Review of the best according to the editors. About the selection criteria. The the material is subjective, is not advertising and is not serves as a guide to the purchase. Before purchase is needed consultation with a specialist.
Back pain – a condition with which at least once in a lifetime faced almost every person who lived to middle age. By according to doctors, a third of patients coming to the reception complain precisely on this problem. Most often, this pain is not caused any specific changes in the body – if everything before attributed to “osteochondrosis”, that is, age-related changes in cartilage between the vertebrae, then as the MRI spread, it turned out that protrusion and even herniation of the intervertebral discs – rather a phenomenon ordinary, and their severity has nothing to do with the intensity of the pain. Asymptomatic protrusion – tears of the disk shell into which the nucleus protrudes – found in more than a third of people aged from 25 to 49 years old and in 100% of people over 60 years old.
Despite this, age-related degenerative changes are still are considered one of the reasons that can cause back pain. But besides other factors play a role:
- muscle injuries of musculoskeletal structures,
- violation of muscle tone and fascia (dense muscle shells)
- hypersensitivity of the nervous system to pain sensations
- violation of the anatomical relationships of structural elements spinal motion segment (hypermobility, instability joints, a change in the distance between the vertebrae due to a decrease intervertebral disc heights, etc .;
- biomechanical disturbances (incorrect posture, prolonged forced position leading to permanent deformation muscle)
- damage to a nerve or spine due to injury, compression (compression) or ischemia (circulatory disorders).
As you can see, the reasons for back pain are not threatening health and life, there may be many. Therefore, in the classification of diagnoses ICD-10 for her a special category called “Dorsalgia” (M54).
We have included in the rating of the best pills for back pain and funds that are aimed at eliminating pain, and drugs that help restore normal metabolism in the structures of the spine, nerves, and muscles of the back.
Attention! Material is not a buying guide, by advertising. Before use, specialist advice required.
- Rating of the best pills for back pain
- The best painkillers
- The best pills that reduce muscle tone
- The best pills that restore metabolism in the paravertebral structures
- B vitamins
- Glucosamine + Chondroitin Sulfate
- When back pain is dangerous
Rating of the best pills for back pain
|Nomination||a place||Name of product||price|
|The best painkillers||1||Paracetamol||39 rub|
|The best pills that reduce muscle tone||1||Flupirtine||390 rub|
|The best pills that restore metabolism in the paravertebral structures||1||B vitamins||480 rub|
|2||Glucosamine + Chondroitin Sulfate||342 rub|
The best painkillers
These drugs are usually prescribed in courses lasting up to two weeks with exacerbation of pain and canceled after how pain intensity will decrease. In severe cases, the course of administration may be longer, but without consulting a doctor self-prolonging therapy is not worth it: the longer the course, the higher likelihood of side effects.
These pills are better known as antipyretic, but referring to class of non-steroidal anti-inflammatory drugs, capable of and reduce pain, swelling, relieve inflammation with microtrauma. therefore most clinical guidelines for treating back pain offer them as starting therapy. Subject to Paracetamol recommended in the dosage instructions is safe and the analgesic effect is enough for most ordinary cases. Adults need to take the medicine 3-4 times a day for 0.5-1 grams after a meal with plenty of water. No way In case of exceeding the maximum specified by the instructions dosage of 4 grams per day, as this can lead to severe liver damage. Other side effects include allergies. manifestations, impaired blood composition, nausea, dizziness.
In no case should paracetamol be combined with administration alcohol – this increases the likelihood of toxic liver damage.
- high safety in compliance with the rules of admission.
- not the most effective painkiller,
- in case of overdose or in combination with alcohol may cause toxic liver damage.
Another time-tested drug that is not only reduces pain, but also relieves inflammation. Low price does diclofenac available for any wallet. Prolonged form (diclofenac 100 mg) allows you to take the medicine once a day.
Available in tablets of 50 and 100 mg, the maximum daily dose – 150 mg.
The optimal duration of the course is up to a week, since with prolonged use of the drug promotes the development of stomach ulcers and the duodenum. Diclofenac, like most others non-steroidal anti-inflammatory drugs, blocks production substances that support inflammation, and close to them in chemical the composition of substances that support the regeneration of mucosal cells the membrane of the gastrointestinal tract. Therefore such a side effect as a drug ulcer does not depend on the method of administration (in tablets or injections), taking the medicine before or after eating, as the problem is in the mechanism of action of the drug. To protect gastric mucosa in situations where diclofenac is needed extend for more than a week, the doctor may recommend drugs from a group of proton pump inhibitors such as omeprazole or lansoprazole, which reduce the synthesis of hydrochloric acid and reduce aggressiveness of the environment in the stomach.
