Anesthetics for pain in joints will effectively relieve pain and inflammation.
Painkillers for joint pain quickly and effectively help ease the condition. Ankle joint is the most mobile and most loaded. Movement in it occurs in two directions: plantar and rear( flexion, extension).When walking, running, swimming, climbing, first of all, ankle joints are involved. Pain in them makes it difficult to move. It can occur in people of different ages for various reasons.
Acute pain in the ankle joint pushes people to look for drugs that can alleviate the condition. Take pain medication for pain in the joints, preferably after consultation with the attending physician, since the reasons for their occurrence - a lot.
The main causes of pain in the ankles: different in severity of injury, inflammatory diseases, bone tuberculosis, deforming arthrosis, skeletal diseases, osteochondropathy, Dyas disease, chondromatosis, muscle paralysis, malignant and benign tumors.
Often, when acute pain occurs, because of which it is impossible to step on foot, there is an irresistible desire to take painkillers. With pain in the joints, this is not always welcome, as taking certain medications can affect the picture of the course of the disease, in which case it will be difficult to diagnose.
Painkillers for pain in joints
Rapidly and effectively relieve pain analgesics, caffeine-containing, non-steroidal anti-inflammatory drugs.Paracetamol relieves pain of medium intensity. Preparations, the active substance in which is paracetamol, is Paracetamol, Efferalgan, Panadol, Aldolor, Daleron, Sanidol. The names of these drugs are different, but the active substance is one.
Caffeinated preparations - "Kaffetin", "Sdalin-neo" - relieve joint pain, but for a short time. The combination of these drugs includes paracetamol and caffeine. The "minus" of taking such medicines is a fast addiction, therefore after a certain time the pills cease to function effectively.
For pain in the joints, analgesics combined with antispasmodics: "Baralin", "Spazmalgon", "Solpadein", "Spazgan", "Pentalgin", "Plivalgin" help quickly and effectively. These drugs will quickly ease the patient's condition, and also - have an anti-inflammatory and antipyretic effect, relieve muscle tension.
Non-steroidal anti-inflammatory drugs are the most effective painkillers for pain in joints."Ketonal", "Ketorol", "Ibuprofen", "Orthofen", "Melbeck", "Diclofenac" will not only quickly relieve pain in the ankle joint, but also have antipyretic and anti-inflammatory effect.Ointments, gels, creams that have anti-inflammatory and analgesic properties will quickly improve the condition and relieve local inflammation in the ankle joint. With pains in the joints, the creams Dolgit, 9111+, Apizarthron, Viprosal, Fastum gel, Indovazin gel, Arnika-gel, etc. will be effective.ease the condition, but do not cure the disease. It is necessary to consult a doctor and diagnose the disease before taking medications.
Effective pain relievers for pain in joints: pills, injections, suppositories, external
Anesthetic tablets for pain in joints may be needed at any time. Diseases of the joints are very often accompanied by severe pain. It can overtake suddenly. Often the pain in diseases of the musculoskeletal system can be unbearable. It literally immobilizes a person. Pain in the back can "shoot" at the slightest movement with such force that a person can not even straighten. Assistance in such cases is needed urgently. Regardless of the cause of pain, immediate effective pain relief is required.
What are analgesics?
These are the most popular pain medications in the world. They quickly and effectively remove various types of pain. In addition to anesthesia, these drugs have an anti-inflammatory and antipyretic effect.
Metamizol is still known as analgin. Has a mild anti-inflammatory and spasmolytic effect. But it's better than some other analgesics to relieve pain and fever. Injections of metamizole give faster and stronger anesthesia. The action time reaches 5-6 hours with a minor pain syndrome.
Ketorolac( ketones, ketoprofen) is one of the most powerful analgesics among analgesics. Even the pills perfectly relieve very severe pain. The duration of action is about 6-8 hours. If the pain is very severe, the tablets will have to be taken more often.
Dexketoprofen( dexalgin) has a weak anti-inflammatory effect. But it does a good job of anesthetizing and relieving fever. Begins to act 30 minutes after taking the pill inside. The action lasts 4-6 hours.
