Review of modern ointments for pain in joints: truth and fiction
Ointments for joint pain came to us from ancient times. In archaeological excavations in human skeletons, attributed to the V century BC, signs of joint disease were found. The first written evidence of problems with the musculoskeletal system is dated to the 2nd century BC.It is obvious that in the modern understanding the pharmaceutical industry did not exist.
Managed with an articular ailment in ancient times, people only with the help of external means. Healers, healers, shamans tried to treat pain in joints with the help of bloodletting, moxibustion with burning iron, and also used various means of natural origin, both vegetable and mineral: infusions, decoctions, lotions, compresses, rubbers and ointments. Widely used beekeeping products: bee venom and propolis, snake venom, as well as tinctures, decoctions and ointments from the bark of willow or willow, in which there are salicylates - substances with pronounced anti-inflammatory effect, progenitors of aspirin and other drugs of the NSAID group( nonsteroidal anti-inflammatory drugs).
Modern range of ointments for joint pains
Of all the means and methods, modern pharmacists have adopted a greater degree of ointment. Probably, in view of their high profitability, today their production is put on a broad base. A person without a medical or pharmaceutical education is quite difficult to navigate in this diversity, to assess the benefits or harms of certain drugs, especially in the future. Moreover, manufacturers often do not stint on advertising.
Currently in the current pharmaceutical classification( proposed by WHO and accepted in Russia) there are 4 subgroups of agents for external use in diseases of the musculoskeletal system:
- Means based on NSAID preparations: ibuprofen, diclofenac, ketoprofen, ibuprofen, etc. Examples of such ointments: Naise, Ketonal, Indometoksinovaya, Finalagel and others.
- Preparations of pepper based on capsaicin( a substance contained in pepper and responsible for the "burning" effect) and its derivatives: Capsin, Nikofleks, balm Golden Star( also Zvezdochka), Espol, Kapsikam, Finalgon, etc.
- Drugs based on salicylic acid and its derivatives: Bom-Benge, Ben-Gay, Viprosal, Efkamon, Nizvysal, etc.
- Other drugs, which include such a well-known drug as Dimexide, as well as a number of combined and homeopathic remedies.
Also in this classification, external agents for joint pain can be found in the group "Other medications for the treatment of the musculoskeletal system."It includes fashionable in our time chondroprotectors - drugs that protect and repair cartilage, including ointments based on them. The main active substances in them are mainly two components: chondroitin sulfate and glucosaminoglycans, including.hyaluronic acid.
Learn more about chondroprotective drugs.
With the current abundance of various products, creams, gels - it is sometimes very difficult to understand the nonspecialist
NSAIDs and chondroprotectors: more expensive does not mean better
The most expensive and actively advertised today are ointments based on non-steroidal anti-inflammatory drugs and chondroprotectors. At the same time it is these drugs that cause the most disputes and doubts about their effectiveness. The fact is that their active substances( especially the hornroprotektorov) have fairly large molecules, which in fact can not penetrate through the skin cells into the deeper layers of tissues. For example, with external application of the drug "Diclofenac" directly to the knee joint penetrates no more than 5-7% of the active substance.
To date, in fact, there are no large-scale studies of local therapy with these drugs, which could reliably confirm their effectiveness. And those studies that are conducted - do not meet the modern principles of evidence-based medicine, and therefore can not be accepted.
Novartis( the manufacturer of the Voltaren emulsifier) has published the results of one of the latest studies in this field in support of the effectiveness of the drug. According to the presented data, the effectiveness of the Voltaren emulsifier was comparable to that of the Ibuprofen tablets with less side effects. In the testing there were 2 control groups: taking the drug Ibuprofen inwards and using locally the drug Diclofenac. However, in this study there was no control group that would use vaseline, lanolin or another inert ointment base for local therapy as an ointment.
It is possible that in this group the effect would be equivalent to the effect among patients using external agents with NSAIDs. The fact is that at certain stages of the disease, the process of rubbing itself has a positive effect on joints, during which local blood circulation improves and reflex muscle spasm is eliminated - and this can indeed give a noticeable effect in a number of cases( including when there are no signs of acute inflammation).
In addition, manufacturers sometimes go for a trick. For example, in the popular ointment "Hondroksid" included dimethylsulfoxide( dimexide), which in itself has a pronounced anti-inflammatory and local anesthetic effect, but costs several times cheaper.
