22 best remedies for joints

Review of the best according to the editorial board. On the selection criteria. This material is subjective and does not constitute advertising and does not serve as a purchase guide. Before buying, you need to consult with a specialist.

Various remedies for the treatment of joints can rightfully be considered one of the leaders in pharmacy retail sales. In every pharmacy you can find a variety of drugs, mainly for topical use. These will be ointments and gels, creams and balms, these will be vitamins and special means for strengthening cartilage for oral administration, in tablets, powders and capsules. And in some, the largest pharmacies, you can also purchase funds in ampoules for intra-articular administration. Let's talk about the most effective and popular drugs that are used to treat various articular pathologies, such as arthritis, arthrosis, with crunching joints, with limited mobility, and simply with pain. And we will begin the rating of popular drugs with various ointments.

But first of all, to avoid confusion, you need to explain how the ointment differs from the cream and from the gel, and when to use them. The ointment is the fattest topical form. Therefore, the active substance penetrates most deeply precisely in the case of using the ointment. They are absorbed for a very long time, because they often contain petroleum jelly, and therefore can stain clothes. The ointment is a 'heavy artillery' for treating joints and deeply affected cartilage, so it is advisable to apply the ointment at night so that it can be absorbed in the morning. Creams and gels will be discussed later, at the beginning of the relevant sections.

Rating of the best drugs for joints

Nomination	a place	Name of product	price
The best ointments for joints	1	Viprosal B	331 r
	2	Apizartron	289 r
	3	Finalgon	316 RUB
	4	Nikoflex	338 r
	5	Gavkamen	RUB 71
The best creams for joints	1	Long cream	130 RUB
	2	Collagen – ultra	450 RUB
	3	Dr. Theiss Comfrey	313 r
	4	Karipain cream	684 r
	5	Honda	224 r
The best joint gels	1	Ketonal gel	428 r
	2	Voltaren – emulgel	375 RUB
	3	Revmalgon	93 rbl.
	4	Traumeel	RUB 481
The best vitamins and pills for joints	1	Alphabet 50+	334 r
	2	Doppelherz Active with glucosamine and chondroitin	424 r
	3	Arthrivitis	329 r
	4	Don	410 RUB
	5	Inoltra	RUB 2,509
Best pain relievers for joints	1	Ketorol – gel	227 r
	2	Dolobene	379 r
	3	Efkamon	RUB 150

The best ointments for joints

A rating of joint ointments is opened by preparations using active ingredients from insects and reptiles, then warming and cooling ointments will be considered, which can equally be used to treat a variety of diseases of the musculoskeletal system. By the way, all these ointments can be used not only for joint damage, but also for the treatment of diseases such as myositis, myofascial syndrome in neurology, osteochondrosis and radiculitis, muscle hardening and other origin of pain syndrome.

Viprosal B

Rating: 4.9

Ointment Viprosal B is dispensed without a prescription, is a complex preparation containing camphor with a cooling effect, turpentine gum with a warming effect, an anti-inflammatory component – salicylic acid, and viper venom. As a result of the combined action of all substances, the ointment has an analgesic and irritating effect. Irritation dilates blood vessels, increases blood flow, which improves tissue nutrition. The use of the drug is shown for various neuralgias, joint pain and myositis in adults and in children over 12 years old. It is necessary to take a small amount of ointment (no more than one teaspoon) and rub into the skin, but not more than twice a day. The drug is produced by the well-known Latvian company Grindex, which, among other things, is the manufacturer of Meldonia.

Advantages and disadvantages

Since this drug contains viper venom, it cannot be used for allergies, in lactating women and in pregnant women, with fever, with severe kidney and liver disorders, with strokes, heart attacks and angina pectoris, since the ointment can contribute to vasospasm. As for the positive effect, in case of uncomplicated arthrosis, arthritis and neuralgia, Viprosal B, especially in complex therapy, helps to quickly cope with the pain syndrome.

Apizartron

Rating: 4.8

This ointment, in addition to the petrolatum base and the anti-inflammatory component of methyl salicylate, also contains 3 mg of natural bee venom for every 100 g of the ointment. As a result, the ointment has an irritating, analgesic effect and dilates the vessels of the skin and subcutaneous tissue. The ointment is indicated for use in various diseases of the joints, with pain in them, with rheumatic lesions, with sprains and bruises, with sports injuries. Apizartron can be used in patients over 12 years old. For treatment, it is necessary to squeeze a short strip no more than 5 cm long from the tube, then distribute it over the affected area, and leave it for several minutes, until a feeling of warmth appears. After that, you should, with quite active pressure, but slowly, rub the ointment into the area of ​​the joints, and then for a more complete effect, keep this area warm. The frequency of application of the ointment is no more than 3 times a day. This wonderful drug is produced by the German company Esparma, and one tube weighing 20 g costs about 230 rubles.

Advantages and disadvantages

A peculiar advantage of this ointment is the absence of the need to catch bees and apply them to the affected joints. But in this ointment, just as in the previous case, the active ingredient is a natural poison, and therefore it cannot be prescribed to patients with severe liver and kidney damage, in case of depression of the bone marrow function, acute arthritis is a contraindication. Symptoms of acute arthritis include intense joint pain, localized fever, swelling of the periarticular tissues, and redness of the joint area. Apizartron should not be used in pregnant and lactating women, and in case of allergies.

