Posted by admin | Posted in Back Pain Relief, Back Pain Treatment | Posted on 30-04-2009
Tags: Acetaminophen, alternative treatments, Medication For Back Pain, Non-Steroidal Anti-Inflammatory Drugs, Treatment of back Pain
You tried all home remedies and alternative treatments for your back pain and still the pain persists? Stop worrying. Modern medicine has many solutions to relieve this annoying pain. Medical stores offer quite a variety of non-prescription and prescription drugs to treat pain.
However, most of these drugs should not be taken without an authentic prescription and information. It would be prudent for you to know your pain as well as your medicine before popping those pills. Pain is a complex symptom resulting from an underlying pathological process that’s affecting your back. Identification of the causative disorder and selection of the relevant drug is the key to alleviate pain without experiencing significant side effects.
Several classes of commonly prescribed drugs for the treatment of back pain are:
Acetaminophen – Acetaminophen (Tylenol®) belongs to drugs that are classified as para-aminophenol derivatives. It acts as an analgesic. The accepted oral dosage is 325 to 1000-mg every six hours, with a minimum gap of 4 hrs within 24-hours. The usage must not exceed 4000-mg in a day. It is generally available as over the counter medication and is relatively inexpensive. While effective against mild to moderate pain in some acute back pain situations, it fails to extend desirable effects against inflammation, muscle spasm or sleep disturbance.
Non-Steroidal Anti-Inflammatory Drugs - NSAIDs serve as anti-inflammatory and analgesic agents. Some common NSAIDs are Aspirin, Salsalate, Diflunisal, Ibuprofen, Indomethacin, Meclofenamate, Piroxicam etc. The dosage and cost of each NSAID varies significantly by its chemical family and agent. Side effects include central nervous system indicated drowsiness, dizziness, and confusion.
Muscle Relaxants - Muscle relaxants are a group of different drugs in which each of the drugs has an overall sedative effect on the body. Contrary to the name, they act centrally in the brain, thereby relaxing the whole body. These are generally prescribed in the early stages of pain to break the pain-spasm-pain vicious circle. Carisoprodol (Soma), Diazepam (Valium), Cyclobenzaprine (Flexeril) are common muscle relaxants. Sedation is the most common side effect.
Opioids- Opioids, such as morphine, oxycodone, oxymorphone and fentanyl, are potent analgesics. These alleviate pain by binding with specific opioid receptors in the central nervous system and in other tissues. Nausea, sleeplessness, constipation, etc. remain some side effects of these drugs. When prescribed, opioids should be used on a defined dosing schedule and not on a p.r.n. (as needed) basis.
Corticosteroids – Corticosteriods demonstrate anti-inflammatory and immunosuppressive effects. Back pain from conditions such as herniated discs is usually treated with corticosteroids. The medication is generally injected in the acute phase of pain.
Colchicine - Colchicine is a toxic natural product that’s originally extracted from plants of the genus colchicum. It is reputed as one of the most powerful anti-inflammatory drug known. FDA has banned injectible form of colchicines due to reported fatalities. The approved versions of colchicine are tablets that also contain the active ingredient probenecid. There are no approved products that contain only colchicine as an active ingredient.
Anti-depressants – Tricyclic and tetra cyclic anti depressants are used to treat chronic and non-specific back pain. Their use as analgesics is often debated. While anti-depressants have been demonstrated as useful adjuncts in the treatment of pain, their analgesic mechanism remains unclear.