Means for external application on the basis of NSAIDs can be very effective in the development of synovitis( inflammation of the lining of the joint), becauseit is located closer to the surface of the skin than the bones or cartilages. Therefore, the active substance can penetrate into it more likely.
To penetrate active substances deep into the tissue helps ultrasound. Therefore, agents for external use with glucocorticoid hormones( which are close to NSAIDs by the mechanism of anti-inflammatory action) and ointments with NSAIDs are actively used in ultrasound physiotherapy. The process of introducing drugs into the body with the help of ultrasonic waves is called phonophoresis. Unlike simple "smearing", this procedure gives a pronounced effect with minimal adverse reactions( in the absence of contraindications).
Pepper and salicylic acid: cheap and angry
Topical products with pepper preparations, its derivatives and salicylic acid derivatives are simple and affordable, which at some stages of the disease give excellent effect, eliminating pain and inflammation in the joint region. They have local anesthetic and irritating effects. Most ointments have a combined composition and contain anti-inflammatory, analgesic and topical irritants simultaneously. In addition to pepper derivatives, bee and snake venoms, camphor, turpentine, essential oils of eucalyptus, peppermint, clove-tree and their synthetic analogues are widely used as ingredients.
Why are these drugs so effective?
They warm, dilate the blood vessels, cause the outflow of blood from the inflammation focus, reduce swelling, restore blood circulation - thereby contribute to the abating of the inflammatory process and help to relieve muscle spasm around the affected joint.
In addition to the above mechanisms, the so-called "Ukhtomsky dominant principle" plays an important role. During the illness, a focus of pain arises in the cerebral cortex, which closes all the "attention" of the higher nervous activity, and thus aggravates the symptoms, closing the vicious circle and hindering recovery. For effective therapy, it is important to switch attention, so warming and locally irritating procedures are also called distractions. Sometimes they are enough to take the path of recovery.
Nikoflex and popular balm Gold star - capsicum preparations based on capsaicin
Effective folk recipes
Some patients prefer not to spend money on branded packaging and name, but to prepare warming ointments independently on grandmother's recipes. They often contain mustard, red pepper, turpentine, propolis, needles, eucalyptus or clove oil.
Here is one of the simplest and most effective recipes: mix the ground red pepper with the inside( pig) fat or smaltz( smalets are grease that is made from fat, it can be replaced with lanolin or petroleum jelly) in the ratio 1: 2( to 1 spoon of red pepper add2 tablespoons of fat).With pains, rub a small amount of the drug into the joint area.
There are several variants of the popular ointment recipe for camphor, mustard and egg whites:
- Take 50 g of mustard powder and 50 ml of camphor oil, dilute in 100 g of ethyl alcohol, add three egg whites to the solution.
- In another version, 50 ml of camphor alcohol should be added to 50 g of mustard, and then mixed with three egg whites( ethyl alcohol is not required).
These agents should be used with caution, as they can cause local and general allergic reactions, and other complications.
Important information about the treatment with
ointments No medications, including for external use, can be used without examination and consultation of a doctor, as it is possible to miss a serious illness or a dangerous complication. Before using even medications that are harmless in your opinion, consult with your doctor.
Local treatment with ointments has contraindications. Among them may be:
- suspected purulent or specific infectious processes;
- marked inflammatory changes in the joint region;
- accumulation of a large amount of fluid in the joint cavity;
- general severe condition of the patient;
- heart attacks, strokes and other severe diseases.
If after applying the ointment there is a burning sensation - it can not be tolerated, since local allergic reactions may occur. However, do not try to wash off the ointment with water: the substances contained in it, as a rule, do not dissolve in water, but dissolve well in fats, so irritated locally should be wiped with a cotton swab with vegetable oil.
People with sensitive skin and nervous system( emotional) better mix "burning" ointments before use with vegetable oil, petroleum jelly or lanolin before use.
Do not take ointment as a panacea for all ailments or a magic wand. Treatment should be comprehensive and aimed at eliminating the causes and mechanisms of the disease.
It is important to pay attention not only to the name of the facility, but also to its composition. Often ointments with the same composition are produced by different manufacturers under different names and sometimes have an unjustified difference in price.
Ointment for joint pain: choose the right
Ointment for pain in the joints is rightfully considered the most popular and very effective means of local, that is, external influence on the pain syndrome.
