillers are prescribed in severe cases, they cannot be purchased at a pharmacy without a doctor's prescription.

Among drugs from the group of NSAIDs and non-narcotic antispasmodics available without a prescription, one can single out such drugs as Meloxam, Nalgezin, Sedalgin, Celebrex, Spazgan, Solpadein, Ketonal.

In any case, before taking an anesthetic, it is necessary to consult a doctor and determine the cause of the pain syndrome in order to direct efforts to treat the underlying disease.

Reviews

I prefer not to endure a headache, but to remove it with pills. I always keep a pack of Tempalgin with me.

This tool helps me the best. Already half an hour after taking the pill, even a strong headache subsides and improves. I also had to take anti-inflammatory drugs. With an exacerbation of osteochondrosis, the doctor advised to relieve pain with Diclofenac or Indomethacin tablets. Also strong drugs, but they need to be taken with caution, as they have a bad effect on the gastric mucosa.

Last month, my tooth ached wildly, and the next morning my cheek was swollen from the flux. I had to urgently go to the surgeon, pull out the tooth and cut the gum so that the pus comes out. After the frost subsided, severe pain began, the doctor wrote out a prescription for the anesthetic Ketanov.

The medicine is inexpensive, about 60 rubles per pack, but it is available only with a prescription. After taking just one small pill, the pain went away after 5 minutes and the analgesic effect lasted about 6 hours.

A very strong remedy, only three tablets were enough for me to completely stop the attacks of pain and recover from dental intervention.

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Before using medications, consult your doctor!

The strongest painkillers should be used only in extreme or advanced cases, and due to the fact that most analgesics have quite strong side effects, you need to be very careful when choosing such a remedy. Moreover, in some cases, taking painkillers is completely contraindicated, and the reason for this is the risk of complications for the body. To avoid deterioration of health, you should carefully study how to properly use the remedy and in what cases it is contraindicated for use.

All painkillers are conventionally divided into several categories:

• pyrazolones (they are prescribed mainly for inflammatory processes)
• analgesics based on paracetamol (intended for the treatment of mild pain);
• painkillers intended for the treatment of migraine;
• inhibitors (slow down the development of the disease);
• non-steroidal anti-inflammatory agents;
• narcotic painkillers based on morphine;
• drugs that relieve pain during muscle spasms (antispasmodics).

And now consider the most effective and, no less important, safe analgesics.

Analgin

Analgin is a member of the pyrazolone group and is one of the most commonly used painkillers. To this day, it is the basis for the creation of other, more expensive drugs. This analgesic is prescribed to suppress inflammatory processes, with headache, toothache and menstrual pain, as well as to relieve joint pain.

Analgin is one of the cheapest painkillers and therefore is very popular. However, this drug has its drawbacks, and the biggest of them is that with prolonged use of analgin, significant changes in the blood are observed. Therefore, experts advise using it as little as possible, but pregnant women and young children should not use this analgesic.

Spazmalgon and Baralgetas

These two drugs are usually prescribed for use in combination and are used as antispasmodics. When used correctly, these analgesics can relieve various types of spasms, fever, high blood pressure and increased tone uterus during pregnancy.

The peculiarity of these drugs is that, unlike many other analgesics, Spazmalgon and Baralgetas can be used even for women at any stage of pregnancy, as well as for young children.

Aspirin

Aspirin is another well-known representative of painkillers. In addition to the well-known ability to lower body temperature, this analgesic is also a strong anti-inflammatory agent, eliminates headaches and pain in the joints and muscles. However, there is one caveat - you need to take aspirin with extreme caution, no more than 7 days in a row and observing the permissible dosage. This drug harms the digestive tract quite a lot, so you should not use it too often. It is not recommended for pregnant women and children under 15 years of age to take it. After using this analgesic, you can expect such unpleasant side effects as: headaches, stomach pain, nausea, tinnitus. Sometimes bleeding occurs, but still, most of the side effects are observed in those who have exceeded the dosage of the drug.

Paracetamol

This analgesic is considered very effective and quite safe means. It is allowed to be used even by those who suffer from gastritis, since paracetamol is perfectly absorbed in the stomach. This drug is usually prescribed to those who suffer from muscle, joint, tooth and headache, as well as neuralgia. It is undesirable for those suffering from diseases of the gastrointestinal tract and kidneys, pregnant women and infants to use this remedy. Never mix paracetamol with alcohol!

ibuprofen

The drug, which is one of the safest among non-steroidal anti-inflammatory drugs, is prescribed to relieve pain in the joints and muscles. For the stomach, this drug is not dangerous if the dosage is observed correctly, but it is contraindicated for those who have had an ulcer and gastritis. Ibuprofen can be prescribed as a pain reliever even for young children.

No-shpa

This analgesic is used for headaches, pain in the stomach and urinary system, during menstruation in women. No-shpa is a fairly advertised drug, many people know about it, and most families will find it in the medicine cabinet. But not everyone knows that this remedy is not recommended for preschool children, pregnant and lactating women. With cardiac, renal and hepatic insufficiency, no-shpu is used with caution. This drug has virtually no serious side effects, it is a fairly safe pain reliever.

Ketorolac

The effectiveness of this analgesic drug is akin to narcotic analgesics. For obvious reasons, ketorolac is prescribed only in extreme cases, when no other means to relieve pain can be found. Its use causes quite serious side effects: irritation of the gastric mucosa, diarrhea, headache, drowsiness and nausea. With prolonged use, ketorolac can cause severe stomach diseases, kidney and liver failure.

People suffering from oncological diseases and those who have undergone major surgery. It is also sometimes prescribed for fractures and serious injuries.

Nurofen

This medicine contains ibuprofen and codeine. Nurofen does a good job in eliminating headache and toothache, migraine, menstrual pain, and is also prescribed for joint and muscle pain and neuralgia. You should be aware that Nurofen should not be mixed with aspirin, analgin or paracetamol. In case of an overdose of this drug, nausea, vomiting, headache, diarrhea, pressure changes may occur. Pregnant and lactating women and children under 12 years of age should avoid its use. This remedy is not prescribed for those who suffer from gastrointestinal diseases, renal and hepatic insufficiency.

Nimesulide

The advantage of this drug is that it practically does not harm digestive system and at the same time has strong analgesic properties. Nimesulide is most effective when the pain affects the joints. Experts have recently come to the conclusion that this remedy negatively affects the liver, and therefore it is advised to use it with great care. This drug is contraindicated in young children. You should not use nimesulide if after that you will need to drive or engage in mental labor- This drug causes drowsiness.

took

It is an analgesic prescribed for pain in the kidneys, intestinal and biliary colic, neuralgia and periodic pain in women. Bral can also help patients who have just undergone surgery. The remedy in the form of tablets can be used by adults and children, starting from the age of 5, but the injections were prescribed already from the age of 3 months. The use of a take will not bring health problems if the dosage of the drug is observed with accuracy.