Finalgon

Rating: 4.8

The drug Finalgon is popularly called 'thermonuclear ointment', despite its colorless deceptive appearance, it is a strong irritant, vasodilator and analgesic drug. But this ointment must be handled delicately – it is quite active, and, perhaps, in terms of its warming and burning effect, it ranks first in the ranking of all local ointments. It contains a derivative of nicotinic and nonylic acid, which is a synthetic analogue of the substance found in red pepper. After the use of Finalgon, a prolonged sensation of warmth associated with active vasodilation remains.

After applying the ointment, after a few minutes, local redness occurs and the skin temperature rises. According to existing data, 4 days after applying this ointment three times a day, a clinically significant reduction in pain in articular pathology was observed. Finalgon is indicated for joint inflammation, for rheumatism, for neuritis and lumbago-type lower back pain, for warming up muscles and for treating osteoarthritis of the knee joints. Finalgon is very active, so in no case should it be applied to delicate areas of the skin, such as the neck, groin, genital area, inner thighs, as this can lead to prolonged intense burning sensation. Finalgon is produced by the German company Kontraktfarma, and a tube of 35 grams can be bought for 310 rubles.

Advantages and disadvantages

Due to the high activity of Finalgon, it is contraindicated for use in children and young men and women under 18 years of age, as well as in patients with unstable angina pectoris, a tendency to hypertensive crises. When this drug is applied to large areas of the chest, shoulders, back, such people may experience a reflex increase in blood pressure, and even an attack of angina pectoris. It is not recommended to use Finalgon during pregnancy and breastfeeding, and side effects must be considered. Sometimes a cough may occur, and even shortness of breath, itching may occur at the site of application, swelling of the face or hives may appear. On the positive side, due to the high activity of this ointment, is the 'echo' phenomenon. Even if the ointment was applied a day ago, and its effect has ended, then with intense sweating, the effect of skin reddening and warming up again returns, as in the case of taking a hot shower or bath after a day or even two. This delayed effect can be considered a positive side effect, and allows the use of reheating without applying ointment.

Nikoflex

Rating: 4.7

Unlike the previous member of the rating – Finalgon – Nikoflex is an ointment containing natural capsaicin – a local irritant substance made from red cayenne pepper. In addition to 7.5 grams of capsaicin, a 50 gram tube contains 1 gram of ethyl nicotinate, which dilates blood vessels. Nikoflex actively, but mildly irritates skin receptors, leads to a local increase in temperature and blood flow to the surface layers of the skin. Shown is the rubbing of Nikoflex ointment in the area of ​​the joints for various polyarthritis, with lumbago and neuralgia, with arthrosis, with injuries of muscles, tendons and ligaments, as well as for warming up muscles during sports. Nikoflex is contraindicated, as well as other warming and irritating ointments, in acute arthritis. Indeed, in the case when there is already an increase in temperature, pain and swelling, then the use of a warming and irritating ointment will only increase the swelling and dramatically increase the pain syndrome. It is necessary to apply Nikoflex on dry skin with a thin layer, in case of joint diseases – once a day for 3 days, and then, after getting used to the body – twice a day. The ointment must be thoroughly rubbed into intact skin. The Hungarian company 'Reanal' produces ointment, and one cube can be bought for 280 rubles.

Advantages and disadvantages

The advantage of Nikoflex is considered to be its softer effect on the joints than that of Finalgon, due to natural components. In addition, in combination with a neutral cream, or with vegetable oil, a small amount of Nikoflex can be used to massage the back, or other large areas of the body. Contraindications include a standard set of hypersensitivity, wounds and skin injuries in the area of ​​application. It is forbidden to use in children under six years of age, during pregnancy and lactation. After application, Nikoflex can actively irritate the palms, so after rubbing in, you need to wash your hands with soap and water.

Gavkamen

Rating: 4.6

This ointment for joints is radically different from the above-mentioned representatives of the rating, since Gavkamen has not a warming, but a cooling effect, it contains eucalyptus essential oil, camphor and menthol. This ointment has an irritating and analgesic effect, but at the same time it does not warm, but distracts, slightly tingles and cools, just like mints. Shown Gavkamen for anesthesia with neuralgia, joint pain, arthrosis, myositis, and radiculitis. A small amount of ointment is applied to the affected area and rubbed in with light movements. You can use the ointment no more than 3 times a day, and no longer than 2 weeks without consulting a doctor. This ointment is produced by the domestic Tula pharmaceutical factory, and one jar of 25 g costs 25 rubles, that is, the price of 1 rubles. for 1 g of ointment.

Advantages and disadvantages

The obvious advantage of Gavkamen is its low price. It is very important that acute arthritis is not considered a contraindication to use, since with edema, redness and pain, the feeling of 'chill' distracts the patient's attention and relieves pain, but overheating and blood flow can significantly worsen the condition. Therefore, Gavkamen is recommended first of all to be used in the event that it is not possible to consult a doctor and distinguish arthrosis from arthritis or other disease: it will not hurt. Therefore, contraindications for use are only various skin diseases leading to rashes, and a violation of the integrity of the skin, childhood and individual intolerance. This ointment can even be used during pregnancy in nursing mothers, but only after consulting a doctor.