Today, the assortment of such drugs is extremely extensive, so their choice should be approached with an understanding of the causes of existing pathologies: what ointment from pain in the knee joint to use when injuring it, and what ointment from shoulder pain to use, say, inflammatory changes in its synovial membranes(chronic osteoarthritis), bursitis or traumatic arthritis.
To assess the merits of all the medicines of this pharmacological group within the framework of one review is rather difficult, so we will concentrate on what names of ointments for pain in the joints are most often voiced by doctors recommending these drugs to their patients and why.
Indications for the use of ointments for joint pain
The main indications for the use of ointments for joint pain include a wide range of musculoskeletal and musculoskeletal diseases of various etiologies: traumatic, inflammatory or associated with metabolic disorders affecting the joints.
Depending on the principle of therapeutic effect, anti-inflammatory ointments and local irritants are distinguished. Anti-inflammatory ointment for pain in the joints is used for such diseases as rheumatoid arthritis, deforming arthrosis, spondylitis, osteochondrosis, osteoarthritis and osteoarthritis;with radiculitis and inflammation surrounding the joints of soft tissues( bursitis, tendovaginitis).Anti-pain agents of local action are also recommended for joint and muscle injuries, peripheral nerve lesions( neuralgia) and myalgia( muscle pain).
Ointments for joint pain are included in the complex systemic therapy of arthralgic syndrome, which accompanies certain infectious, endocrine, neurological and autoimmune diseases.
In many cases it is most advisable to use non-steroidal anti-inflammatory drugs( NSAIDs), which not only relieve pain in the joints, but also affect the inflammatory process that causes them. The form of release of these drugs - ointments, gels or creams in tubes. These include Diclofenac( Diklak-gel, Voltaren, etc.), Ibuprofen( Deep Relief, etc.), Ketonal( Fastum gel, etc.), Piroxicam( Finalagel), etc.
To get rid of the pain that has arisen due to a bruise,dislocation or stretching, ointments of locally irritating action may be used: Bengin( Bom-Benge), Vipralgon( Viprosal, Alvipsal, etc.), Gavkamen( Efkamon), Kapsikam( Espol, Finalgon).
Farmakodinamika ointments for pain in joints
The main mechanism of anti-inflammatory and analgesic action of Diclofenac( other trade names - Diklak-gel, Diclofenacol, Diclouran, Voltaren emulgel, Orthofen, Ortoflex) triggers the active substance diclofenac( sodium salt phenylacetic acid).It slows down the process of biosynthesis of local mediators of prostaglandins, which, at the site of damage to cell membranes during inflammation, provide the body's response - somatic pain.
Active ointment agent for pain in joints Ibuprofen( other trade names - Dip Reilif, Dolgit, Ibalgin, Ibutop) is a non-steroidal anti-inflammatory drug ibuprofen. In the ointment Piroksikam( synonyms Piroksikam-Verte, Finalagel) the main component - piroxicam. And the Ketonal drug( synonyms: Valusal, Fastum gel, Ketonal Forte, Bystrumgel, Ultrafastin) is an active substance derived from propionic acid ketoprofen, also belonging to the group of non-steroidal anti-inflammatory drugs. The pharmacodynamics of all these ointments is similar to Diclofenac: they are inhibitors of prostaglandins.
Ointments for pain in the joints that are locally irritating, pharmacological action provide:
- Bengin( Bom-Benge) - menthol and methyl salicylate;
- Vipralgon( generics: Viprosal, Viprapin, Viprobel, Nizvysal, Alvipsal, etc.) - poison of gyurzy, camphor, acid salicylic and turpentine;
- Gavkamen( Flukoldeks, Efkamon) - clove oil, camphor, menthol, eucalyptus oil;
- Apizarthron( analogues - Apifor, Ungapiven, Forapin) - bee venom, methyl salicylate;
- Capsicam( analogues - Finalgon, Betalgon, Espol) - extract of bitter capsicum capsaicin.
The active substances of these drugs act reflexively, exciting the nerve endings of the skin receptors. As a result, the vessels expand, blood circulation at the site of inflammation or trauma increases( as evidenced by reddening of the skin), oxygen flow into the tissue increases. Due to this, the production of biogenic amines multiplies, which reduce pain sensitivity. A analgesic effect of capsaicin is explained by its powerful inhibitory effect on the neuropeptide, which transmits signals from the peripheral nerve endings to the brain.