In fact, there can be a great many reasons, therefore, before drinking a painkiller, in cases where it does not threaten to worsen the condition and save life, it is necessary, with the help of qualified diagnostics, to find the cause of its occurrence.

Different classes have their own peculiarities in the formation of the mechanism of pain, which leads to susceptibility to certain substances.

• Acute leakage or chronic nature. Sensations of the first type are a local reaction to an external stimulus. The impulse is formed in the affected area and along the nerve channels, the spine is delivered to the cerebral cortex, and then back with instructions to remove the damaged organ to a safe place. It can be characterized as physiological and reflex. Chronic - has a more complex organization and requires a thorough study of the causes of its occurrence. It may indicate a non-healing twisting injury or disease.
• Nociceptive, neuropathic or dysfunctional. The subspecies depends on the nature of the damage.

Nociceptive - has a specific localization. Can talk about damage certain body. Responds to active actions and changes in body position. It can be inflammatory, ischemic or mechanical.

Neuropathic is characterized by a blurred sensation of localization of the source of discomfort. It is brighter and more intense.

Usually associated with an unusual degree of excitability to minor stimuli. For example, pain in diabetics, neuralgia trigeminal nerve, tunnel syndrome in sciatica and neuropathy (carpal tunnel syndrome).

Dysfunctional - very similar to nociceptive, but unlike it, it is not tied to organ damage. There is a resonance between the intensity, the strength of the patient's suffering and the data of the diagnostics.

Funds classification

1. In tablet form.
2. With the help of special capsules.
3. Suppositories.
4. Injections and solutions for injection into the circulatory system.
5. Ointments.
6. Gels.
7. Sprays.

All drugs of this orientation can be divided into several types:

• Non-narcotic. The safest for the body. These include all analgesics. The main advantage was a slight effect on the nervous system in comparison with another group of drugs. In addition to eliminating pain, they can reduce the degree of inflammation of the damaged area.
• Narcotic.

Their main goal is the fight against spasms of various origins:

1. in smooth muscle.
2. With localization in the gastrointestinal tract.
3. For urinary pain.
4. And the biliary system.

When used appropriately, antispasmodics will show themselves as more effective means.

Types of strong drugs

1. Steroid

It is customary to call such drugs hormonal anti-inflammatory drugs aimed at eliminating intense pain syndrome. They are more effective than non-steroidal ones, but they have a number of serious contraindications and side effects.

Medicines are made using hormones that are secreted from the adrenal glands. To eliminate the inflammatory process, steroids suppress the generative activity of the body.

Available both in the form of injections and in tablet form. The injection is administered either by a vein or intramuscularly into the affected area or synovial sac.

They are applied in several cases:

1. Diseases related to musculoskeletal system(osteochondrosis, hernia, lumbago, sciatica, rheumatism, etc.).
2. Some skin ailments.
3. Damage to organs involved in the hematopoietic process.
4. Some types of hepatitis.
5. Allergic reactions.
6. Ailments connective tissue systemic nature (scleroderma, lupus erythematosus, dermatomyositis).

The effect is created by exposing the body to a hormone called cortisol, which:

• Suppresses the immune system - thereby helping to reduce the speed and severity of inflammatory processes.
• Removes allergic reactions.
• Helps the body in a shock situation and relieves its consequences.

Of their advantages, it should be noted:

1. High efficiency. Very quickly relieve severe pain.
2. They have anti-inflammatory properties, which speeds up the healing process.
3. Does not allow the affected organ to completely collapse.
4. Allows you to increase motor ability, with diseases of the musculoskeletal system.
5. In high doses, it can be used as a temporary drug for arthritis in acute form currents.

1. At long-term use leads to a significant increase in body weight.
2. The risk of osteoporosis increases.
3. There are frequent swelling.
4. The level of immunity decreases.
5. An existing gastric ulcer may occur or worsen.
6. Increasing the rate of blood clotting.
7. Hypertension.
8. At frequent use in women, the hormonal background of male qualities increases - masculinization.

In order to reduce the likelihood of side effects, the period of use of steroid drugs is usually prescribed for no more than 14 days.

This group of muscle relaxants includes those whose action is to relax the muscles of the human body, this is especially true for spasms. They can completely stop the reflex activity of the muscles.

Previously, they were used only in surgery during operations, but gradually the funds moved into everyday therapy.

• Peripheral effects on organs.
• Central.

According to the duration of exposure, they are divided into several types:

List of funds

Such drugs, by acting on interneurons in the spinal cord (reducing their activity), can reduce muscle hyperactivity, which allows them to be used not only for relaxation, but also for more a wide range functions.

Also, drugs of this type can relieve spasms without turning off the body's ability to breathe - this is a great advantage in comparison with other drugs.

They are able to act on the cholinergic receptors in the muscles, which helps with spasms and pain syndromes.

1. Paralysis caused by tetanus.
2. Convulsive muscle contractions.
3. For anesthesia during surgical interventions.

• Complete immobilization and relaxation of the patient's muscles - this allows you to perform operations of any complexity and duration.
• Thanks to such drugs, it became possible to carry out the procedure of artificial ventilation of the lungs.
• Easier intubation procedure.
• With artificial hypothermia, it prevents the occurrence of convulsions, this is especially true for tetanus and rabies.
• It is used in therapy in the treatment of neurological ailments that are accompanied by muscle hyperactivity.
• Relieves pain in the lumbar region.
• Before abdominal surgery.
• For complex diagnostics.
• during electroconvulsive therapy.
• During anesthesia without disconnecting from the natural respiratory process.
• During the recovery period after injury.
• Rehabilitation in the postoperative period of time after surgery on the spine.
• For relief from intervertebral hernia.

• Decreased attention and concentration.
• Decreased blood pressure readings.
• Excessive excitability of the nervous system.
• Urinary incontinence at night.
• Reactions of an allergic etiology.
• Violations in the field of work of the gastrointestinal tract.
• Conditions accompanied by convulsions.

Large list of contraindications:

1. Parkinson's disease.
2. Diseases of the kidneys.
3. Alcoholism.
4. Children under 1 year old.
5. Myasthenia.
6. Ulcer disease.
7. Allergy and intolerance to the components that make up the composition.
8. Epilepsy.
9. Psychological disorders.
10. Pregnant and lactating mothers.
11. Chondroprotectors

Preparations, the action of which is aimed at removing inflammatory processes in the joints and restoring cartilaginous tissues, in their composition contain a combination of sulfate substances - chondroitin, hyaluronic acid and glucosamine.

These drugs restore joint fluid, nourish the joint, preventing it from collapsing, relieve pain and stop the development of the inflammatory process. The cartilage will return to a healthy state.