The best creams for joints

The cream is a more delicate product, and is no longer a fat-based product, but an emulsion. This allows all creams to be absorbed into the skin very quickly with intense rubbing, not to stain clothes, but the cream does not penetrate as deeply as the ointment. Therefore, creams should be used for pathology not so much of the joints themselves, but of the ligamentous apparatus located outside: with myositis, tendinitis, with bursitis.

Long cream

Rating: 4.9

Dolgit cream is the first of the representatives of the overall rating that contains a real non-steroidal anti-inflammatory agent, namely, ibuprofen. This allows the cream to be used for a very wide number of indications: for rheumatoid arthritis, for psoriatic lesions of the joints, for various arthritis and arthrosis, unspecified joint pains, for osteochondrosis of the spine and ankylosing spondylitis, for synovitis, bursitis, rheumatism, dislocations and injuries, various lesions joints and simply for unspecified back pain. Interestingly, Dolgit cream is also available in the form of a gel and a lotion, in order to have different effects on different diseases. The general action is considered to be anesthesia, a pronounced anti-inflammatory and anti-edema effect. The drug is able to penetrate deeply into the joints and into the synovial fluid, despite its creamy consistency. This drug is produced by the German company Dolorgit GmbH. One package of cream of 50 grams can be purchased for 130 rubles, and the minimum price for a 20 gram tube is 90 rubles.

Advantages and disadvantages

The disadvantages of Dolgit cream include the use of hypersensitivity, the presence of eczema and weeping dermatoses at the site of application; it cannot be used in pregnant women, in nursing mothers and in children under 14 years of age. It is important to remember that if the patient has an intolerance to aspirin, or urticaria or asthma triggered by the intake of acetylsalicylic acid, then it is contraindicated to use it too. But still, the cream is usually well tolerated, and signs of local irritation are very rare. Ibuprofen in the local form does not work with other drugs, we can safely recommend Dolgit cream as a quick 'first aid' remedy for various joint problems and it is desirable for everyone to have it in the home medicine cabinet.

Collagen – ultra

Rating: 4.8

This drug belongs to complex biologically active additives (BAA). It does not contain fast-acting anti-inflammatory drugs, but it does contain a variety of essential oils of rosemary, eucalyptus and lemon, geranium and fir. It contains burdock, wormwood, and hot pepper horsetail extract, that is, it produces an irritating effect. Also in the drug is Dimexide, which has an irritating effect. Finally, collagen hydrolyzate and glucosamine are included in the cream. These substances are usually considered donors of building material for cartilage tissue, but, according to modern data, they leave the body in almost the same amount as they got into it, without being incorporated into the cartilage. Nevertheless, this cream can be indicated in the complex treatment of arthrosis, arthritis, osteochondrosis and other diseases of the joints and musculoskeletal system. Initially, this cream is positioned by manufacturers for nutrition, restoration and strengthening of connective tissue. Due to the many herbal components, capsaicin and dimexide, the drug can have a local irritating and warming effect, reduces stiffness and pain in the joints and spine. Produces Collagen Ultra MPO 'Healthy Nutrition', Russia. You can buy a tube of 75 g at a price of 130 rubles. in online pharmacies.

Advantages and disadvantages

The advantage of Collagen Ultra cream is considered to be its mild action, the absence of side effects, except for individual intolerance. By the way, having seen in the instructions that 'there is only individual intolerance' and there are no more side effects, know that you are not purchasing a drug, but a dietary supplement that does not need to be registered in numerous clinical trials. However, the many herbal ingredients, red pepper extract and Dimexide can reduce pain and stiffness in the joints, and the initially low cost makes this product quite popular.

Dr. Theiss Comfrey

Rating: 4.7

This cream belongs to warming preparations for topical use. It contains pine essential oil, tincture of comfrey root, tocopherol acetate, or vitamin E. The main therapeutic effect, as stated in the instructions, is tissue warming. Due to biologically active vitamin E and comfrey root, the cream promotes the regeneration of integumentary tissues, reduces pain from bruises and bruises, eliminates pain syndrome in case of damage to the lower back, large joints, is useful for dislocations and sprains. It is advisable to apply a cream with comfrey at night, it is easily rubbed into the skin. In addition to the cream, there are still forms in the form of an ointment and a gel. The drug has practically no contraindications, with the exception of intolerance to individual components. This product can be purchased in a 50 ml tube, starting at 290 rubles. The manufacturer is the well-known pharmaceutical concern 'Doctor Theiss', which produces several dozen varieties of dietary supplements for a variety of uses.

Advantages and disadvantages

The disadvantages of the drug include relatively low efficiency, because this cream does not contain anti-inflammatory ingredients. But it can help with a relatively small pain syndrome, since pine oil warms the skin well, and comfrey extract promotes blood flow to the affected area. The disadvantage of the drug is also considered its undesirable use in acute arthritis, like all warming agents for local action. A big plus is the natural composition, the relatively low price and the absence of other contraindications, except for arthritis and intolerance.