Lornoxicam( ksefokam, larfix) differs from other analgesics with pronounced anti-inflammatory effect. Appointed with a mild pain syndrome pills or injections. Has antirheumatic effect.
Acetylsalicylic acid( aspirin) is one of the weakest analgesics. It is an effective antipyretic. It also has a blood thinning effect. Produced in the form of ordinary and soluble tablets.
Preparations of NSAIDs of antirheumatic action
They differ from analgesics in that, in addition to anesthetizing, they have a therapeutic effect on the joints. The high efficacy of non-steroidal anti-inflammatory drugs has the opposite side. These drugs have a negative effect on the gastrointestinal tract. Prolonged use is strongly discouraged. Serious health problems can arise. With extreme caution, people with digestive system diseases should be treated. To reduce the side effect of non-steroidal anti-inflammatory drugs should be taken only after meals.
Diclofenac( diclobert, olfen) in tablets removes severe pain of non-rheumatic origin and swelling. Can be used topically( as an ointment) or rectally( with suppositories).In rheumatic diseases, the drug greatly facilitates the patient's condition.
Ibuprofen is prescribed for the initial stages of joint disease. By force of action, he concedes indomethacin, but better tolerated. Removes moderate pain. Has an immunomodulatory effect. Produced in the form of tablets, suppositories, ointments.
Nimesulide has an analgesic and anti-inflammatory effect, it prevents the destruction of cartilaginous tissue. It has antioxidant properties.
Meloxicam( rheumoxicam, movalis) is used for the treatment of joint diseases. The drug removes severe pain and inflammation. Intravenous application of the solution is prohibited. Treatment begins with intramuscular injections. The effect of intramuscular injection is faster and stronger. After 1-2 days, injections are replaced with tablets.
Drugs with narcotic effects are considered to be the most powerful painkillers. They are prescribed, when pain can not be removed by anything else. A serious drawback of narcotic analgesics is the addiction to them of the patient. The course of treatment with such drugs is usually small. With long-term treatment, several short-term courses are taken in combination with other types of pain medication. Narcotic analgesics have a psychotropic effect. This means that a person can become drowsy or, conversely, too vigorous and fall into a euphoric state. Narcotic analgesics are produced in the form for injections. But there are drugs in the form of tablets. For example, tramadol or promedol.
Tramadol( tramal) relieves severe pain after 15-20 minutes. The strength of the effect is second only to morphine. The validity period is up to 6 hours. You can take it as an intravenous or intramuscular injection, orally, in the form of tablets, candles.
Trimeperidine( Promedol) is a pain reliever. After 10-15 minutes, its effect is felt. There is in the form of both injections and tablets. Its advantage is good tolerability of the body.
These drugs are not available for sale. They are implemented only by prescription.
Preparations with opioid-like effect are similar in terms of the effect on narcotic analgesics, but they are not addictive. They also do not have psychotropic effects. The analgesic effect is powerful.
Nalbuphine exerts a very strong analgesic effect, with fewer side effects than narcotic analgesics. It does not cause addiction, it does not change consciousness. Intramuscular injection is able to give an effect similar to that after taking morphine. With very severe pain, repeated injections are allowed every 3-4 hours. Nalbuphine is calming, not causing drowsiness. It should be noted that this drug is relatively new. His effect on the body is still not fully understood. It is not recommended to treat this drug for more than 3 days.
Medications of other groups
Causes of pain may be different. It can be a muscle spasm in the back or inflammation of the tissues around the joint. Often accompanied by pain, the destruction of the cartilaginous tissue of the joint. The use of drugs that act directly on the cause of pain, helps to remove it. For example, the use of antispasmodics eliminates spasm, and the pain caused by it disappears.
Tizalud and midocalm are drugs that effectively relieve muscle spasm, for example, associated with functional and static disease of the spine( lumbar and cervical syndromes).
Glucocorticoid hormones( methylprednisolone, medrol) effectively relieve inflammation. Hormones stop acute inflammatory processes with various types of arthritis, including rheumatoid and gout-induced disease. Are taken topically( in the form of ointments) or inside( in tablets).Intra-articular, intramuscular or intravenous injections may be given.