1. "Liquid prostheses" - intra-articular. The injection is injected directly into the joint. The most effective are Giastat and Ostenil. Even one treatment a year can improve. Not bad results for Argelon, Synokrom. However, funds of this type are used only as directed by a doctor.
2. Intramuscular injection - "Alflutop" or "Glucosamine". 20 injections are enough and this will make life easier for the patient. Read about what is better rumalon or alflutop here.
3. In tablets, drugs are cumulative in nature and their effect becomes noticeable only after 6 months of taking the drug - these are Teraflex, Dona, Artra, Struktrum, Chondroitin Akos, etc.
4. In the form of lotions and creams. Basically, their action is aimed at reducing pain and relaxing muscles. For example, "Toad Stone" shows good results and has a natural composition. Very good "Chondroxide".
5. Non-steroidal anti-inflammatory, having a chondroprotective effect - "Chondrosamine", "Chondartron", "Stop arthritis", etc. They fight inflammation and joint stiffness in the morning.

1. Reducing pain.
2. Nutrition of damaged cartilage and an obstacle to its destruction.
3. The tissue is restored.
4. Swelling is removed.
5. Are made on the basis of natural natural components.
6. There are almost no contraindications.
7. Application safety.

They are of three types depending on the purpose of use:

NSAIDs are not hormonal agents, so the effect on the body is not so significant.

The mechanism of their functioning works in such a way that they block the production of a substance such as prostaglandin by stopping the release of the enzymes COX-1 and COX-2.

The anti-inflammatory effect is due to:

• A decrease in vascular permeability and, as a result, an improvement in microcirculatory activity.
• Reducing the number of inflammatory mediators - the main culprits of the destructive process.

• Salicylates are the first representatives of this group. In modern practice, only Aspirin, aka acetylsalicylic acid, is used from this class.
• Derivatives from propionic acid - "Ibuprofen", "naproxen", "ketoprofen" and others.
• Produced on the basis acetic acid- "indomethacin", "ketorolac", "diclofenac", "aceclofenac", etc.
• COX inhibitors - 2 selective actions. Only two drugs, celecoxib and rofecoxib, are registered in Russia. There are 5 in total in the world.
• Others are meloxicam, piroxicam, nimesulide-based medicines, mefenamic acid.
• "Lysine monoacetylsalicylate".
• "Etodolac".
• Flurbiprofen.
• "Phenacetin".
• "Saridon".
• "Reoperin".
• "Baralgin".
• "Citramon - P".
• "Amidopyrine".
• "Bystromgel".
• Upsarin UPSA.
• "Nise".
• "Nurofen".
• Movalis.
• "Trombo ASS".
• Fastum.
• "Finalgel".
• "Ketorol".

• High level of security.
• The level of toxicity is lower than the rest.
• Does not cause addiction and dependence.
• When used in large dosage low risk of complications and side effects.
• Helps quickly.

• Due to the blocking of COX-1, the production of protective substances stops to eliminate the harmful effects of hydrochloric acid on the walls of the stomach. In view of this, gastrointestinal ailments and peptic ulcer can develop.
• Prolonged use of NSAIDs can lead to impotence in men.
• Kidney dysfunction.
• Long-term use develops photosensitivity, especially for piroxicam and diclofenac.
• Allergic reactions, bronchospasm, drowsiness, headache and weakness.
• Impossibility of use during pregnancy.

Medications to improve microcirculation in the lumbar region

This group includes drugs with a mild analgesic syndrome, however, the action of which is aimed at improving microcirculation in the lumbar region of the spine.

1. "Cavinton" - saturates the vessels with oxygen, activates the current, helps to utilize glucose. Based on vinpocetine. It is it that improves the exchange of norepinephrine, serotonin in the brain, and also improves the elasticity of red blood cells, and reduces blood viscosity. Due to the risk of internal bleeding, it is forbidden to prescribe it to children and persons over 55 years of age.
2. "Trental" is similar in mechanism of action to "Cavinton", but is contraindicated in people with pathologies of the vascular system and oncological patients. In addition, the drug can have an analgesic effect.

The appointment of drugs is done only with the help of a doctor.

1. Saturation of the affected area with oxygen.
2. Improving blood circulation.
3. Assistance in recovery and treatment.
4. It is used as an addition to the main treatment, in case of complications after their use.

1. The development of heartburn.
2. Dizziness and weakness.
3. Refusal to eat.
4. Lack of sleep.
5. Increased activity.
6. Overexcitation.
7. Failures in the nervous system.

Vitamin complexes

The human 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 is able to strengthen bone tissue, magnesium provides elasticity and nutrition, 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.

Thiamine

Known to everyone since school days in a biology lesson - B1. It is part of a drug called Aneurin. Actively participates in the formation of a new bone tissue and improves local blood circulation.

Dosage is subject to individual miscalculation depending on weight and age.

Riboflavin

B2 - gives elasticity to tissues, and without this property, as you know, pain syndrome appears. It is used as part of the complexes of vitamins of group B, aimed at reducing discomfort and eliminating muscle neuralgia.

Pyridoxine

B6 - directly affects Bone marrow and regulates its operation. Deficiency of this element leads to back pain. Most of all, children and the elderly need it.

Preparations with a vitamin complex in the composition

In the treatment of diseases of the musculoskeletal system, especially the back, vitamin complexes will help.

They are able to support the body, strengthen the immune system, and speed up the healing process:

Painkillers - a list of effective ones. Over-the-counter pain relievers are strong

When a person has any physical suffering, then the pain wants to be removed as soon as possible. The patient hurries to a nearby pharmacy to choose an effective painkiller, but the assortment modern drugs so huge that it is very difficult to find a medicine.

Analgesics - list of medicines

Analgesics are pain relievers that can eliminate or relieve pain. Their impact is not accompanied by impaired motor function or loss of consciousness. These painkillers are divided into narcotic (containing morphine) and non-narcotic. The second group of analgesics is divided into several subgroups:

1. Derivatives of salicylic acid. These include: Aspirin, Sodium salicylate.
2. Pyrazolone derivatives. This is Analgin, Amidopyrine.
3. Derivatives of propionic acid. These include drugs such as Ketoprofen, Ibuprofen.
4. Derivatives of anthranilic acid. Mefenamic acid, Flufenamic acid.
5. Derivatives of acetic acid. The most popular: Indomethacin, Tryptophan.
6. Aniline derivatives (anilides). These are Phenacetin, Paracetamol.

