Joint diseases are a common problem requiring a whole range of therapeutic measures. Often the disease is accompanied by severe pain, so an important role in therapy is played by painkillers - they greatly facilitate a person's condition, allowing him to lead a full-fledged lifestyle. However, when choosing a medicine, one should take into account the peculiarities of its effect on the body.
- Non-narcotic analgesics
- Analgin( Baralgin M)
- Acetylsalicylic acid( Aspirin Atsekardol, Thrombotic ACC)
- Ibuprofen( Mig, Nurofen)
- Paracetamol( Panadol, Strimol, Efferalgan)
- Pentalgin
- Plivalgin
- Spazmalgon( Took, Geomag, Spasgam, Spasmblock)
- Tempalgin
- Non-steroidal anti-inflammatory drugs( NSAIDs)
- Arthron complex
- Dexalgin 25( Flamadix)
- Diclofenac( Voltaren, Dicloberte, Nalclofen, Olfen, Orthofen)
- Ketoprofen(Nemuxil, Nimesil, Nimid, Nemulis, Nemuxil, Nemusel, Nemusel, Nemusel, Nemuxil, Nemusel, Nemusel, Nemuxil, Nemusel, Nemusel, Nemusel, Nemusel, Nimesulide, Nimika, Flolid)
- Narcotic drugs
- Promedol
- Tramadol( Tramaclosydol, Tramal)
Non-narcotic analgesics
The most common means for relieving the pain syndrome. Effective and with minimal damage to the body. Side effects usually occur with prolonged systematic use.
to table of contents ^Analgin( Baralgin M)
Active substance - metamizole sodium. Produced in the form of tablets, capsules, ampoules for injections, suppositories rectal.
Has analgesic, antipyretic and some spasmolytic( for smooth muscles of biliary and urinary tract) actions, has a weak anti-inflammatory effect.
Adults take inside 250-500 milligrams 2-3 times a day, not exceeding 3 grams per day. Dosage for children is calculated according to age and weight and is 5-10 milligrams per kilogram of body weight 2-3 times a day.
Side effects: allergic manifestations, lowering of pressure, disturbance of kidneys, staining of urine in red.
Acetylsalicylic acid( Aspirin, Acecardol, Trombo ACC)
Active substance is acetylsalicylic acid. Produced in the form of tablets, effervescent tablets water-soluble.
Eliminates weakly and mildly expressed pain syndrome, also used as an antipyretic and anti-inflammatory agent.
Dosage is prescribed individually, single dose can be from 40 milligrams to 1 gram and applied up to 6 times a day.
Side effects: dizziness, nausea, vomiting, diarrhea, increased bleeding time, allergic reactions.
Ibuprofen( Mig, Nurofen)
The active ingredient is ibuprofen. Produced in the form of tablets, capsules, effervescent tablets, syrup for children, rectal suppositories, gel for external use.
The drug is able to eliminate severe pain, it also has antipyretic and anti-inflammatory effect.
Adults are prescribed 200 milligrams 3-4 times a day, if necessary, the dose can be increased, but not more than 1200 milligrams per day. Children 6-12 years - 200 milligrams 3-4 times a day, but not more than 1 time in 6 hours.
Side effects: headache, increased pressure, abdominal pain, nausea, vomiting, diarrhea, impaired liver or kidney function, allergic manifestations.
Paracetamol( Panadol, Stremol, Efferalgan)
The active ingredient is paracetamol. Produced in the form of tablets, suspension, syrup for children, suppositories rectal.
Has analgesic, antipyretic and small anti-inflammatory activity, eliminates pain syndrome of average severity.
Adults and adolescents weighing more than 50 kilograms should take 325-500 milligrams to 4 times a day. Dosage for children depends on the age and weight and is from 10 to 250 milligrams 3-4 times a day, but not more often 1 time in 4 hours and not longer than 3 days.
Side effects: dyspepsia, increased bleeding, rashes and itching of the skin.
Pentalgin
Active substances - paracetamol, naproxen, caffeine, drotaverina hydrochloride, pheniramine maleate. The form of release - tablets.
It is intended for elimination of pains of any genesis - in joints, muscles, head and dental, postoperative or associated with spasms of smooth muscles of internal organs. In addition to an anesthetic, it has anti-inflammatory, antispasmodic, antipyretic and psychostimulating effects.