The pharmacokinetics of ointments for joint pain
Given the external way of using all gels, creams and ointments for joint pain, the level of absorption of their active ingredients is insignificant. Thus, for ointments based on NSAIDs( diclofenac, ibuprofen, ketoprofen, etc.), it does not exceed 6%, and the association with proteins is almost 100%.When these preparations are applied to the area of the affected joint, the main amount of active substances is concentrated in the synovial fluid that fills the joint cavity. And what is trapped in the plasma is excreted through the kidneys. Information on the metabolism of most irritating ointments, according to their official instructions, is missing. At best, it can be indicated that the drug does not have a systemic effect.
Contraindications to the use of ointments for joint pain
Among the contraindications to the use of Diclofenac and its analogs is the presence in the anamnesis of patients with bronchospasm, allergic rhinitis or skin reactions after using any non-steroidal anti-inflammatory drug or aspirin. With gastric ulcer, liver and kidney dysfunction, chronic heart failure and bronchial asthma, Diclofenac and all other ointments with NSAIDs are administered with caution. Children under 6 years( and Finalgel - children under 14 years), these ointments do not apply.
Absolute contraindications to the use of irritating ointments are hypersensitivity to their components and the presence of open wounds, dermatoses or even minor skin lesions at the site of application of the drug.
The use of ointments for pain in joints during pregnancy is not recommended in most cases, as there is a lack of convincing clinical experience of their application in this situation. Ointment Diclofenac and its analogs during the third trimester of pregnancy and during lactation are not applied, and in the first two trimesters should be used with caution. Fastum gel can be used during pregnancy solely on the prescription of the treating doctor. And ointments, which contain ketoprofen, as well as bee or snake venom, are forbidden for pregnant and lactating women.
Side effects of ointments for joint pain
The use of ointments for joint pain on the basis of all of the above non-steroidal anti-inflammatory drugs may be accompanied by unwanted side effects such as itchy skin or burning, redness or rashes. It is possible that systemic side effects may occur: nausea, vomiting, headache, dizziness, edema, increased blood pressure and abnormalities of the gastrointestinal tract.
The use of Efkamon, Gavkamen or Flukoldeks, and also ointments based on snake or bee venom quite often causes allergic skin reactions at the place of their application.
Way of administration and dose
All ointments for joint pain have one way of use - cutaneous. Ointments and gels based on diclofenac are rubbed into the skin over a painful place three times a day - 2-4 g of the preparation at a time. Single dose, prescribed to children 6-12 years, is 1.5-2 g( applied twice a day).
Gel Piroxicam( Finalagel) should be applied to the affected area, squeezing out a column of the drug no longer than 1 cm and rinsing it in a thin layer - three times during the day. Ointment Finalgon should be applied to the skin, rubbing the ointment with the applied applicator, 5 mm at a time - not more than three times a day. To increase the therapeutic effect, the place of application of the drug is recommended to be wrapped.
Ointments with camphor and turpentine rub 5-10 g once in 24 hours( with intense pain - twice a day).The duration of therapy is no more than 10 days. The same way of using and dosing for ointments based on poisons.
Since the external absorption of ointments, creams and gels systemic absorption of their active components is minimal, an overdose of these medicines is considered impossible. Although Finalhelgel producers warn: when the dosage of the drug was significantly exceeded, in rare cases, headache, nausea, gastrointestinal disorders, and in isolated cases - functional renal failure were recorded.
Interactions of ointments from joint pain with other
medications Diclofenac and other NSAIDs can enhance the effect of drugs that cause hypersensitivity to ultraviolet radiation( sulfonamides, antibiotics, antifungal agents).Interactions with other drugs in clinical practice were not observed.
Ointment Ibuprofen( and its generics) reduces the effectiveness of diuretics( furosemide and hypothiazide) and some drugs to reduce blood pressure. And with the simultaneous administration of oral glucocorticoids, there is a danger of gastrointestinal bleeding.
Conditions for storing ointments for pain in joints
Optimum storage conditions for almost all ointments for joint pain presented in this review is a temperature not higher than + 25 ° С.Preparations based on diclofenac should be stored at a temperature not higher than + 15 ° C.The shelf-life of medicinal products is indicated on their packaging.