Karipain cream

Rating: 4.6

This cream contains papain, a proteolytic enzyme derived from papaya fruit. The task of papain is to break down amino acids into smaller components, and since compounds containing various proteins associated with proteoglycans are often accumulated in the composition of intervertebral discs and cartilage tissue in osteochondrosis, the use of Karipain can alleviate the condition of patients suffering from articular syndrome. Karipain cream, in addition to this substance, contains glucosamine and hyaluronic acid, which, according to the manufacturer, help to improve the trophism of cartilage tissue and the regeneration of intervertebral discs. The cream is indicated for relieving pain, relieving and increasing the range of motion, improving microcirculation in the tissues of the musculoskeletal system. Treatment with this drug is course, one course is from 20 to 30 days in duration, the break between courses is up to 2 months. This cream is produced by AS-COM NPK, Russia, and one tube of 50 ml costs at least 635 rubles.

Advantages and disadvantages

The main disadvantage of this remedy, along with the high price, is the need for a long course of use, which makes the course of treatment very expensive. Perhaps, in the ranking, this is one of the most expensive means. In addition, there are no serious studies with a high level of evidence that really indicate a positive effect of papain on cartilage tissue in a living body. But, despite this, the use of a cream with mildly expressed dystrophic-degenerative processes in the joints and intervertebral discs can bring relief. Of course, in the event that this cream is not used as monotherapy, but in combination with other anti-inflammatory drugs and physiotherapy.

Honda

Rating: 4.6

Another representative of biologically active substances, or additives for topical use, is Honda cream, which is produced by Evalar, Russia. The preparation contains substances that have already become traditional, which are contained in cartilage tissue. These are chondroitin sulfate and glucosamine; extracts of white willow bark and burdock are also added. It is known that it is in the bark of white willow that a large amount of natural salicylates is contained, from which they later learned to secrete salicylic acid. Subsequently, on its basis, aspirin was created, which has a more significant effect on inflammation and has antipyretic properties. When acting on the joints, this cream, of course, does not relieve inflammation, edema and pain as quickly as drugs containing real NSAIDs, for example, Dolgit cream. But in some cases, with chronic dystrophic and degenerative processes, when it is not so much pain that prevails as crunch, morning stiffness, disturbance of the range of motion, this cream in complex therapy can have a positive effect. You can buy Honda cream in a 50 ml tube at a price of 190 rubles. in pharmacies.

Advantages and disadvantages

The disadvantage of Honda cream can be considered common shortcomings in all additives. A rather long course period of use is recommended, there are no active substances with proven registered activity, the addition of natural and low-active compounds is positioned as a 'treatment with natural ingredients'. At the same time, the drug can help with mild symptoms, has a low price, and may well be used in conjunction with other methods of drug treatment and physiotherapy.

The best joint gels

The gel is a water-based product that contains no fats or oils. That is why the gel is not at all greasy to the touch, and it is very easily washed off from the skin and from clothes if it gets on it. The gel is a product of firm and elastic consistency, spreads the easiest, and at the same time it does not clog the pores of the skin. The gel dries very quickly and forms a protective film on the skin. That is why the gel must be applied for diseases that are not considered chronic and do not affect deeply located tissues. For example, with bruises, when swelling of the periarticular tissues occurs, it is quite possible to cope with the gel, since the edema is located outside. But in the event that the patient has infectious or rheumatoid arthritis, then it is best to use, of course, an active ointment. The rating includes funds for topical use, which are not dietary supplements, and help much faster, since they contain NSAIDs – non-steroidal anti-inflammatory drugs. We also included dietary supplements and even a homeopathic medicine, since they are successfully sold on the market.

Ketonal gel

Rating: 4.9

Gel Ketonal for external use contains 2.5% of the active ingredient – the NSAID ketoprofen. It belongs to the selective inhibitors of cyclooxygenase type 2, and has a powerful analgesic, anti-edema and anti-inflammatory effect. The gel is indicated for a wide variety of diseases of the periarticular tissues and joints. It is used for psoriatic arthritis and rheumatic pathology, ankylosing spondylitis and bursitis, tendinitis, neuralgia and radiculitis, with the consequences of injuries of the musculoskeletal system. The gel is applied for sports injuries, bruises and sprains of muscles and ligaments. A small amount of gel is applied with light movements to the affected areas until completely absorbed, no more than 2 times a day. It should be borne in mind that the maximum daily dose of Ketonal – gel should not exceed a strip of 10 cm.This drug is produced by LEK, and you can buy 50 ml of gel at a price of 300 rubles.

Advantages and disadvantages

The advantages of Ketonal include its versatile and fairly quick action. This is what made it possible to produce a variety of dosage forms: capsules, cream, ketoprofen tablets, rectal suppositories and even a solution for intramuscular and intravenous administration. However, hypersensitivity can develop to ketoprofen, especially in those patients who cannot tolerate aspirin or who have attacks of 'aspirin' bronchial asthma. The gel is contraindicated for use in the third trimester of pregnancy, and in children under 15 years of age. Ketonal gel and in general, any forms of ketoprofen are not recommended for lactation, and with significant impairment of liver function. A good positive point is the ability to combine Ketonal gel together with other forms of this drug, for example, with capsules or tablets. But in any case, the total daily dose should not exceed 200 mg.