Take 1 tablet 1-3 times a day, the maximum daily dose - 4 tablets.
Side effects: dizziness, anxiety, decreased concentration, increased pressure, arrhythmia, abdominal pain, stool disorders, erosive and ulcerative digestive disorders, allergic reactions.
Plivalgin
Active ingredients - caffeine, codeine, paracetamol, propiphenazone, phenobarbital. The form of release - tablets.
The drug has analgesic, antipyretic, sedative effect, is used for headache, toothache, arthralgia, neuralgia, viral and other infections accompanied by fever.
Take 1-2 tablets 3-4 times a day, but not more than 6 tablets per day.
Side effects: drowsiness, weakness, decreased reaction rate, nausea, vomiting, constipation, with prolonged use - addiction and relaxation of analgesic effect.
Spazmalgon( Braal, Geomag, Spazgan, Spazmoblok)
Active substances - metamizole sodium, pitofenone hydrochloride, fenpiverinium bromide. Produced in tablets.
Is spasmoanalgic, fights with mild and moderate pain, and also has antipyretic, small anti-inflammatory and sedative activity.
Adults and children from 15 years to take 1-2 tablets 2-3 times a day, the maximum daily dose - 6 tablets. Children from 6 years - 0,5-1 tablet 2-3 times a day. It is undesirable to take the drug for more than 5 days.
Side effects: headache, dizziness, pressure drop, dry mouth, burning sensation in the epigastric region, allergic reactions.
Tempalgin
Active substances - metamizole sodium, tempidone. Produced in the form of tablets.Eliminates weak and moderate pain syndrome, has antipyretic, small anti-inflammatory and sedative activities.
Take 1 tablet 2-3 times a day, it is allowed to increase the dose to 6 tablets per day. The course of admission is no longer than 5 days.
Side effects: dry mouth, epigastric pain, jaundice, dizziness, decreased or increased pressure, allergic manifestations.
Non-steroidal anti-inflammatory drugs( NSAIDs)
Possess the maximum effect in the fight against pain caused by inflammatoryprocesses in the joints. They have a negative effect on the state of the organs of the gastrointestinal tract, therefore they are taken in short courses and only after meals.
to contents ^Arthron complex
Active substances - chondroitin sulfate, glucosamine. The form of release - tablets.
Anti-inflammatory and antirheumatic drug that promotes regeneration of cartilaginous tissue, improvement of joint mobility, elimination of pain syndrome in cases of musculoskeletal system disorders.
Take 1 tablet 1-3 times a day, treatment course - up to 3 months.
Side effects: decreased appetite, nausea, abdominal pain, vomiting, flatulence, allergic manifestations on the skin.
Dexalgin 25( Flamadex)
The active ingredient is dexketoprofen trometamol. The form of release - a tablet, a solution for injections.
Refers to anti-inflammatory, analgesic, antipyretic drugs, eliminates pains of light and moderate severity.
Take 1/2 tablet 1-6 times a day at intervals of 4-6 hours or 1 tablet up to 3 times a day no more often every 8 hours.
Side effects: headache, sleep disturbances, palpitations, increased pressure, chills, swelling, heartburn, abdominal pain, allergic manifestations.
Diclofenac( Voltaren, Diclobere, Naklofen, Olfen, Orthofen)
Active ingredient is diclofenac sodium. Produced in the form of tablets, rectal suppositories, ointments, gels, injectable solutions.
An anti-inflammatory, analgesic and antipyretic drug, it relieves a weak or moderate pain syndrome.
Adolescents from 15 years and adults are prescribed 25-50 milligrams( 1-2 tablets) 2-3 times a day. For children from 6 years, the daily dose is not more than 2 milligrams per kilogram of weight and is divided into 2-3 admissions.
Side effects: headache, dizziness, tinnitus, nausea, bloating, diarrhea, gastrointestinal bleeding, allergic reactions.
Ketoprofen( Arthrosilen, Bostrumcaps, Ketonal, Flamax, Flexenc)
The active ingredient is ketoprofen. Produced in the form of tablets, capsules, rectal suppositories, solutions for injection, gel for external use.