Effective warming and anesthetizing ointments in the treatment of osteochondrosis
After thirty years, many begin to get back ache, sometimes it makes itself felt only after a considerable load, and quite often after sleeping in an uncomfortable pose shoots the neck. All this is a manifestation of osteochondrosis, that is, the pathology of the cartilaginous tissue of the spine, accompanied by the destruction of the intervertebral cartilage. And, of course, we are lazy to do warm-ups in the mornings and strengthen the muscles of the back, that would somehow prevent such a rapid process of aging. It is much easier to anoint the sore spot with ointment. Everything passed, and we all forgot until the next time.
Classification of ointments used for osteochondrosis
Anti-inflammatory ointmentsThese ointments usually contain preparations of the NSAID group( non-steroidal anti-inflammatory drugs).They stop pain and have a pronounced anti-inflammatory effect. Anesthesia with the use of ointment from this group is associated with the suppression of the inflammatory process and the elimination of the phenomena of edema. Nonsteroidal anti-inflammatory drugs reduce stiffness of muscles and restore mobility in the joints. This group includes such drugs as Ibuprofen Ointment, Voltaren Emulgel, Nurofen Ointment, Ketonal, Indomethacin Ointment and others.
Ointments of complex action
Ointments of this group have not only analgesic, but also anti-inflammatory, regenerating, antimicrobial, and antithrombotic effects. This includes such ointments as Dolobien and Fitobene. The therapeutic effect of these ointments is achieved by the rapid penetration of active substances into the tissues through the skin, while thrombi in the subcutaneous capillaries dissolve and microcirculation improves. Thanks to this, the cartilaginous tissue quickly regenerates. Inflammatory processes regress, the pain syndrome is fixed, and mobility in the joints is restored.
Heating and analgesic ointmentsSuch ointments in osteochondrosis improve local blood circulation and stimulate trophic and metabolic processes in tissues. Due to their warming effect, they relieve spasm from strained back muscles. After application of warming ointments, redness of the skin appears, local temperature increases and metabolism in the affected areas becomes more active.
With the expressed therapeutic effect such ointments are applied at a cervical osteochondrosis. Already after the first application the pain is significantly reduced, and active movements are restored, to enhance the effect, a warm scarf is wound around the neck.
Because of the pronounced tonic effect on the nervous system, ointments of this series are prescribed only in the afternoon. If the disease worsens, rub it heavily with ointment, apply a thin layer on the affected area. In the stage of remission of osteochondrosis, these ointments can be used for preventive purposes in massage.
The ointments of this group include Finalgon, Turpentine Ointment, Capsicum, Nicoflux.
Chondroprotective ointments and gels for osteochondrosisThese ointments have an analgesic effect indirectly, by eliminating inflammation and stimulating the regeneration of cartilage tissue. Thanks to the substances that make up the ointments of this group, the normal structure of the connective tissue is restored. Chondroprotectors, in addition to all described, also stimulate the synthesis of articular fluid, which also contributes to reducing pain in the joints. They bind calcium and accelerate, thus, the restoration of bone tissue, participate in the restoration of the smooth surface of the joints and articular bags. The use of chondroprotectors significantly slows the development of osteochondrosis. The ointments of this group are Chondroxide, Chondroitin and Chondroart.
These ointments are made on the basis of plant and mineral components and have an analgesic, anti-inflammatory and regenerative effect. They practically do not cause side effects. It is necessary to apply these ointments carefully, as there is a high probability of development of allergic reactions. Homeopathic ointments are presented on pharmacy counters in a wide range. This is the purpose of T, and Traumeel C, and the Liver, and Sabelnik and preparations containing bee and snake venom.
What ointment to treat osteochondrosis, you should advise the doctor. The ointment is selected taking into account the side effect and the severity of the symptoms in the patient. Whether this or that drug will work effectively in each case, it is difficult to foresee, therefore the best ointment for osteochondrosis is the one that suited you.
The modern person performs throughout the day a lot of different actions.
Most of them can cause pain in various parts of the body. To reduce its impact on the human body, it is necessary to use special medications to calm the source. An anesthetic ointment for joints, anti-inflammatory, for muscles, from bruises, during pregnancy and even when applying tattoos can fully reduce sensitivity. Similar drugs can be found in pharmacies of any locality.