Voltaren – emulgel

Rating: 4.8

This drug is considered one of the strongest in the ranking for anti-inflammatory and anti-edema activity, as it contains diclofenac. Diclofenac is still one of the most powerful anti-inflammatory drugs, despite the fact that it has been used for a very long time, and may have an insufficient safety spectrum. But when used in local forms, as a rule, the risk of side effects is realized insignificantly.

This product is produced in an intermediate state, between the gel and the cream, and this emulsion form of the gel is called emulsifier. It is not colorless and transparent in appearance, but resembles a whitish or yellow cream. Voltaren-emulgel is indicated for a wide variety of back pain caused by damage to the musculoskeletal system, various joint pains, especially in chronic inflammation, in arthritis and osteoarthritis of the knee joints, as well as in various rheumatic diseases. A single dose applied to a sore spot should not exceed a large cherry or small walnut in volume. The gel should be applied twice a day, and if there is no effect after a week, you should definitely consult a doctor. This drug is manufactured by Novartis, Switzerland, and Voltaren-emulgel is sold in Russia by Glaxosmithkline. 50 ml of Voltaren-emulgel with a concentration of 2% can be purchased for 430 rubles, and 1% gel with a minimum volume of 20 ml – for only 190 rubles.

Advantages and disadvantages

The disadvantages of this emulgel include very rare allergic reactions, erythema, and contact dermatitis. It is important to remember that Voltaren-emulgel should be prescribed very carefully in patients with erosive and ulcerative lesions of the gastrointestinal tract, with a recent exacerbation of gastric and duodenal ulcers, or suffering from erosive gastritis. This emulgel is not recommended for use in children under 12 years of age and should only be applied to intact skin.

Revmalgon

Rating: 4.8

The drug Revmalgon is considered to be a complex dietary supplement for topical use, its full name is Revmalgon 911 gel for joints. This preparation contains many active plant bioflavonoids, essential oils and other compounds. These are extracts of cinquefoil, oil of red pepper, eucalyptus, cedar, juniper, fir. Camphor has a cooling effect, bee venom has an anti-inflammatory effect, and chondroitin and glucosamine, according to the manufacturers, prevent wear of the articular cartilage. This remedy has been shown in complex therapy in the treatment of various diseases of the joints, with radicular syndrome, with gout, arthritis and osteoarthritis, as well as with various complications of osteochondrosis and pain in the back. Revmalgon is produced by the domestic company 'Twins TEK', and this gel-balm, packaged in 100 ml tubes, can be purchased for only 65 rubles.

Advantages and disadvantages

Like all biologically active substances that do not contain potent components, perhaps, except for bee venom, Reumalgon has few contraindications for use, namely, individual intolerance. Many active ingredients allow for a complex effect, for example, pepper oil and bee venom warm, and eucalyptus and camphor oil cools and relaxes. The price of the drug is low, and the indications are wide enough, and therefore this tool has fully earned a place in the ranking, and can be stored in every first-aid kit by a summer resident and a tourist.

Traumeel

Rating: 4.7

Traumeel gel is a homeopathic medicine that contains extracts of mountain arnica, echinacea, calendula, witch hazel, comfrey, chamomile, yarrow, St. John's wort, and other medicinal plants, and some inorganic compounds in homeopathic dilutions. It is produced in the form of a fragrant transparent gel, according to the pharmaceutical nomenclature it is considered a therapeutic and cosmetic agent, and is indicated for use in various pathologies of the musculoskeletal system.

Traumeel is prescribed for arthritis, arthrosis, bursitis, tendovaginitis, as well as for dislocations, sprains, swelling of soft tissues, and insect bites. Usually, during the treatment, a column of gel up to 5 cm long is squeezed out, and easily rubbed into the affected areas. The average course of treatment is 2 weeks or more. The tool can be used in combination therapy with other anti-inflammatory drugs, muscle relaxants and tablets for the treatment of joints. You can buy Traumeel gel, in a volume of 50 ml, starting from 460 rubles.

Advantages and disadvantages

The disadvantages of this gel, like other homeopathic substances, include the lack of an evidence-based mechanism of effectiveness, and the positive aspects – the absence of contraindications for use. The gel has a pleasant, soothing aroma, has a slight cooling effect, and can be combined with other preparations. Traumeel entered the rating, since homeopathic remedies, despite their unproven effectiveness, are very popular not only in our country, but also abroad. As a result of the belief in the mysterious homeopathic action, the patient really does feel better. Even if this is a form of self-hypnosis, then these drugs have the right to be told about them.

The best vitamins and pills for joints

Almost all vitamins that are positioned by the manufacturer for various organs and systems ('vitamins for eyes', 'for joints') are called so purely for commercial reasons. Until now, there is no evidence that unequivocally indicates that the vitamins used directly and selectively, with a high concentration, are used by the body exactly there, as advertised. However, humans tend to oversimplify their goals, and one of the most common questions asked in a pharmacy is 'give me vitamins for ….'.