Narcotic painkillers

This is a group of drugs with analgesic action, which reduces the vegetative accompaniment of pain, but causes drug dependence. A narcotic pain reliever may consist of a natural alkaloid (Codeine, Morphine) or a synthetic compound (Fentanyl, Promedol). The most effective analgesics of this group are:

1. Methadone. Synthetic alkaloid long-acting. It is used as an analgesic and in the treatment of opiate or heroin addiction.
2. Omnopon. An opioid combination medicine that comes in ampoules as a solution. Use with the strongest pain syndrome of any origin.
3. Morphine. Strong drug. Released in the form of a solution. Assign when severe injuries, heart attack, angina pectoris and other conditions caused by pronounced pain.
4. Promedol. Semi-synthetic opiate. The solution and tablets are prescribed for pain of severe and moderate severity. Causes rapid addiction.

cheap pain pills

Many people cannot afford to buy medicines at high price. Any pharmacy chain offers a choice of inexpensive painkillers, which also effectively relieve pain of various etiologies. These include:

1. Ibuprofen (Mig, Nurofen). Reduces the symptoms of the inflammatory process, lowers the high body temperature. Especially successfully anesthetizes the joints.
2. Paracetamol (Efferalgan, Panadol). It has a pronounced antipyretic effect. Works great for headaches and toothaches.
3. Ortofen (Diclofenac). Reduces swelling, joint pain, quickly reduces inflammation after injury.

Powerful pain reliever

The most powerful painkillers are the narcotic group. Given the danger of addiction, their independent use is strictly prohibited. Affordable and safe drugs for pain relief of strong action:

1. Acecardol. NSAIDs (antiplatelet agent). It proved to be excellent for anesthesia during a heart attack, angina pectoris. It is prescribed for viral infections.
2. Voltaren. Non-steroidal drug of pronounced anti-inflammatory, antipyretic, analgesic action.
3. Ibufen. Non-narcotic analgesic. It is widely used in acute viral infections, influenza and in pediatric practice.

Strong painkillers without prescriptions

Pharmaceutical companies offer many pain medications that are available without a prescription. It should be remembered that self-medication is not safe, since drugs do not treat the underlying disease, but only relieve symptoms. Over-the-counter drugs are antispasmodics and NSAIDs sold at different price. The most powerful over-the-counter painkillers:

1. Meloflex. Solution for intramuscular injections. Does not affect the progression of the disease. Designed to reduce inflammation, reduce pain.
2. Ketorol. It is used to suppress the pain syndrome of any localization.
3. Papaverine. Good pain reliever for headaches. It has a pronounced antispasmodic effect, so it quickly removes pain syndromes during menstruation, cystitis, pancreatitis.

Modern painkillers

In recent years, medicines of a new generation have been widely used in medicine. These include a group of selective drugs NSAIDs. Their advantage is the fact that they have a selective effect and do not harm healthy organs. List of modern painkillers:

1. Nimesulide. It is successfully used to treat back pain, removes inflammation and hyperemia.
2. Flamax. It has antipyretic, anti-inflammatory, antiaggregatory effects. It is indicated for pain syndromes of various origins.
3. Celebrex. Assign for back pain, postoperative, musculoskeletal and other pain syndromes.

Pain-relieving anti-inflammatory drugs

The group of non-steroidal drugs in the rating of painkillers is considered the most harmless. The drugs have a powerful anti-inflammatory, antipyretic effect. The name "non-steroidal" emphasizes that, unlike glucocorticoids, they do not contain synthetic steroid hormones. List of known analgesic anti-inflammatory drugs:

1. Metindol. NSAID, which is more effective for pain syndromes of the spine, joints, after injuries or operations.
2. Nalgezin. Quickly reduces the level of inflammatory hormones in the blood. It is prescribed for different types of pain syndrome: myalgia, viral diseases, sciatica and others.
3. Salofalk. NSAIDs. Shown at ulcerative colitis exacerbation of Crohn's disease.

Painkillers for joint pain

AT complex treatment joint pain, painkillers are used. Pain in diseases of the musculoskeletal system is often unbearable, so medicines cannot be dispensed with. The most effective pain relievers for joint pain are pharmacological group NSAIDs:

1. Koksib. Available in capsules. The medicine shows itself best in the treatment of osteoarthritis and arthritis.
2. Arcoxia. Appoint for symptomatic therapy osteoarthritis, ankylosing spondylitis, gouty arthritis. The drug is effective after dental surgery.
3. Brufen. It is indicated for damage to tendons and ligaments, inflammation of the joints of various origins, feverish conditions, lumbago, after sports injuries and accidents.

Strong painkillers can be bought at the pharmacy without a prescription.

Severe pain brings a person suffering. He cannot fully work, move. Pain syndrome occurs as a reaction to external or internal stimuli. Nerve receptors transmit the stimulus response to the brain. The pain cannot be tolerated. In case of unbearable pain, it is necessary to take strong painkillers. There are a large number of pain medications available in pharmacies without a prescription.

Non-prescription pain medications

Pharmaceutical companies produce many over-the-counter drugs. Painkillers can be divided into three groups.

1. Non-steroidal anti-inflammatory drugs (NSAIDs).
2. Antispasmodics.
3. Narcotic painkillers.

NSAIDs, antispasmodics are sold without a prescription. Opioids and narcotics are not available without a prescription.

What do pain medications treat?

Pain in the head often occurs due to spasms in the vessels of the brain. It may be accompanied by overwork, depression, increased pressure, migraine. Muscle and joint pain is caused by inflammatory diseases musculoskeletal system.

Toothache can be relieved with painkillers. Before choosing a cure for any pain, you need to find out the cause. But it happens that the attack began suddenly. What to do, what are the most effective painkillers to take?

Analgin

Refers to anti-inflammatory drugs of the non-steroidal group. An inexpensive pain reliever is very popular. Analgin relieves pain, block the action of enzymes that cause pain.

Often, antispasmodics are used in conjunction with analgin to enhance the action. The analgesic can be used as an intramuscular or intravenous injection.

Acetylsalicylic acid

An inexpensive drug that is effectively used as a reduction in pain and fever. It is not recommended to drink Aspirin for people with inflammation of the gastrointestinal tract, pregnant women, children.

Aspirin is practically the only medicine that can be taken with milk. It reduces irritant effect on the intestinal mucosa.

Paracetamol

The drug is allowed to be taken by children, pregnant women to reduce pain and temperature. Paracetamol tablets rarely have side effect on the digestive hematopoietic system give an allergic reaction. An analogue of the drug is Panadol, which acts on the problem faster than paracetamol.

ibuprofen

Anti-inflammatory analgesic, effectively used to relieve pain in joint, menstrual pain. Compared to Paracetamol, it has a stronger effect on pain.

A minor side effect allows Ibuprofen to be given to children over 6 years of age. Long-term use is not recommended for patients with renal insufficiency. It has a weaker effect on the gastrointestinal tract than Aspirin. Ibuprofen should not be taken with Aspirin or other NSAIDs.

Nimesulide

Non-steroidal anti-inflammatory drug has a long analgesic effect. Indicated for treatment acute pain, rheumatoid arthritis, dysmenorrhea, toothache and other diseases.

With sprains and problems with musculoskeletal system gel is used. Nimesulide tablets have contraindications. You can not take people with diseases of the gastrointestinal tract, which are in the acute stage.