Ointment for pain relief in joints
Skin protects the human body from certain external environmental factors. Sometimes there is a need to reduce the effect of this protection. This process is typical when applying creams or gels to the skin. That is why the skin is considered a serious barrier to the absorption of components of various ointments. Modern medicine offers an excellent solution. Thanks to the scientific works of many laboratories around the world, samples were created that are able, thanks to effective components, to penetrate the body through the skin without unnecessary interference.
One of the most common substances that are used in medicine is glucosamine
One of the most common substances that are used in medicine is glucosamine. Anesthetic anti-inflammatory ointment must have this component for the most effective treatment. Thanks to him, interaction with joints and allocation of a special fluid that is characteristic of a healthy organism is realized. Analgesic ointments for muscles also contain a similar element. In the natural environment, it can be found in the muscle tissues themselves. Along with anesthesia, glucosamine has a healing effect, like collagen. The latter component is also often found in similar products.
How does an anesthetic ointment work on a joint?
Anesthetic ointment for joints and muscles implies the presence of specific components that can be conditionally divided into two categories:
- Self-blocking sensory transmission from the receptors to the brain.
- Blocking pain in the source of its appearance, by stopping the production of prostaglandins.
Prostaglandins are substances that help transmit nerve impulses.
Anesthetic ointments and joint gels have special components in their composition. With their help, there is a deep penetration under the skin to the very epicenter of pain. These drugs are used by doctors immediately after getting a joint injury. A feature of the process is the cooling of the site. Although this process is happening, it will not be possible to lower the body temperature. Provides the appearance of a feeling of cool mint or menthol, which is part of the drug. In addition to natural substances, the analgesic, special oil, coagulant or specific alcohol additives also provide a cool.
Although most drugs have a special name, people are often confused, asking what kind of ointments painkillers are. The answer to this question is those products that are prescribed directly in the event of injury. That is why it is so important to respond quickly to joint damage by contacting a doctor. The specialist will tell you about the methods of applying the ointment, describe the amount of applied layer, the conditions for using different types of gels in various injuries or diseases.
Anesthetic ointments and joint gels have in their composition special components of
Also, do not forget that most ointments that have the effect of anesthesia imply the presence and contraindications. Anesthetizing ointments during pregnancy is best not to use. Prohibited and use in disorders of the liver, kidneys, eye diseases.
Often anesthetic ointments are used for neuralgia. This is one of the most effective, according to professionals, means. With the help of such a drug, you can achieve certain successes in treatment, relieve the patient of unpleasant symptoms, normalize the general state of the human body. Most of the modern drugs are aimed at:
- relaxation of excessively tight muscles;
- giving elasticity to bundles, as well as strengthening them;
- warming during inflammatory processes;
- reducing the occurrence of pain.
Which ointment anesthetizes? Almost any of the existing ones on sale. The only difference is their effect. Thanks to the above positive actions, each mixture acquired in the pharmacy will reduce not only pain or inflammation, but also speed up the healing process of the disease. In some cases, the ointment is used as a distraction. Sometimes, when applying this drug, there is a burning or other effect that makes a person forget about the pain in the problem area. The first sign of the beginning of the action of the selected drug is the appearance of a feeling of warming of the problematic part of the body.
An analgesic ointment for the back involves applying to the area of the body with the affected nerve endings. Since the pain manifests itself in almost any place, the ointment is applied exclusively to this site. Here you should immediately contact a specialist. The essence of the examination is that the doctor will determine the type of pain and will write out exactly the gel that is appropriate in a particular case. That's why every patient undergoes individual tests.
If to specify the effectiveness of some drugs, neurologists believe that the best healing properties are ointments that are made with the help of bee or snake venom. These components of completely natural origin have a really effective effect. With the help of them, almost instantaneous reduction of pain syndromes, inhibition of inflammatory processes can be traced, in some cases a distraction factor appears.
If the patient is allergic to poison, a special pharmacological form is developed. For today on sale there are some kinds of the most widespread preparations:
1. Viprosal. This ointment contains quite specific components. Thanks to them, the pain sensation leaves the person immediately after applying the ointment, namely after a maximum of 15 minutes. Active ingredient is the venom of the snake gyurza, as well as a number of essential oils of plants. To obtain the desired result, it is recommended to rub the drug into the problem area of the body with intensive movements. The action begins with a specific tingle, and afterwards the pain recedes.