Combined drugs combine the action of non-steroidal anti-inflammatory drugs with antispasmodics( spasmalgon or renalgan).
How to choose the right treatment?
The first rule of the use of pain medication is the selection from weak to potent. In other words, trying to quickly get rid of the pain, you can not immediately use strong drugs. First, it is worth trying to remove the pain by less powerful and safer means.
With very severe pain, an articular block is performed. In the affected area, injections of hormonal anti-inflammatory drugs are made. The purpose of the blockade is to bring the medicine to the hearth of inflammation.
The blockade helps to quickly remove pain, inflammation and return the joint mobility. The effect lasts for weeks. Acute pain caused by inflammation or as a result of trauma is easier, faster and more effective to remove nonsteroidal anti-inflammatory drugs.
It is hardest to treat chronic joint diseases. Here we must take into account the destructive processes that always accompany chronic diseases. It is necessary to take into account all available symptoms, since the intensity of pain can be caused by their total action. In addition to anesthesia, blockade, glucocorticoids and muscle relaxants can be shown. Often appoint paraffin wrap.
It is important to remember that you can not take painkillers uncontrolled. Only the doctor should determine the dose and duration of treatment. Such actions are not only fraught with side effects, but also a decrease in the susceptibility of the organism to them.
- OTC analgesics-antipyretics for oral administration: mechanism of action and safety profile. Yu. B.Belousov, K.G.Gurevich, S.V.Chausov. Medical Scientific and Practical Journal "The treating doctor", No. 1, 2015.
- Back pain: where to start therapy? Reference book of the polyclinic doctor, №09, 2011. Yu. A.Merkulov, A.A.Onsin, D.M.Merkulov. Neurological Center. B.M.Hecht of the Health Department of JSCo «Russian Railways»;2NII general pathology and pathophysiology RAMS, Moscow.
Review of modern drugs for arthritis
There are many ways of treating arthritis. One of the main methods of traditional medicine is drug therapy, which is aimed at eliminating inflammation, alleviating the symptoms of the disease and restoring the functions of the joints. What medicines are used for this? Let's talk more about the pros, cons and features of each group of medicines.
Analgesics( pain relievers)
Analgesics are pain relievers. There are several types of analgesics: on the basis of acetaminophen( released from pharmacies without a prescription), opioid analgesics( dispensed by prescription) and combined agents, which include both acetaminophen and opioid.
Acetaminophen-based medicines( eg, Tylenol) are suitable for alleviating moderate pain and discomfort. Opioid and mixed analgesics - Oxycodone, Methadone, Tramadol, Morphine, Oxicontrin, Vicodin and others - are prescribed for severe pain.
Principle of operation of
Opioids( synthetic narcotic drugs) bind to the receptors of the cells of the brain, spinal cord and gastrointestinal tract and thus "disconnect" the pain centers and block the transmission of painful impulses. Opioid analgesics are in many cases more effective than acetaminophen, but their use is often accompanied by side effects. Such medications are taken either on demand or on schedule at regular intervals.
In the past, opioids have been used mainly to relieve acute pain( for example, after surgery or serious trauma), but now they are prescribed to alleviate chronic pain, including arthritis. These drugs are a suitable option for patients suffering primarily from severe pain, and not from inflammation.
Non-narcotic analgesics based on acetaminophen act in a different way: they inhibit the synthesis of certain enzymes involved in the formation of prostaglandins, which are the cause of the onset of pain. More about prostaglandins a little further.
The advantages of analgesics over non-steroidal anti-inflammatory drugs( namely as part of pain relief) are higher efficacy and no side effects from the gastrointestinal tract. A significant disadvantage of painkillers is that they do not relieve inflammation, and with prolonged use it is possible to get addictive.
Application of analgesics: it's important to know
If you are recommended for the treatment of arthritis with analgesics, know:
- You can not stop taking the medication suddenly - it can trigger serious side effects.
- After the first use of the opioid analgesic, do not drive and do not take other actions that require concentration. The medicine has different effects on the body, in some people the rate of reaction decreases, there is drowsiness and light dizziness.
- If you experience discomfort when swallowing tablets, discuss with your doctor the possibility of using an analgesic in another form, for example, in the form of a patch. The active substance in this case will get to the focus of pain through the skin.