The pharmaceutical industry and a large number of companies that produce food additives (dietary supplements) are very willing to respond to this request, and therefore our rating includes various vitamin complexes and pills for joints, which are positioned by manufacturers as improving joint function. It is important that all vitamins 'for joints' are taken by mouth and not in the form of ointments, gels or creams. Indeed, it is impossible to choose a complete vitamin complex that would be absorbed transdermally, that is, it would be absorbed through the skin without loss. Many vitamins are simply not capable of this. Most of these drugs contain glucosamine and chondroitin sulfate, as structural components of articular cartilage, helping to stop its degeneration and improve regeneration.

Alphabet 50+

Rating: 4.9

Alphabet 50 plus consists of three tablets of different colors. The pink tablet contains ascorbic acid, thiamine, vitamin A, copper, iron and folic acid. The blue tablet contains pyridoxine, riboflavin, carotene, vitamin E, nicotinamide. The second tablet also contains trace elements such as selenium, magnesium, iodine, manganese, zinc, and substances such as lutein and lycopene. Finally, the third tablet contains different types of vitamins – B12 and B5, vitamin D3, biotin, fat-soluble vitamin K, chromium and calcium. As a result, this complex is quite complete, since it contains 13 vitamins and 9 minerals.

The drug is more indicated for the elderly, and its balanced composition reflects the proportions of consumption of biologically active substances by the elderly. The drug is taken orally, with meals, one tablet of each type per day. These vitamins for joints should be used in the complex treatment of acute and chronic diseases, and this remedy is produced by the domestic company VneshtorgFarma LLC. You can purchase a package designed for 20 days of admission for 270 rubles.

Advantages and disadvantages

Like any vitamin complex, Alphabet 50 plus alone is not able to cope with various joint diseases, which are manifested by different complaints. But in the event that the deterioration of well-being is associated with any vitamin deficiency, then it can help improve the function of certain biochemical reactions, and this can lead to an improvement in the condition of the musculoskeletal system, including. The negative aspects include the direct and immediate absence of the effect of the vitamin complex on the articular tissues, as well as the possibility of developing individual intolerance, and limiting the intake of this agent with hyperfunction of the thyroid gland.

Doppelherz Active with glucosamine and chondroitin

Rating: 4.8

The rating should include not only vitamins in the biochemical and medical sense of the word, but also the so-called sources, or substrates for the formation of articular cartilage. The fact is that 'joint vitamins' are often called chondroitin sulfate and glucosamine. These active ingredients are indeed the 'building blocks' for articular cartilage, and often exist in the form of various medications, in capsules, ointments, gels and tablets. In this case, Doppelherz Active with glucosamine and chondroitin contains these substances that take part in the formation of connective tissue, slow down the processes of its destruction, and stimulate the production of cartilage and synovial fluid. This drug is available in capsules, and is prescribed for adults 1 capsule 1 time per day with meals, the duration of the course is at least 2 months. This is a biologically active food supplement, and alone, in the form of monotherapy, this remedy will not cope with joint pain, edema and inflammation, as well as with pronounced dystrophic – degenerative processes. But, taken together with other medications, in combination with physiotherapy, the drug can accelerate the onset of remission, reduce the crunch in the joints. This medicine is produced by the German company Kweisser Pharma, and the cost of one package in the amount of 30 capsules is from 400 rubles.

Advantages and disadvantages

The disadvantages of all dietary supplements containing chondroitin and glucosamine is the lack of evidence that taken orally, that is, through the mouth, the components of the cartilaginous tissue enter the joints exactly and start there the 'declared by the manufacturer' work. There is a lot of data that shows that our digestive enzymes break them down into such simple parts that they are used indistinguishably from ordinary food. However, some studies show that the use of these drugs for a sufficiently long time helps to improve the patient's well-being, reduce crunching and joint pain. The positive aspects of the use of such drugs include good tolerance, the possibility of long-term administration, with the exception of individual adverse reactions, as well as compatibility with other drugs.

Arthrivitis

Rating: 4.7

Arthrivitis is another dietary supplement that 'helps' joints, but is not a drug. This means that in case of severe symptoms, you should not wait for quick relief after the first dose or even within a few days, and therefore you should not start treating with dietary supplements. The drug is used together with food, and its purpose is to additionally be used in conjunction with medications prescribed by the doctor. Arthrivit contains B vitamins and ascorbic acid, magnesium, manganese, zinc and boron, glucosamine sulfate and pantothenic acid. Arthrivitis is indicated as a donor of vitamins, trace elements, a source of cartilage tissue. It is prescribed in the complex treatment of arthritis, especially chronic, is indicated for arthrosis, including the knee joint, with exacerbation of osteochondrosis and with damage to the musculoskeletal system in the clinic of rheumatology. Also, the agent can be taken to prevent osteoporosis, and for various infections that can affect bone tissue. Arthrivitis is produced in capsules weighing 600 mg each.