The drug is contraindicated in acute respiratory infections and acute respiratory viral infections, children under 12 years old, lactating, pregnant. May cause side effects: nausea, dizziness, allergic rashes, diarrhea.

Ketoprofen

A drug from the NSAID group has a strong analgesic, antipyretic effect due to the suppression of enzymes that are involved in the synthesis of prostaglandins. It is used to treat inflammation of the musculoskeletal system.

It is used to relieve postoperative, dental pain, myalgia. It is highly effective in primary dysmenorrhea, neuralgia. Available in tablets, ampoules for intramuscular injections.

Contraindicated in children under 18 years of age, during an exacerbation of inflammation of the gastrointestinal tract. During pregnancy and lactation, take Ketoprofen strictly according to the doctor's prescription. It has a side effect during administration on the cardiovascular, digestive, and nervous systems.

Ketorol

Ketorol tablets have a pronounced analgesic, anti-inflammatory effect. Often used for toothache, headache, during painful periods, with pain in the joints, spine.

A contraindication to the use of Ketorol is inflammation in the digestive system, a violation of blood clotting, any internal bleeding, heart failure. It is contraindicated to use the drug in children under the age of 16, pregnancy and lactation.

While taking Ketorol tablets, there are often side effects from the digestive tract, dizziness, drowsiness. Lower back pain, kidney failure, hearing loss, and allergic rashes appear less frequently.

The danger of self-medication

1. When prescribing strong painkillers, the doctor takes into account the possible negative impacts drugs on the body. The danger of self-medication doubles the possibility of side effects.
2. Over-the-counter pain relievers treat the symptom, not the disease. Often, after a temporary improvement, a person begins to feel worse. The disease progresses, complications appear.
3. People's advice, following instructions, incorrect choice dosage and duration of use lead to addiction. The drug stops helping. The recurrence of the underlying disease is increasing.
4. Uncontrolled intake of painkillers contributes to the manifestation of side effects. Painkillers adversely affect the work of the digestive tract. There is nausea, diarrhea. Allergic reactions are possible, up to anaphylactic shock.
5. It is dangerous to self-prescribe pain medications for people with diseases of cardio-vascular system. This can lead to an increase, decrease in pressure, the development of anemia, memory impairment.

Conclusion

The most commonly used drugs for pain relief help reduce pain, relieve unpleasant symptoms. But you have to understand that symptomatic treatment does not treat the cause of the pain.

The best painkillers according to customer reviews

Drugs that eliminate or reduce the feeling of pain are called analgesics. They are divided into 2 main groups: narcotic and non-narcotic. Each group has its own mechanism of action on the human body. Preparations differ in intensity, composition and purpose. But one thing unites them: painkillers do not affect the cause of the pain, but eliminate the symptom itself. In this article you will learn the features of the drugs of each group, their differences, advantages and disadvantages.

Painkiller which company to choose

1. Grodzisk Pharmaceutical

3 Reckitt Benckiser

The best painkillers of the group of opioid narcotic analgesics

Nurofen

The drug is used for moderate and mild pain syndrome. The active ingredient, ibuprofen, inhibits the synthesis of prostaglandins. The drug contains small amounts of codeine - narcotic substance, which acts on the CNS receptors and has an analgesic effect. In addition, the medicine relieves fever, inflammation, cough syndrome. Indications: pain of various origins (dental, rheumatic, headache, etc.), migraine, myalgia, fever in acute respiratory viral infections, influenza, etc. It is available in tablets, suppositories, suspensions and in the form of a gel.

• a line of drugs for children was released;
• convenient release form;
• has a combined effect on the body: relieves pain, fever and inflammation;
• rapidly absorbed - reduces pain sensitivity after 15 minutes.

• there are contraindications: cardiac, respiratory, renal failure, hemophilia, leukopenia, hypersensitivity, etc .;
• possible side effects: insomnia, allergies, anemia, nausea, heartburn, etc.

Promedol

The drug is an effective pain reliever, it is prescribed for pain of severe intensity. The active ingredient is trimeperidine. The drug reduces the excitability of nerve cells and the conductivity of impulses, due to which an analgesic effect appears. Available in tablets and injections.

• increases the threshold of pain sensitivity;
• fast action - analgesic effect occurs after 15 minutes;
• due to its high efficiency, the drug is especially often used in surgery (for fractures, to prevent pain shock, for anesthesia), obstetrics (as an analgesic, as a stimulant of a sluggish birth process), oncology;
• safe for newborns;
• has a moderate antispasmodic effect.

• oppresses conditioned reflexes, slows down the reaction rate;
• addictive;
• a prescription is needed;
• duration of action is only 2-4 hours;
• the drug has a moderate hypnotic effect, so it is not recommended for people whose work is associated with increased attention.

Tramadol

The drug is used for severe and moderate pain, incl. inflammatory, vascular, traumatic nature, as well as in oncology. The drug is inferior in terms of the degree of action to codeine and morphine, but still it is highly effective, with a quick and long-lasting effect. The active ingredient, tramadol, inhibits conduction nerve impulses. Dosage form: capsules, solution, drops, suppositories, tablets.

• strong analgesic activity;
• convenient release forms;
• long and fast effect;
• well tolerated and does not depress breathing, circulation and gastrointestinal function as many opioid drugs;
• has an antitussive effect.

• causes addiction, dependence;
• rarely causes the following adverse reactions: nausea, dizziness, vomiting;
• inferior in activity to morphine, codeine;
• the drug has a sedative effect, so it is not recommended for people whose activities are associated with increased attention.

The best non-narcotic painkillers

Ketanov

The drug is a powerful non-steroidal analgesic, which is used for severe and moderate pain. The active component, ketorolac, inhibits the synthesis of prostaglandins, which modulate pain sensitivity, inflammation and thermoregulation. Indications: pain in oncology, tooth extraction, fractures, bruises, soft tissue injuries, menstruation; postoperative period, after childbirth, etc. It is available in the form of a solution and in tablets.

• refers to potent painkillers and has a wide scope;
• there is no dependence;
• in terms of strength of action it is comparable to morphine, but unlike it, it does not have a sedative, anxiolytic effect, and also does not depress the respiratory system;
• is an excellent analogue of opioid analgesics;
• fast action - in a quarter of an hour.

• side effects: nausea, anxiety, loss of strength, nervousness, heart palpitations;
• not suitable for chronic pain management;
• contraindications: age up to 16 years, hypersensitivity, lactation, pregnancy, stomach ulcer, bronchial asthma and etc.

Dexalgin

The drug belongs to non-steroidal analgesics. It is used to relieve pain of moderate and mild intensity. Also, the drug relieves the inflammatory process and has a moderate antipyretic effect. The active ingredient, dexketoprofen, reduces the synthesis of prostaglandins and suppresses pain receptors. Dosage form: injections and tablets.