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Non-steroidal anti-inflammatory drugs( NSAIDs)
Non-steroidal anti-inflammatory drugs( NSAIDs) are widely used to treat arthritis: they reduce inflammation and pain.
Principle of operation
If analgesics fight directly with pain, NSAIDs reduce both of the most unpleasant symptoms of the disease: both pain and inflammation. To this group of medicines are Motrin, Advil, Ecotrin, Celebrex, Klinoril, Voltaren, Naprosin, etc.
Non-steroidal anti-inflammatory drugs block the work of hormone-like substances - prostaglandins. These substances have an important function - they protect the gastric mucosa from their own digestive fluids. At the same time it is prostaglandins that are involved in pain and inflammation. NSAIDs just block the work of prostaglandins. Pain and inflammation are weakened, but the gastric mucosa becomes more vulnerable to ulceration and bleeding.
NSAID use: it is important to know
Nonsteroidal anti-inflammatory drugs show excellent results in arthritis therapy, but these medications have their own nuances:
- These medications are not recommended for patients with gastric ulcers, past gastric bleeding, liver, kidney, heart, asthmaand hypertension.
- Taking any NSAID is accompanied by a risk of blood clots, the development of a heart attack or stroke. Risks are higher in patients suffering from diseases of the cardiovascular system.
- NSAIDs can not be used in patients undergoing coronary artery bypass graft surgery.
- The use of NSAIDs can cause sudden bleeding in the digestive tract. In this regard, you should regularly take tests( blood, liver enzymes) to monitor the effect of the drug.
Disease-modifying antirheumatic drugs( BMAP)
Different BMAP have different principles of action, the positive effect in all cases is the same - the progression of the disease either stops or slows down. The use of BMPA allows to avoid damage to the joints and internal organs.
This group includes preparations: Plakvenil, Arava, Neoral, Imuran, Cytoxan.
Disease-modifying antirheumatic drugs are most often prescribed to patients who are at high risk of irreversible damage to the joints. The use of these medications is indicated for rheumatoid, psoriatic and juvenile idiopathic arthritis.
The main advantage of BMPA is that even with prolonged use they do not cause addiction and serious side effects. A significant disadvantage of this group of drugs is a slow action. That is why, in the treatment of arthritis, BARMP is often used in combination with other drugs that have a faster effect, for example, NSAIDs, corticosteroids, etc.
Application of BMPP: it is important to know
- BMARP is slow enough, sometimes it takes weeks, or even to get the first tangible effectsmonths of treatment.
- Before starting BMAP, be sure to notify your doctor about infectious diseases, if any, at the time of treatment. If during the treatment there are signs of infectious diseases( fever, sore throat, painful urination, etc.), immediately consult a doctor.
- Do not use these medications in patients with hypertension, liver and kidney disease, and after vaccination.
Biological agents( biological response modifiers) are medicines obtained by genetic engineering from living organisms( viruses, genes or proteins).
The most popular biological agents prescribed for arthritis: Actemra, Orentsia, Rituximab, Simponi, etc.
Principle of operation of
The task of these medicines is to stimulate the body's natural reaction to infection or disease. The purpose of biological agents that have entered the body are proteins, cells and intercellular communication routes, responsible for the symptoms and destructive effect of rheumatoid and other types of arthritis. These drugs act in one of the following ways:
- blocks extracellular protein( tumor necrosis factor), which is produced by white blood cells and causes inflammation of the joints;
- blocks white blood cells( B-lymphocytes) that produce antibodies and are present in the body of patients with arthritis in large numbers;
- blocks the proteins involved in the development of inflammatory processes in the joints;
- inhibits the activation of white blood cells( T-lymphocytes), thereby interrupting the chain reaction leading to the development of inflammation.
Application of biological agents: it is important to know
The use of biological response modifiers, like any other medication, entails certain risks:
- In the treatment of arthritis, these agents increase the risk of developing infectious diseases. If there are signs of infection during the treatment period, the patient should immediately consult a doctor.
- Before starting treatment, a patient should be examined for tuberculosis and other infectious diseases.