2. Finalgon. This medication is often in demand among modern buyers and doctors. It is often used in neuralgia. The active ingredient is an artificially produced nonivamide. Its action is the same as that of capsaicin. This element is characterized by specialists as a strong analgesic. Also, a nicotinic acid ester, which is called nicoboxyl, is used. Due to the available active components, the problem area of the body warms up, pain symptoms are removed, circulation of the blood flow is improved. An obligatory condition is the strict observance of the established rules of use, the treating doctor.
3. Apizartron. An ointment from bruising anesthetics allows you to work on the locus of pain locally, reducing it to a minimum. Often appointed by specialists for the treatment of special diseases. The main positive effect is the acceleration of the metabolic process in the body. There is also an improvement in muscle tissue, the saturation of cells with oxygen. The most active substances are considered bee venom, allyl isothiocyanate and methyl salicylate. Ointment not only relieves pain, but also warms the problem area of the body. Apply a small amount of the drug to the damaged area of the body. The first exposure is already noticed after 2 minutes. Rub the preparation quickly and actively into the skin.
4. Myoton. The best analgesic ointment, according to some experts. This opinion is concluded that this preparation contains exclusively plant constituents. Above we described the situation when patients have various allergic reactions to synthetically manufactured drugs, as well as poisons of insects and reptiles. This agent receives high ratings for effectiveness, competing with the best ointments based on the above components. Pain on the body part almost instantaneously. Also, there is an increase in the speed of blood flow, relaxes muscle tissue, gives them the opportunity to warm up.
5. Voltaren emulsifier. This drug contains an active ingredient called diclofenac. Most often this element is used as an anti-inflammatory agent. For the entire amount of ointment placed in the tube, only 1% of this substance is released. It is recommended by specialists to apply on the problem areas of the body of the drug no more than 3 times a day. There is a restriction on the use, which is equal to one course of treatment at half a month.
6. Ketonal Gel. An ingredient called ketoprofen is used. In this preparation, it is concentrated in about 2.5% of the total amount of the mixture. Honor is considered one of the drugs that effectively removes any pain process. This drug works great even if the rest of the medication is not able to stop the pain. Maximum number of uses per day - no more than 2 times. Experts prohibit the use of the gel more than 14 days after the first application.
7. Fastus Gel. Active component is ketoprofen. Every 100 grams of the product contain about 2.2 grams of this substance. Before use, consult a specialist. Doctors also recommend limiting the course of treatment to 14 days from the first use on problem areas of the body.
8. Finalgon. In the composition of the ointment, two active components are used: nicoboxil and nonivamide. To create each gram of the drug, 25 milligrams of nicotoxyl and 4 milligrams of nonivamide were involved. The course of treatment is 10 days. In 24 hours it is allowed to use the ointment no more than 3 times.
9. Gel Deep Relief. As in the previous preparation, here two components of the pain actively acting on the focus are used. The first is ibuprofen, the second is levomenthol. Actively interacting these two components, effectively remove any pain sensations. Also, the ointment is aimed at reducing the amount of fluid in the joints and removing edema, inflammatory processes. Since the ointment contains safer components, the number of applications per day is increased up to 4 times. The compulsory course of treatment does not exceed a period of 10 days.
Gel Deep Relief
10. Cream Dolgit. An anesthetic ointment for the feet involves the use of the active ingredient of ibuprofen. In this preparation, it is concentrated in an amount of 5%.This drug removes puffiness, significantly reduces the amount of pain, allows you to increase the mobility of joints, reduces the likelihood of morning stiffness of the human body. The cream is used up to 4 times a day. The course of treatment does not exceed 1 month.
Emla is a drug for any pain
Emla pain reliever is one of the most common remedies that can be used for a variety of painful manifestations when removing hair. The cost of one tube of products varies in the area of 2,000 Russian rubles and depends on the place of sale. The main active ingredient in this drug is lidocaine. The main condition for use is the absence of the need for rubbing. It is enough to apply a small layer of ointment on the body area and its components will immediately begin to actively interact with the patient's skin. In most cases it is recommended to use a kind of film. With its help, the skin area is covered. This process is necessary to prevent air ingress.
Analgesic emulsion emla
An anesthetic ointment for tattoos is also often this medication. Its effect resembles a potent drug called lidocaine. It is most often used after removal of tattoos.
One tube contains only 5 grams of ointment.
Ointments based on plant components