In addition to pronounced analgesic, it also has anti-inflammatory and antipyretic activity. Effectively removes pain in arthritis, arthrosis and other injuries of the musculoskeletal system.
Take during meals with a liquid, 50-100 milligrams 2-3 times a day or 200 milligrams 1 time per day.
Side effects: headache, tinnitus, drowsiness, nausea, abdominal pain, constipation or diarrhea, impaired kidney or liver function, erosive and ulcerative digestive disorders, allergic manifestations.
Ketorolac( Dolak, Ketalgin, Ketanov, Ketokam, Ketolong, Ketorol, Ketofril)
Active substance - ketorolac. The form of release - a tablet, a solution for injections.
Has a pronounced analgesic and antipyretic effect, resists moderate and severe pain.
Take 1 tablet( 10 milligrams) every 4 to 6 hours as needed, but it is not advisable to exceed the dose of 4 tablets per day.
Side effects: headache, dizziness, increased pressure, nausea, vomiting, diarrhea, constipation, problems with urination, swelling, allergic reactions.
Xsefokam( Zornika, Larfix)
The active ingredient is lornoxicam. Form release - tablets, powder for the preparation of solution for injection.
Refers to anti-inflammatory and antirheumatic drugs, it helps with pain of various origins.
Take before meals, breaking a daily dose of 8-16 milligrams for 2-3 doses.
Side effects: dizziness, sleep disturbance, agitation, tremor, increased pressure, palpitation, heartburn, nausea, vomiting, diarrhea, swelling, kidney or liver disruption, allergic manifestations.
Meloksikam( Amelotex, Movalis)
The active substance is meloxicam. Form release: tablets, suspension, suppositories rectal, solution for injection.
The drug refers to anti-inflammatory and antirheumatic drugs, and is able to withstand moderate strength pain syndrome.
Take 7.5-15 milligrams 1 time per day with meals.
Side effects: headache, drowsiness, increased pressure, abdominal pain, vomiting, diarrhea, gastrointestinal bleeding, gastritis, stomatitis, allergic reactions.
Nyz( Nemux, Nimesil, Nimid, Nimulid, Nimesulid, Nimika, Flolid)
The active substance is nimesulide. It is produced in tablets, granules for the preparation of suspension.
Designed to eliminate the inflammatory process, relieve pain, and also has antipyretic properties.
Adults prescribe 100-200 milligrams twice a day after meals, the dose for children is set at the rate of 1.5 milligrams per kilogram of weight for reception 2-3 times a day.
Side effects: dizziness, weakness, nervousness, sleep disorders, pressure jumps, nausea, stool disorders, urinary retention, allergic manifestations.
Narcotic drugs
Have a strong analgesic activity and cope with pain of any intensity. The main drawback of the means is the emergence of dependence for prolonged use, as well as psychotropic effects on the body( drowsiness, excitement, euphoria).Therefore, the drugs of this group are prescribed by short courses in especially severe cases, combining with the use of non-narcotic painkillers and NSAIDs.
to contents ^Promedol
The active ingredient is trimepiperidine. The form of release - a tablet, a solution for injections.
Relieves of severe pain.
Take 25-50 milligrams( 1-2 tablets), but not more than 200 milligrams per day. For children older than 2 years, the dosage is calculated depending on the age and body weight and is 0.1-0.5 milligrams per kilogram of body weight. Side effects: dizziness, weakness, disorientation, depression of pressure, dry mouth, nausea, vomiting, constipation, irritation of the digestive system, allergic reactions, with long-term use - the development of dependence, a decrease in efficiency.
Tramadol( Tramaclosydol, Tramal)
The active ingredient is tramadol hydrochloride. Produced in tablets, capsules, drops for oral administration, suppositories rectal, solutions for injection.
Is an opioid narcotic analgesic and is used to eliminate pain syndrome of medium and strong intensity.
Adults and children from 14 years old take 1 tablet( 50 milligrams) 3-6 times a day. With severe pain, a single dose can be 2 tablets, but not more than 8 tablets per day. Under the supervision of a doctor, the use of the drug by children of 1-14 years of age with individual selection of dosage( in general, at the rate of 1-2 milligrams per kilogram of weight) is possible.
Side effects: headache, drowsiness, decreased pressure, nausea, constipation, diarrhea, vomiting, allergic reactions, with prolonged use-dependence.