• has a combined effect on the body: relieves inflammation, fever and pain;
• in half an hour begins to act;
• improves the patient's condition;
• the effect of the medicine can last up to 6 hours;
• well tolerated.

• not suitable for long-term therapy;
• there are contraindications: bronchial asthma, hypersensitivity, diseases of the liver, heart, kidneys, pregnancy, lactation.

Butorphanol

It is an opioid non-narcotic pain reliever. It is considered one of the most powerful drugs among opioid drugs. In terms of duration and strength of action, it is similar to morphine, but unlike it, it is effective in smaller doses. The active ingredient is butorphanol. Indications: severe pain (postpartum, oncology, trauma). Dosage form: ampoules.

• quickly and effectively relieves pain of various etiologies;
• rarely develops dependence compared to other opioids;
• valid up to 4 hours;
• has a sedative, antitussive effect.

• contraindications: pregnancy, lactation;
• long-term regular use is addictive;
• a doctor's prescription is required;
• adverse reactions after administration: drowsiness, loss of strength, dizziness, nausea, respiratory depression, vomiting.

Diclofenac

The drug belongs to anti-inflammatory non-steroidal drugs and is used to relieve pain of mild to moderate severity. The active ingredient, diclofenac sodium, inhibits the synthesis of prostaglandins. Indications: bruises, sprains, inflammation after injuries, headache, toothache, febrile syndrome, etc. Dosage form: injections, tablets, gel.

• the drug has an antirheumatic effect;
• relieves inflammation, fever and pain;
• valid up to 6 hours half an hour after application;
• low cost;
• increases joint mobility;
• in the post-traumatic or postoperative period reduces swelling, swelling.

• adverse reactions: disruption of the gastrointestinal tract, dizziness, allergies, irritability, sleep disturbances, etc .;
• there are contraindications: arthrosis, neuritis, gout attacks, ankylosing spondylitis, stomach diseases, lactation, hypersensitivity, etc.

The drug is used for short-term treatment of moderate pain symptoms of various etiologies, as well as spasms of smooth muscles, after surgical interventions and in diseases of the peripheral nervous system. The medicine has 3 active component: pitofenol (myotropic effect), metamizole sodium (reduces pain and temperature), fenpiverinium bromide (relaxes smooth muscles). Dosage form: injections and tablets.

• the drug not only relieves pain, but also has an antispasmodic effect, and also relieves fever and inflammation;
• suitable for children over 3 months old;
• side effects are extremely rare;
• low cost;
• suitable for the treatment of a feverish condition resulting from inflammatory or catarrhal diseases.

• contraindications: pregnancy, lactation, liver disease, bronchial asthma, low blood pressure, etc.;
• if you are allergic to any component nonsteroidal drug, the reception should be refused;
• not recommended for long term use.

What pain reliever to buy

1. If you need a medication that will quickly cope with moderate and mild pain, then you need to choose Nurofen. This medicine has a line of drugs for children.

2. The drug, which is used for severe pain - Promedol. Due to its high efficiency and relatively safe effect on the body, the drug is used in surgery and obstetrics.

3. If you need a strong pain reliever that can be purchased without a prescription, then it is better to choose Ketanov. The drug is one of the most powerful among non-narcotic, non-steroidal analgesics, in addition, the drug has a pronounced anti-inflammatory effect.

4. A drug that will eliminate acute and chronic pain after surgery, trauma, and oncology - Tramadol. It is not recommended for use in mild pain.

5. If you need a drug to relieve pain of mild or moderate intensity, then it is better to purchase Dexalgin.

6. If you need a strong analgesic of the opioid series of non-narcotic analgesics, then it is better to choose Butorphanol.

7. A drug that is suitable for reducing pain associated with surgery, injuries, childbirth or diseases of the back, joints - Diclofenac.

8. A medicine that will relieve pain of mild to moderate intensity - I took it. The medication is suitable for taking in the postoperative period, with colitis, with spasmolytic pains, neuralgia, etc. In addition, it is allowed to be taken by children from 3 months.

Pain without a prescription.

How to replace codeine painkillers banned from June 1

With the beginning of summer throughout the country, it became impossible painkillers or cough medicines containing codeine.

It's about about cough medicines and painkillers. Such as Nurofen Plus, Pentalgin-N, Kaffetin, Codelac, Solpadein, Terpinkod. Now pharmacies are required to release them strictly according to prescriptions, and rather strict form N 148, with a red stripe. These prescriptions remain in the pharmacy when purchasing the drug and must be stored there for three years.

The ban was introduced by a government decree adopted a year ago. The fact is that codeine pills were bought en masse by drug addicts in order to "cook" the hard drug desomorphine out of them - an alternative to expensive heroin.

Not only that, the dependence on desomorphine is no easier than heroin. But it was not by chance that drug addicts called desomorphine "homemade" "crocodile". This substance leads to the fact that non-healing ulcers appear on the hands and feet of the patient, the person begins to rot alive, and there is only one way to escape - amputation.

In 20 regions, local governments have introduced codeine-containing prescription drugs without waiting for the federal regulation to come into effect. As a result, the "crocodile" there subsided - there were fewer cases of severe poisoning, the number of crimes committed "high" decreased.

“Self-treatment is harmful,” says the head of the Pharmacy Guild, Elena Nevolina. “A single dose of painkillers is still all right. But if, for example, you have to regularly relieve a headache and it seems to you that only pills with codeine help, this is a direct reason to turn to doctor. Codeine itself does not anesthetize, it only enhances the effect of other substances included in the pill. But it really causes addiction. Therefore, we, pharmacists, supported the decision to ban. "

Prescription dispensing will regularize the sale of such drugs and rein in those dealers who disregard ethical standards. Indeed, by and large, a pharmacist in a pharmacy always sees who came to him for medicine - an ordinary patient or a drug addict.

It is also good that it was decided that such medicines should not be prescribed on the usual forms of the 107th form, which are returned to the hands of the consumer, but on the forms of the form N 148 - they are subject to stricter accounting. True, the corresponding order of the Ministry of Health has not yet been issued, but in the near future, as the ministry assured us, both doctors and pharmacies will be given all the necessary explanations and recommendations.

As for patients, I have not heard from my colleagues that in regions where the ban is already in effect, buyers complain about the difficulties in purchasing such drugs.

The arsenal of painkillers is large. These are monopreparations, and combined. Manufacturers also managed to rebuild over the year. For example, pentalgin is available both with and without codeine.

How to ease the pain

Paracetamol

How it works. Well relieves pain, knocks down the temperature with a cold. Inflammation does not heal.

pros. Relatively harmless. In tablets, it is often supplemented with caffeine, and then the patient feels a surge of energy. Paracetamol works well for headaches caused by stress. But the migraine does not relieve. It does not irritate the stomach, so it is well tolerated by patients with gastritis.