Diclofenac is contraindicated in:
- with reduced blood coagulation,
- severe hepatic and renal failure,
- gastric and duodenal ulcer, non-specific ulcerative colitis, Crohn’s disease,
- in the last trimester of pregnancy and during feeding breastfeeding
- children under 15 years old.
- low price,
- well reduces pain and inflammation.
- with prolonged use can provoke an ulcer.
Trade names: Celebrex, Dilax.
Belongs to the class of selective cyclooxygenase-2 inhibitors, then there is in contrast to the non-steroidal anti-inflammatory previous generation, reduces the synthesis of only substances that contribute inflammation but not mucosal protection gastrointestinal tract from aggressive environment and regeneration mucosal cells. Gastrointestinal Safety of Celecoxib tract confirmed by numerous studies.
On the other hand, celecoxib promotes fluid retention in the body, which can lead to uncontrolled increase blood pressure in patients with existing hypertension, and its effect on the blood coagulation system can provoke worsening in people with confirmed coronary heart disease and cardiovascular failure. Therefore celecoxib contraindicated in patients with hypertension. IHD, cardiovascular insufficiency. Safety of use has not been studied in pregnant women, people under 18 and with severe liver damage and the kidneys.
Available in tablets of 100 and 200 mg.
The recommended dosage is 100 – 200 mg 1 – 2 times a day, the maximum daily dose is 400 mg.
- does not affect the mucous membrane of the gastrointestinal tract, does not increases the likelihood of developing ulcers,
- does not increase the chance of bleeding.
- contraindicated for people with hypertension and ischemic heart disease,
- high price.
The best pills that reduce muscle tone
We have already mentioned that often the cause of back pain becomes imbalance in muscle tone caused by poor posture, long forced position (at the computer, at the wheel, in half slope and so on). In such cases, doctors may recommend muscle tone reducing pills – muscle relaxants central action. Relaxing overstressed muscles such drugs reduce pain. Often prescribed and in order to enhance the effect of the pills mentioned in the previous section of the rating – diclofenac, paracetamol and the like. Combined effect allows you to reduce the dosage of both groups of drugs, and the lower the dose, the less likely the occurrence of adverse events.
Trade names: Catadolon, Neurodolon.
Combines the properties of a non-narcotic analgesic and muscle relaxant. On the one hand, it reduces pain, acting on the corresponding centers in the brain, on the other – relaxes excessively tense muscles. Due to action on the central nervous system reduces “mood” for pain, which prevents the transition of pain into a chronic form, and if chronization has already occurred, erases pain memory, reducing sensitivity to discomfort. Not addictive, not damages the gastrointestinal mucosa, does not have restrictions on the duration of therapy.
On the other hand – not recommended for people managing cars, since at the beginning of the course of use it can cause muscle weakness, drowsiness, dizziness. Sharply enhances the effect of alcohol, therefore, combine flupitrin intake and consumption drinking is not recommended. You should not combine flupitrin with paracetamol – this combination enhances the toxic effect medicines on the liver.
Usually prescribed 100 mg 3 times a day, with very severe pain 200 mg 3 times a day is allowed, but no more.
Contraindicated in children, pregnant and lactating, with severe liver failure, alcoholism.
Released by prescription.
- complex action against pain,
- prevents the transition of acute pain into chronic,
- not addictive.
- not driving
- high price.
Trade Names: Sirdalud, Tizanil
Reduces excess muscle tension, relieves painful muscle cramps in spinal pathologies such as spondylosis, osteochondrosis, cervical or lumbar syndrome. Has a sedative (soothing) effect, when combined with non-steroidal anti-inflammatory drugs has moderate gastroprotective action, that is, protects the wall of the stomach from the formation of medicinal ulcers.
On the other hand, it can excessively lower blood pressure, and with abrupt cancellation, on the contrary, cause a sharp jump in blood pressure, therefore when there is no longer any need to take the medicine, lower the dose should be gradual. Due to the ability to cause drowsiness and dizziness is not recommended for people driving vehicles or working where you need a quick response.
The recommended dosage is 2 to 4 mg 3 times a day. At inefficiency dosage can be increased, the maximum allowable – 36 mg per day.
Do not use simultaneously with the antidepressant fluvoxamine, antibiotic ciprofloxacin.
Contraindicated before the age of 18 years, pregnant and during breastfeeding, with severe liver disease.
- soothing effect
- moderate gastroprotective effect.
- not driving
Trade names: Tebantin, Konvalis, Katena.