Advantages and disadvantages

The advantages of this drug are the support of real medicines, and more complete treatment, which allows you to reduce the dose of NSAIDs and reduce side effects, and the disadvantages – the lack of proven efficacy, especially in the case of monotherapy, the need for a rather long course. But the drug has almost no side effects, with the exception of individual intolerance, and its cost is quite democratic – 150 rubles for 30 capsules per month.

Don

Rating: 4.6

This is most likely the name of this supplement, since glucosamine (the only component of this agent) is one of the most famous donors of cartilage tissue for joints. Glucosamine affects the metabolism in cartilage, stimulates the synthesis of proteoglycans and the structural matrix of cartilage tissue. The agent improves the restoration, or repair of cartilage, has a nonspecific anti-inflammatory and analgesic effect, improves the quality and viscosity of the synovial fluid, and also facilitates calcium metabolism in bone tissue. With the complex application of Don, it inhibits the development of dystrophy and degeneration in large joints, facilitates movement, reduces pain and crunching. Dona is shown taking one tablet weighing 750 mg twice a day, with meals. The tablets should be taken with one glass of water. Patients notice a significant improvement in their condition, on average, 15 days after starting the drug intake, and the minimum course is 1 month. The tool is produced by the German company 'Madaus', and the cost of the drug is from 1300 rubles. for 60 capsules, that is, for a monthly course of admission.

Advantages and disadvantages

The advantages of the dietary supplement include a fairly pure glucosamine, its high content in the tablet and, indeed, an improvement in the condition 2 weeks after use. The disadvantages of the drug include possible individual sensitivity, the prohibition of taking the drug for chronic renal failure, during pregnancy and lactation, and children under 12 years of age. Care should be taken for those patients who are allergic to seafood – shrimp, crabs, shellfish, since the Don contains natural glucosamine, produced from the inhabitants of the sea. At the same time, a rather tangible disadvantage is the high cost of the monthly rate, one of the highest in the ratings, but not the maximum. The most expensive drug is next on the list.

Inoltra

Rating: 4.5

Gelatin capsules for oral administration of Inoltra, which is also a dietary supplement, are perhaps the most expensive in all ratings of joint remedies. These capsules contain the now classic glucosamine in the form of sulfate and chondroitin sulfate as structural components of the articular cartilage. In addition, Inoltra contains omega-3 and -6 fatty acids, vitamins E and C, and manganese aspartate. The purpose of the drug is to protect the joints and at the same time exhibit anti-inflammatory activity. In this regard, Inoltra capsules are taken for chronic joint pain, with limited mobility in the joint, for the production of synovial fluid and improving its quality. INOLTRA combines well with other anti-inflammatory drugs for the treatment of joints, and at the same time allows you to significantly reduce their dosage, and therefore, reduce their side effects on the body. It is recommended to take 2 capsules 2 times a day half an hour before meals with water. Thus, 120 capsules of the drug are recommended for a monthly intake, and the average course duration is 3 months (360 capsules). Inoltra is produced by the American company 'Irwin Naturals', the cost of one package of 60 capsules is from 1,750 rubles. There is a package of 180 capsules, which costs 4,580 rubles, so the entire course will cost 9160 rubles.

Advantages and disadvantages

Perhaps the main drawback of this drug is its high cost, the need for long-term use and the lack of a quick effect on the joints. All these “disadvantages” are very typical for imported dietary supplements. Also, Inoltra should not be used by pregnant and lactating women, with hypersensitivity to the components of the drug, and children under 12 years of age. But, nevertheless, a high-quality imported food supplement bought for a fairly high price often inspires the patient with the idea of ​​its uniqueness and miraculousness. This fact helps to remove the psychological component of pain and discomfort associated with the hypochondriacal state and the experience of illness. That is why dietary supplements are successfully sold all over the world.

Best pain relievers for joints

This section of the rating includes several drugs for local and oral administration, which have a pronounced analgesic effect on the musculoskeletal system and articular tissue. In this case, the analgesic effect can even be manifested due to the distraction of the patient's attention, for example, when exposed to a cooling ointment or gel. In general, the strongest pain relief occurs when intra-articular injection of prolonged corticosteroid hormones in combination with local anesthetics, for example, Diprospan or Kenalog in combination with novocaine. But since this manipulation is already even a small operation, and is carried out by a doctor, we will not consider such powerful means.

Ketorol – gel

Rating: 4.9

It is known that ketorolac is a drug that has a strong analgesic effect, approaching tramadol, and even narcotic analgesics. Ketorolac comes in tablets that can relieve even severe toothache, but it also comes in topical forms. We present to your attention Ketorol – a gel for external use, containing 2% of the active anesthetic substance. This gel has a pronounced analgesic effect, and when applied topically, it almost completely removes pain in the joints, both at rest and during movement, reduces morning stiffness of the joints with arthrosis and their swelling. Ketorol – gel increases the range of motion in chronic joint damage, and is used for a short period of time for soft tissue injuries, inflammation and damage to the ligaments, muscle pain, sciatica, neuralgia and rheumatic diseases such as psoriatic arthritis and ankylosing spondylitis. This gel is produced in tubes of 30 and 50 ml, respectively, at a price of 210 and 320 rubles. This gel with a pronounced analgesic effect is produced by the Indian company 'Doctor Reddis'.