Minuses. Negatively affects the liver and kidneys. Contraindicated in people who have problems with them.

Application. Before meals with water. Average dose for an adult: 0.2 g three times a day, not longer than three days in a row.

There are children's varieties - usually in syrup. Expectant mothers are also treated with it.

Aspirin

How it works. Universal medicine. Good antipyretic, analgesic, anti-inflammatory. Reduces blood clotting.

Pros. It is superior to paracetamol in the effects of acute respiratory infections and influenza. Relieves pain in the spine, joints and muscles. Essential for hangovers. Sometimes relieves migraine attacks. Together with paracetamol, it is part of "tomapirin" - a strong pain reliever.

Minuses. Irritates the stomach, can cause stomach bleeding even in a healthy person. Therefore, preference should be given soluble forms. Aspirin is categorically contraindicated for anyone who suffers from gastrointestinal diseases.

Application. Only after meals, drinking alkaline mineral water. An insoluble tablet can be pre-crushed into powder.

Application for children and pregnant women. Aspirin is not recommended for children under 16 years of age, it sometimes causes them a special form of disorder of the central nervous system. It is strictly contraindicated in the first three months of pregnancy.

Analgin

How it works. Well-known, time-tested pain reliever, has a strong antipyretic effect. Doesn't help with inflammation.

Pros. Effective for severe bruises, with toothache.

Minuses. Affects the composition of the blood: reduces the number of leukocytes.

Application. Before meals with water. Do not take longer than three days without consulting a doctor.

Application for children and pregnant women. Do not give to a child without a doctor's prescription. It is also better for pregnant women to do without it.

Diclofenac

How it works. Powerful analgesic, relieves inflammation.

Pros. It is effective for postoperative pain, radiculitis, arthritis, the consequences of sports injuries and bruises. Helps with painful periods and severe PMS with cramps in the calf muscles and swelling. Relieves compressive headaches. With acute respiratory infections and influenza is not used.

Minuses. Irritates the stomach, reduces the number of leukocytes. AT rare cases lowers blood clotting.

Application. After eating, drinking water.

Application for children and pregnant women. It should not be given to a child without a doctor's prescription. In the first three months of pregnancy, it is categorically contraindicated.

ibuprofen

How it works. Non-steroidal anti-inflammatory drug. It has an analgesic, antipyretic effect. Relieves inflammatory pain.

Pros. It works well for diseases of the joints (rheumatoid and other types of arthritis, osteochondrosis). Relieves pain in myalgia, migraine. Helps relieve toothache.

Minuses. Do not use for gastritis, liver and kidney failure. There are many contraindications - you need to carefully read the instructions.

Application for children and pregnant women. Expectant and nursing mothers use with caution. Children 6 - 12 months. prescribed only on the recommendation of a doctor.

Strong painkillers

Pain syndrome always speaks of health problems. However, quite often, instead of a timely visit to a specialist doctor, people try to relieve pain on their own, sometimes taking very strong painkillers.

To relieve pain, special drugs are used, which are called analgesics. They have analgesic and analgesic effects. By their own pharmacological properties and chemical nature of analgesics are divided into two groups: narcotic and non-narcotic drugs.

The choice of narcotic analgesic is determined by the nature of pain. Some drugs are long-acting, relieve a person from severe pain for a rather long period of time. Other medicines relieve paroxysmal pain and are classified as medicines short action. One thing unites narcotic analgesics: they are used only for severe pain syndrome. Known drugs this group are Morphine, Methadone, Promedol, Omnopon, Fentanyl.

Narcotic drugs have a strong analgesic activity, therefore, in most cases they are used for serious injuries, injuries and diseases accompanied by unbearable pain. At the same time, narcotic painkillers have a serious effect on the central nervous system. After prolonged use of these medications, a sick person may first experience euphoria, and then addiction, mental and physical dependence develops. Such drugs negatively affect the central nervous system, such a side effect as hallucination may occur. In addition, narcotic analgesics can depress breathing, increase the tone of the bladder and intestines, cause nausea, vomiting, cough, and have a hypnotic effect.

According to their physicochemical properties and chemical structure, narcotic analgesics are divided into 3 groups. The first group includes natural alkaloids, which are found in the native state in the poppy (Papaver somniferum). These are the well-known codeine and morphine. The second group is semi-synthetic drugs. Upon receipt of these drugs, the morphine molecule is chemically modified. An example is the drug Ethylmorphine. The third group is synthetic compounds that have no natural analogues. They are obtained by the method of complete chemical synthesis (Promedol, Fentanyl, Tramadol). Given the dangerous properties of these drugs for people and serious side effects, the independent use of narcotic painkillers is strictly prohibited.

Non-narcotic analgesics are synthetic drugs that are available in every home medicine cabinet. They may vary in chemical composition. They are distinguished by a much lower analgesic activity compared to narcotic drugs. The most famous of these medicines: Aspirin, Paracetamol, Analgin, Amidopyrine, and other widely used drugs. These painkillers are prescribed for inflammatory processes of various tissues and organs. These are neuritis, myositis, toothache and other diseases accompanied by pain syndrome. In addition, these drugs can have an antipyretic effect in viral and colds.

There are also medicines that relieve pain, but do not belong to the group of analgesics. These are the so-called antispasmodics that eliminate spasms of smooth muscles. internal organs. Drugs that relax smooth muscles include Atropine, No-Shpa, Papaverine.

In case of heart diseases, for example, angina pectoris, pain is relieved by special medications (Nitroglycerin, Validol), which improve blood circulation in the heart. And with headaches, which are the result of high blood pressure (hypertension), antihypertensive drugs help. In turn, pain in the gastrointestinal tract is relieved by carminative medicines that eliminate gas formation.

Of course, the effects of painkillers are effective and familiar to most people. But many do not think at all about the cause of the pain syndrome and the need for a thorough examination. After staging correct diagnosis the use of analgesics will be more effective. In addition, it is inappropriate to ignore the side effects of certain pain medications. Be healthy!

Painkillers are the first choice. Pain can come as a surprise to any person, even a healthy one. Unpleasant sensations in the back, headache and toothache - this is not the whole list of problems that a person may experience. Eliminate unpleasant symptoms will allow painkillers.

The use of these funds must be used with caution. It is important to choose the right drug, as for some people such drugs may be contraindicated. This is especially true for the diagnosis, since taking an analgesic during pain in the heart, abdomen and other places can significantly complicate the definition of the disease. In addition, pain is only a signal of the body about existing problems, the elimination of a symptom does not mean getting rid of the disease, it is also necessary to eliminate the cause of the problem. The most famous drugs: Aspirin and Analgin

The drug Aspirin has a pronounced analgesic effect. In addition to eliminating fever, the drug can be used for many diseases, since Aspirin has an anti-inflammatory effect. It is effectively used to eliminate pain in muscles, joints, well eliminates headaches and high body temperature.