This drug was originally created in order to to prevent attacks of epilepsy, but found its application in treating chronic pain, including back pain. It’s connected with the fact that the drug acts on the nerve centers and regulates balance of biologically active substances “responsible” for pain sensitivity. For dorsalgia, gabapentin is better has proven itself in the treatment of so-called neuropathic, radicular pain. These are acute shooting pains caused by compression of the spinal roots, often “giving” along the leg or hands.
Gabapentin is usually prescribed not as an independent drug, but in combinations with celecoxib, diclofenac, and similar tablets. Medicines mutually reinforce each other’s effect, due to this it is possible reduce dosage and, as a consequence, the severity of side effects.
They recommend starting with 300 mg (1 tablet per day), on the second daily dosage should be increased to 600 mg (2 tablets per day), by 3 – up to 900 mg. With inefficiency, you can continue to increase dosage to a maximum of 3600 mg (12 tablets) a day.
Like any potent drug, gabapentin can cause adverse events: changes in blood pressure (as increase and decrease), headache, dizziness, pain in abdomen, swelling.
Not recommended for persons under 18 years of age; pregnant and breastfeeding not established.
- removes “backache”
- works for chronic pain lasting more than 3 months contract.
- many side effects
The best pills that restore metabolism in the paravertebral structures
Despite age-related degenerative changes the spine is not always manifested by pain, to say that they do not contribute to the appearance of pain in back cannot. Therefore, with dorsalgia, drugs are often recommended, contributing to the restoration of cartilage of the intervertebral discs. Another the direction of therapy is the restoration of microcirculation in spasmodic muscles and vitamins that help improve metabolism substances in the nervous tissue. We will talk about these groups of drugs in this section of our rating.
Trade names: Milgamma Compositum, Combilipen.
These products contain vitamins B1, B6 and B12. Such a combination has an analgesic effect. In addition, such a complex vitamins can enhance the analgesic effect anti-inflammatory drugs and reduce the need for them.
The combination of vitamins B1, B6 and B12 works in several directions:
- helps restore nerve fibers,
- reduces the activity of inflammation,
- restores the function of nerve cells,
- restores the activity of its own analgesic (antinociceptive) body system.
Feature of vitamin complexes created to treat pain in back – a special, fat-soluble form of vitamin B1 – benfotiamine. It is digested 8-10 times better than normal water soluble vitamin B1.
Recommended Dosage – 1 to 3 Milgamma Tablets Compositum or Combilipene per day. Usually offered 1 – 2 weeks to take 3 tablets to saturate the body with vitamins, and then use smaller dosages for 1 to 2 months.
Vitamin complexes have practically no contraindications, for an exception to the already known individual intolerance. They are not recommended during pregnancy so how to examine them safety for the fetus for obvious reasons is not possible.
- high security
- complex action aimed at reducing pain and restoration of nerve cells.
Glucosamine + Chondroitin Sulfate
Trade Names: Teraflex, Arthra KordraNova, Glucosamine & Chondroitin.
Glucosamine and chondroitin sulfate are often sold at separately. but provide maximum efficiency in complex. These substances slow the destruction of cartilage and contribute to restoration of cartilage tissue, including intervertebral tissue drives. In addition, they reduce inflammation and due to this reduce the intensity of pain – but you can only notice this effect after 2 to 3 weeks of daily use. Funds are for long-term use: recommended course duration is 3 to 6 months and it is advisable to repeat therapy at least once in year. If you follow the scheme, the drug prevents relapse of pain, therefore, most often it is used not in the active phase of the disease, but for prevention of exacerbations.
Glucosamine with chondroitin is usually well tolerated, but may cause allergic reactions and discomfort in the area stomach, which pass after dosage reduction.
The drug is contraindicated in severe renal impairment. The safety of use in pregnant women has not been investigated.
- reduces the need for potent analgesic medicines
- minimum side effects.
- high price.
When back pain is dangerous
It is necessary to consult a doctor as soon as possible if:
- back pain first appeared in a person under the age of 18 or over 55 years old;
- pain is not related to movement,
- lying down doesn’t get any easier
- some time before the onset of pain there was a back injury or the spine;
- back pain is accompanied by fever,
- the intensity of pain is constantly increasing
- it doesn’t get easier at night
- people lose weight for no reason
- spinal deformity
- there is weakness or numbness in the legs,
- urination was impaired.
Most often, back pain, although it causes a lot of unpleasant moments, but does not pose a danger to life. But listed signs may indicate a serious illness when pain in the back is only a symptom of other, more dangerous conditions.
Attention! This rating is subjective, not advertising and does not serve as a guide to the purchase. Before the purchase consultation with a specialist is necessary.