- Vaccination is unacceptable during treatment.
Corticosteroids are medications that mimic the action of the hormone cortisol, which is naturally produced in the body by the adrenal glands. Cortisol has an effect on various systems of the body, including the immune system.
This group includes Celeston, Prednisolone, Diprospan, Metipred, etc.
Principle of operation
Corticosteroids lower the level of prostaglandins and disrupt the interaction between certain white blood cells( T and B lymphocytes) involved in the immune response. Due to this, corticosteroids control the inflammatory processes. Medicines are produced in various forms: tablets, medicines, sprays, drops, injections, ointments, etc. They act quickly and are often prescribed to patients suffering from arthritis and related diseases. Compared with NSAIDs, corticosteroids have a more potent anti-inflammatory effect, and these medications are simply irreplaceable in autoimmune diseases, when it is necessary to suppress the body's immune response. However, due to this action the body becomes more vulnerable to infections - this is the main drawback of these funds.
Corticosteroids: important to know
Drugs in this category can be used alone or in combination with other medications. Remember:
- You can not independently change the dose of corticosteroids, otherwise it can lead to a decrease in the natural hormone cortisol to a dangerous level.
- Dosage reduction should be gradual to allow the adrenal glands to adapt to changes.
- The intake of corticosteroids for a long time in low doses is often prescribed for rheumatoid arthritis, but the doctors' debate about the benefits and side effects of such treatment has not abated until now.
What is better to treat arthritis?
Only a doctor can prescribe a suitable preparation, correctly calculate the dosage and make a chart of the medication.
The huge variety of medicines to alleviate the symptoms and therapy of arthritis allows you to choose the optimal treatment regimen for each patient, taking into account all the features of a particular situation. If one method is not suitable, you can try another one or combine the preparations of different groups. The most important conditions for the successful treatment of ailment are reliable information about the state of the organism( peculiarities of the functioning of certain organs, the presence or absence of diseases), a clearly formulated treatment regimen and the correct dosage of medications.
Anesthetic tablets, ointments and gels for joint pain
Anesthetic tablets for joint pain are prescribed according to the pathogenetic mechanisms that lead to the formation of a pain syndrome. Pathology develops with arthritis, arthrosis, traumatic injuries, tumors, systemic diseases.
Each nosology has its own duration, intensity, sensitivity of pain.
Anesthetic pills for joint pain
Most non-steroidal anti-inflammatory substances are prescribed for most types of bone nosology. Common representatives of the group:
Mechanism of action of nonselective non-steroidal anti-inflammatory drugs - blocking the enzyme of cyclooxygenase type 1, 2, which leads to a violation of prostaglandin formation, a decrease in the severity of the inflammatory reaction. Inhibition of 2-cyclooxygenase in the intestine leads to a violation of mucus discharge, exacerbation of the stomach ulcer, the probability of erosion, colitis, enterocolitis, gastritis.
Selective NSAIDs selectively block 1-cyclooxygenase, therefore do not affect the functioning of the gastrointestinal tract. Representatives of the group are nimesulid, niz. The creation of such medicines was supposed to solve the problem of the possibility of prolonged use of anti-inflammatory drugs for pain relief of joints, but other negative reactions were revealed - the destruction of hepatocytes with the increase in liver size against the background of prolonged use of medicines.
Statistically, anti-inflammatory drugs are regularly taken for about 30 minutes by a person in the world. Another 300 million use these funds periodically. The share of the pharmaceutical market that occupies NSAIDs in Russia is 30%.We will not talk about the fact that these painkillers for pain in joints are prescribed daily by the therapist to patients "packs".Elderly people are well acquainted with diclofenac, ibuprofen, ketorolac, used to relieve pain in diseases of the joints, spine.
What pain relievers for joint pain: osteoarthrosis
Osteoarthritis is a joint disease characterized by destruction of the interosseous articular cartilage, decreased bone density, bony growths, damage to surrounding muscles, ligaments, tendons.
The disease is indicative for the analysis of the effectiveness of the use of anti-inflammatory drugs and chondroprotectors. Therapy of osteoarthritis of 2, 3 degrees is carried out by NSAIDs. At 4th degree, surgical treatment is necessary.