Advantages and disadvantages

It must be remembered that Ketorol is very anesthetic – this is the main advantage, but at the same time it has little effect on the inflammation process, in contrast to Ketonal, which contains ketoprofen. Therefore, you need to use this gel only as a symptomatic remedy for pain relief, and to reduce inflammation, it is necessary to use other drugs that have not so much analgesic as anti-inflammatory effect. In addition, it should be borne in mind that if the gel is applied to large areas of the skin, then even systemic side reactions are possible, as well as nausea, vomiting, headache and heartburn. In severe cases, blood counts worsen and agranulocytosis develops. Therefore, the gel should not be applied more than 4 times a day, and not used for more than 10 days. In this case, the maximum amount of gel should not exceed a strip of 2 cm in length at one use.

Dolobene

Rating: 4.8

Dolobene is a complex gel for external use of a slightly yellowish color. It contains heparin, dexpanthenol and dimethyl sulfoxide, or dimexide. This composition has a pronounced anti-edema, anti-inflammatory and local anesthetic effect. Anesthesia develops due to the influence of Dimexide, since it reduces the rate of conduction of pain impulses in peripheral neurons. Heparin promotes the regeneration of connective tissue, inhibits the enzyme hyaluronidase, which is able to break down cartilage. In addition, heparin affects blood clotting, an antithrombotic effect develops. This gel is indicated for acute and chronic diseases of the joints, for injuries and bruises of muscles and ligaments, for tendinitis, bursitis and epicondylitis, as well as for acute neuralgia and edema of soft tissues and muscles. The drug is applied in a thin layer to the skin over the affected area and rubbed in with light movements. You can not rub Dolobene, but use it under a bandage and even use it for electrophoresis, applying it under the cathode. This drug is produced by the Israeli company Teva, or the German company Merkle, and a 100 ml tube of gel costs from 420 rubles.

Advantages and disadvantages

The advantage of the gel is its unique composition and a special mechanism of pain relief. The drug contains heparin, and can be used for joint lesions that are combined with chronic venous insufficiency of the lower extremities, or with varicose veins. The drug is highly effective and inexpensive. But it must be remembered that there may be an individual intolerance to dimethyl sulfoxide, which is manifested by a burning sensation and redness at the site of application of the gel, urticaria, and occasionally – Quincke's edema. Also, a specific side effect from the use of this gel over a large area is the result of absorption of dimethyl sulfoxide into the blood, which is manifested by the smell of garlic in the exhaled air. It is possible that there is a change in taste that occurs after applying the gel, but does not last long. The gel is contraindicated in severely impaired liver and kidney function, asthma and suffocation, during pregnancy and lactation, children under 5 years of age.

Efkamon

Rating: 4.7

The last drug for topical use, presented in our ranking of joint products, is the popular and inexpensive domestic ointment Efkamon, which has an analgesic, local irritant and distracting effect, increases local blood flow, which improves metabolism in the periarticular tissues. This ointment contains a salicylic acid derivative, clove and mustard oil, eucalyptus oil and camphor, cooling menthol and irritating capsicum tincture, and cinnamon alcohol. It is shown to apply this ointment for various arthritis and myositis, for acute back pain and radiculitis, for bruises and neuralgia, for various exacerbations of osteochondrosis. Since the drug is produced in the form of an ointment that is absorbed and absorbed slowly, it is necessary to apply it with light movements up to 3 times a day and rub the ointment onto the painful area, and then cover with a warm bandage or film so that the ointment is gradually absorbed over several hours. Efkamon is produced by the domestic Pokrovsky plant of biological products, and you can buy Efkamon in a pharmacy at a price of 150 rubles. per package of 25 g of the drug.

Advantages and disadvantages

The advantages of Efkamon include a complex effect on various links in the occurrence of inflammation and pain, it has a double warming and irritating, but at the same time cooling and distracting effect. The derivative of salicylic acid has an anti-inflammatory effect, the drug is well tolerated and is not absorbed from the skin surface for a long time. Perhaps the latter fact may be a disadvantage, because as a result, it is better to apply the ointment at night. Efkamon is well tolerated, only in rare cases, itching and peeling may occur. A contraindication is only individual hypersensitivity to its components, and Efkamon can even be used during pregnancy and lactation, but only as directed by a doctor.

We have looked at a significant number of different forms for topical and internal use that improve joint function, nutrition, pain relief and increase range of motion. But in any case, with the initial use of even the most innocuous drug that is sold without a prescription, it is advisable to consult a doctor. Only biologically active supplements that do not contain various powerful anti-inflammatory and analgesic components, and are positioned by the manufacturer as natural and natural remedies, can be taken without the appointment of a specialist, but in this case, taking them for the very first time, it is advisable to take into account all your chronic diseases, especially gastrointestinal tract, and visit a specialist.

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Attention! This rating is subjective and does not constitute an advertisement and does not serve as a purchase guide. Before buying, you need to consult with a specialist.