Aspirin is a fairly strong painkiller, so its use requires the implementation of certain rules. The product should not be given to children under 15 years of age. The situation is similar with nursing mothers and pregnant women. The presence of problems with the functions of the liver and kidneys requires very great care during use. The medicine is used for no more than 7 days, the dosage must be checked with the attending specialist.

The drug has side effects. They are represented by pain in the abdomen, vomiting and nausea. Sometimes the medicine can lead to the development of dizziness. Overdose increases the likelihood of tinnitus and bleeding.

Analgin ranks first in the ranking of the most famous and popular drugs. It is used to eliminate unpleasant symptoms in many situations. Toothache, headache and joint pain, the presence of injuries, bruises and associated discomfort - the medicine effectively helps in these cases.

To date, analgin is part of many painkillers. The component blocks pain impulses and suppresses the activity of the centers that are responsible for the indicated sign. The action is partial, but allows the patient to experience marked relief.

As in the case of the previous medicine, Analgin has other effects in its arsenal. The tool increases heat transfer, and the presence of anti-inflammatory effects helps to eliminate diseases. Often the remedy is suitable for feverish conditions, colds and during elevated temperatures.

Analgin is not used to treat lactating and pregnant women. It is also forbidden to give it to children under 3 months. It is best to use the remedy in the treatment of adults. Long-term use of alcoholic beverages and the presence of kidney disease is a contraindication.

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Side effects are expressed in the form of a violation of the kidneys, the development of allergic reactions and a decrease in blood pressure. This is possible in cases where the drug is not suitable for the patient or the allowable dose has been exceeded. A significant excess of the norm is the reason for urgent appeal for medical help.

No-shpa belongs to the group of antispasmodics. Apply in the presence of pain in the head, intestines and stomach. The medicine is also used in cases where the symptom appeared in diseases of the urinary system or as a result of menstruation in women.

It is not recommended to use the medicine for children who have not yet reached the age of 6 years, and for lactating women. A factor that requires careful handling is the presence of liver and heart failure, pregnancy and renal failure. The development of side effects is observed in rare cases. Often they are associated with increased heart rate, lowering blood pressure, the development of nausea and allergies. If the tool is used correctly, it will provide a high degree of efficiency and safety.

The effectiveness of paracetamol is also considered very high. The drug is used as an antipyretic and analgesic drug, it is safe enough to use. An anesthetic is necessary for headaches and toothaches, during joint and muscle pain syndromes, and for neuralgia.

The drug is prohibited for use in cases where there are severe kidney disorders, inflammation of the gastrointestinal tract. Children under 1 month and pregnant women in the 3rd trimester also cannot use the drug.

The product is absolutely not compatible with alcoholic products. Duration of application should not exceed 7 days. Side effects are associated with the risk of acute liver failure and the development of an allergic type of reaction. Prolonged use of the drug can lead to such manifestations. This also applies to exceeding a single dosage.

Nurofen contains the active ingredient ibuprofen. The release of the drug is carried out in the form of suspensions, tablets, suppositories and gel. Nurofen has an antipyretic and anti-inflammatory effect, eliminates pain during fever and colds. The tool helps to get rid of joint, headache, toothache, muscle and other types of pain.

You should not resort to taking the medicine along with Paracetamol, Analgin and Aspirin. You can not use the medicine to treat pregnant women who are in the 3rd trimester, and children under 6 years of age. The remedy is not prescribed for lactating women.

Nurofen has many contraindications, which include the following diseases and states:

1. Malfunctions in the liver.
2. Damage to the organs of the gastrointestinal tract of the ulcerative type.
3. Renal failure.

The dosage of the drug must be observed, the medicine requires careful handling. At long-term use drug and overdose may cause side effects. These include weakness, diarrhea, headache, vomiting, low blood pressure, and nausea.

Painkillers are also represented by such a powerful tool as the Ketanov medicine. Often it is used after operations, during the development of oncological and osteochondrosis pains. The tool is also effective for colic, unpleasant symptoms that have developed in the course of muscle injury. Ketanov is used for a short period of time. The dosage must be strictly observed. It is not recommended to use the drug for more than 2 days.

The medicine is not without side effects. During the use of the drug, the following effects may occur:

1. Paleness of the skin.
2. Nervous state.
3. Pain in the abdomen.
4. Nausea.
5. Cardiopalmus.

It is assumed that an overdose of the drug can cause the symptoms mentioned earlier. In addition, the patient has difficulty breathing and drowsiness. If there are signs of an overdose, you should immediately seek medical help.

You can not resort to the help of the remedy if the patient has kidney failure, peptic ulcer and bleeding disorders. Children under 16, lactating and pregnant women should also refrain from using the drug.

Diclofenac is represented by pain relief gels and solutions that are necessary for injection, but there is also a tablet form of the drug. The medicine allows you to get rid of joint and muscle pain, is used for injuries and associated pain.

The list of positive effects of the drug includes anti-edematous and anti-inflammatory effects. It is used during the treatment of children who have reached the age of 6 years and older, and for pain symptoms in adults. As in previous cases, the remedy should not be given to women who are in the 3rd semester and nursing mothers.

Side effects are associated with the development of allergies, but it appears quite rarely. The tool has a high degree of safety, and its effectiveness in eliminating pain in muscle and joint localization has a high rate.

Mig 400 contains ibuprofen. Eliminating pain with the help of the presented remedy is effective in inflammatory pain syndrome. The tool also helps in the following cases:

1. development of headaches and migraines.
2. Toothache.
3. Pain in muscles and joints.
4. The presence of a symptom during a febrile state.
5. Pain during menstruation.

Like other painkillers, Mig 400 is not used in case of pain in young children, pregnant and lactating women, stomach ulcers, diseases of the gastrointestinal tract of an erosive form. Special care should be taken when taking the drug if the patient has the following features:

1. Violation of the liver.
2. Blood diseases.
3. Diseases of the kidneys.
4. Presence of heart failure.

Elderly people also need to correctly and accurately determine the dosage of the drug. This must be done with the participation of a doctor. An overdose of Mig 400 can lead to anxiety, weakness, increased blood pressure and the development of an allergic reaction. In some cases, shortness of breath and dizziness appear. The presence of symptoms indicates the need to stop taking the drug and visit a doctor.

Painkillers should be taken in consultation with your healthcare professional. You need to be careful about taking medications and the presence of side effects. Compliance with the dosage allows you to achieve a positive and effective treatment.

Thus, pain pills are presented large quantity a variety of means. It is necessary to choose a medicine on an individual basis, since the characteristics of the health and condition of the patient require attention to them. Neglecting the rules for taking pain medications can cause side effects or more serious consequences. In this case, the remedy should be stopped using and immediately seek help from a doctor.