Diclofenac for pain in the joints is prescribed for 10 days followed by a break for the removal of inflammation of the elimination of pain syndrome. The popularity of the appointment of the remedy is due to the presence of anti-inflammatory, antipyretic, analgesic effects.
Local anesthetics - pain reliever tablets
Local anesthetics are used to inject non-nutritional information into the central nervous system. Allow to reduce the severity of pain sensitivity. Preparations normalize microcirculation in the pathological area, which allows improving metabolism, to remove the inflammatory process.
Local anesthetics are a group of substances that cause a temporary loss of tissue sensitivity due to prolapse of nerve impulses. They are used for regional, infiltration, superficial anesthesia in surgical and dental examinations. For joint pain, the following local anesthetics are used:
Anticonvulsants, anticonvulsants are used to irritate nociceptors, stimulate peripheral nerves, which contributes to the development of hyperalgesia. The drugs block the impulse of the central and peripheral neurons. At the forefront of pathology are the following drugs:
Drugs in this category are selected by a physician. They are released by prescription.
Strong anesthetic for pain in the joints is prescribed for osteoarthritis of 3-4 degrees, fractures. For anesthesia, opioids are used.
All pain relievers for joint pain
The huge commercial offer of various means for joint pain does not mean quality treatment. The authors of the site made an attempt to classify existing drugs for the treatment of inflammatory articular changes:
- Non-steroidal anti-inflammatory drugs;
About the NSAIDs described above, but we will arrange the drugs according to the degree of decrease in anti-inflammatory effect:
- Ketanov( ketorolac, ketalgin;
Graduation according to the degree of extinction of anti-inflammatory action:
Selective non-steroidal anti-inflammatory drugs only work in therapeutic dosage.
Coaxibs possess a high degree of selectivity in the blocking of cyclooxygenase-2:
Pharmaceutical studies have shown that the use of agents has little effect on the gastrointestinal tract, which excludes a side effect on the intestines
The classification of NSAIDs can be based on the application point:
- Primary accumulation in peripheral tissues, joints - indomethacin, diclofenac;
- Anti-inflammatorywith a central activity - paracetamol;
- Simultaneous effect on the central nervous system and periphery - arthoxan( tenoxicam).
All sources describe the adverse effects of non-steroidal anti-inflammatory drugs on the gastrointestinal tract, but one can not ignore the toxic effects of non-steroidal anti-inflammatory drugs on the kidneys, liver, and serious allergic reactions. Anesthetic pills from joints with osteoarthritis should be taken throughout life, as the disease causes irreversible violations.
To prevent the negative effect of anti-inflammatory drugs, we recommend that you follow certain important principles:
- Combination of drugs with proton pump inhibitors( omeprazole, omez), H2-histamin blockers, gastroprotectors;
- Use of enteric-soluble forms;
- Parenteral, rectal, topical administration for different purposes. Do not combine different forms of NSAIDs at the same time;Rectal ointments can reduce the general toxic effect. At their reception anesthesia of joints is reached in 20 minutes.
There are 2 forms of diclofenac on the market - rapid, retarded.
Retard( revedin, diclobber) is slowly released, which allows to form a prolonged effect when taken 1 time per day.
The form of rapid( voltaren) provides a therapeutic effect after 15 minutes. It allows you to quickly remove joint and other types of pain.
Analgesic ointments for joints
For joint diseases proposed by WHO, 4 groups of products for external use are presented:
- Preparations based on the hot pepper capsaicin: nicoflex, capsine, balm "golden star", finalgon, capsicum, espal;
- Salicylic acid-based remedies: Ben-gay, Bomb-Benga, Viprosal, Efkamon, Nizavisal;
- Homeopathic ointments for joints;
- Local forms of chondroprotectors.
Studies on the effectiveness of ointments for joints and muscles have not been carried out, and therefore one can not evaluate the rationality of the use of these agents.
Classification of anti-inflammatory ointments:
- Bystrumgel, ketonal gel, fastum gel. They are made on the basis of ketoprofen. Effective analgesia is recommended for the action of these drugs;
- Gel pre-lobene based on dimethylsulfoxide;
- Dolgit, a religion using ibuprofen. In addition to anti-inflammatory has warming properties.
Anti-inflammatory drugs are used on the basis of snake and bee venom.
Warming and vasodilating ointments for joint pain
List of warming ointments for joint pain:
Joint pain medication: tablets and topical preparations( + reviews)
- 1.3 "Chondroxide"
Joint pain can occur onfor various reasons - as a result of injuries, and because of certain diseases. It is not always joint pains associated with arthritis or arthrosis - they can cause a variety of diseases, from infectious and cold to endocrine. Therefore, if joint pain occurs regularly or is prolonged, it is necessary to undergo a medical examination in order to establish its cause.
Pain in joints is removed most often not by analgesics, but by non-steroidal anti-inflammatory drugs. Such drugs can not be taken for long, they can have serious side effects. For this reason, a specialist should select a specific course of treatment. We list the most effective drugs for relieving joint pains - in case you need to restore normal health quickly.
A powerful anesthetic drug that is used for emergency relief of acute pain. It is available in the form of tablets and injectable solutions.
The anti-inflammatory effect is very weak. Take "Ketorolac" for a long time can not be - the drug is dangerous for the liver and kidneys. When using the drug, there may be side effects from the CNS."Ketorolac" is not prescribed for children under 16 years of age, pregnant and lactating women, patients with bronchospasm, exacerbations of gastric ulcer, with kidney failure.
Price from 130 руб.
The main advantage of the drug is good tolerability. It belongs to the group of NSAIDs, it has anti-inflammatory, antipyretic, analgesic effect."Ibuprofen" is used to relieve joint pain in rheumatoid, articular diseases. One of the oldest and at the same time the most effective drugs in his group.Read more Osteophytics of the knee joint
Ibuprofen has a number of contraindications, including peptic ulcer and duodenal ulcer, gastric bleeding, kidney failure, increased intracranial pressure. The drug is not prescribed to pregnant women in the third trimester. In childhood, the application is possible, starting from 3 months( as a suspension).The drug may cause side effects. The doctor must make the decision about the appointment, as well as the dosage.
Price from 17 руб.
One of the most famous cures for joint pain. Produced in the form of tablets, ointments, solutions for injection. Has a pronounced anti-inflammatory and analgesic effect. The dosage of the drug depends on the form of release, as well as the patient's condition. Defined by a doctor.
"Diclofenac" is not prescribed for peptic ulcer or stomach ulcer, in the third trimester of pregnancy, in cases when the patient's history had attacks of bronchial asthma, urticaria, allergies associated with the use of NSAIDs. During lactemia and pregnancy, "Diclofenac" is prescribed only if the intended benefit of taking it is higher than the risk to the health of the mother and child. Children "Diclofenac" is prescribed only at an older age( with a body weight of more than 25 kg).
Price from 25 rubles.
"Movalis" is available as a solution for intramuscular injection, referred to as NSAIDs. Provides rapid relief of pain and inflammation. The main active ingredient is meloxicam. This substance is fully absorbed, it is safe for the gastric mucosa. It can be used for the removal of joint pain for a long time( under mandatory medical supervision).The dosage of "Movalis" is determined individually, in accordance with the patient's condition.
The drug is not prescribed for pregnancy and lactation, and for children under the age of 18 years. Contraindications are exacerbation of peptic ulcer of the stomach or intestines, cardiac, renal, hepatic insufficiency, a number of other diseases. In the elderly, for smokers, alcohol users, the treatment "Movalis" is carried out with caution.
Price from 600 руб.
Indomethacin is one of the most potent anti-inflammatory drugs. The analgesic effect is also at a high level.
The medicine is available in the form of tablets, ointments, gel, candles. The drug has many contraindications, as well as side effects. Nevertheless, its effectiveness justifies its application. In addition, "Indomethacin" - one of the most affordable drugs for joint pain. The use of "Indomethacin" during lactation, pregnancy, and also in childhood is prohibited.
Price from 13 руб.
Local means for joint pain
The above listed systemic tools for pain in the joints - drugs that act in a complex way, affecting the entire body. As a rule, they are used to relieve pain caused by diseases of the joints. Equally effective in anesthesia may be local drugs. They act directly on the affected area and, as a rule, give a faster effect.
The drug is available as a clear gel, designed for topical application. For optimal effect, it is recommended to rub Fastum Gel into the affected area 1-2 times a day. The agent quickly relieves pain, additionally having an anti-inflammatory effect at the local level."Fastum Gel" is not used in the third trimester of pregnancy, with lactation, as well as for the treatment of joint pain in children younger than 12 years. The area to be applied to the gel should not have abrasions, wounds, inflammation, dermatosis, etc. After applying the gel, it is recommended to wash hands, the product should not get on open wounds, mucous membranes, eyes, etc.
Price from 300 руб.
Camphor alcohol with joint pain is used for grinding. It has an anesthetic, antimicrobial, anti-inflammatory, warming effect. Repeat grinding with camphor alcohol recommended 1-2 times a day. Do not do such rubbing during pregnancy and lactation. In childhood, use is possible( with caution).
Price from 10 rubles.
"Chondroxide" is available in the form of gel and ointment. The drug has anti-inflammatory, analgesic effect, accelerates the regeneration of cartilaginous tissue. The latter provides its increased effectiveness in joint pain associated with trauma."Chondroxide" is applied and rubbed into the affected area 2-3 times a day. The course of treatment is about 2-3 weeks. In pregnancy and lactation, as well as in childhood, the drug is used with caution, under the supervision of a doctor. It is not recommended to use "Chondroxide" on injured, having abrasions, inflammation, dermatoses skin areas.
Anesthetic ointments: with a warming or cooling effect, list.
Anesthetic ointments contain analgesics with pronounced analgesic effect. During the application of these drugs, a person feels the influx of heat to the affected area and the slow loss of pain. An increase in the intensity of blood flow in the aching area minimizes the development of pathological conditions.
Anesthetics and anti-inflammatory drugs have an effective effect in neuralgia, back pain, knee joints, rheumatism, etc. These drugs should be applied in small dosages in order to avoid the occurrence of side effects.
Types of ointments with analgesic effect
Anesthetics are effective for preventive purposes and in the treatment of various injuries and diseases, they are usually divided into warming and cooling.
Fresh trauma, bruising or stretching of tissues should be cooled. To apply a warming ointment to a sore spot at this moment is impossible, because it can negatively affect the recovery process: lead to hyperemia and increased heat exchange due to the constituents of capsaicin and methyl salicylate contained in bees, snake venom and hot pepper. Very often ointments can be found in ointments, but all because it increases the permeability of the capillaries.
Warm up ointment is used during rehabilitation, it helps to remove swelling, cope with pain and bruises, and also creates optimal conditions for fast healing of the diseased area. Warmers are successfully used in the treatment of diseases such as rheumatism, bursitis, neuritis, bronchitis, etc. In addition, they are effective for chronic ailments.
No less effective are warming ointments used to prevent injuries, prevent pain in the joints and lower back, while warming up the muscles before serious and intense loads on the musculoskeletal system. It is useful to rub warming aids and conduct a good workout before outdoor activities in cool weather, this avoids possible injuries.
Since the composition of such drugs include irritant substances like capsaicin, before use, you should read the instructions for use in order to avoid the occurrence of allergic reactions. Before applying the product, a novelty, it must be tested on a small area of the skin, for example, at the elbow bend or in the popliteal zone.
With the acute injury just obtained, it is recommended to use a gel with a cooling effect, it will help to remove inflammation, will numb the damaged area, reduce the bruise and hematoma, improve blood flow and promote tissue regeneration. Many of these drugs have anti-inflammatory effect. When applying gel to the affected area, a feeling of cold is created, while the temperature of the skin does not change. These agents contain active ingredients such as alcohol, menthol, essential oils, heparin and other substances by which analgesia is achieved.
A small amount of cooling gel is applied to the damaged area. You can not rub it, so as not to provoke flushing. It is better to allow the means to absorb itself. For this reason, cooling agents are often produced in the form of a gel, because due to its structure, it penetrates better into the skin and releases active substances faster.
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