13 best back pain medications
Back pain is one of the most frequent reasons for leaving for a “sick-list”, and, on average, every tenth adult Russian experiences an attack of acute back pain at least once a year. Usually, acute back pain is localized in the lumbar region, where the largest vertebrae and the thickest intervertebral discs are located. However, such a powerful development of the skeleton and cartilage tissue in this area does not save from the manifestation of pain, since it is this part of the spine that has the greatest load, especially if you take into account a significant number of overweight patients.
Usually, acute pain in the back and lower back is manifested by a “lumbago”, which usually lasts no longer than several minutes, resembles a sharp electric shock, is triggered by coughing, sneezing, straining, any movement and muscle activity, and decreases slightly in the prone position.
The secondary component of acute back pain is muscle reaction, or myofascial pain syndrome. It is based on chronic spasm of blood vessels in the muscles, which contributes to the accumulation of congestion, worsening of the outflow of venous blood from the muscles and their gradual compaction with the development of spasm and pain. There is a vicious circle: deterioration of blood circulation in the muscles increases pain, and pain provokes blood circulation disorders.
In order to break this vicious circle and eliminate the acute back pain emanating from the musculoskeletal system, there are not only various medications, but also non-drug techniques such as massage, warming procedures with no contraindications, manual therapy, physiotherapy, physiotherapy .
This rating includes the most effective and popular modern drugs that are commonly used in the relief of acute back pain. However, many of them have both indications and contraindications, and therefore only a doctor should prescribe them, after, questioning, taking history, examining and performing the necessary laboratory and instrumental methods of research. All information provided in this rating is for reference only and should not be used for self-treatment.
Rating of the best remedies for back pain
| Nomination | a place | Name of product | price |
| Best Backache Injections | 1 | Diclofenac (Diklak, Voltaren, Diklogen) | 59 ₽ |
| 2 | Meloxicam (Movalis, Mirlox, Amelotex, Artrozan) | 485 ₽ | |
| 3 | Mydocalm (tolperisone) | 479 ₽ | |
| 4 | Milgamma (vitamin B6 + B12 + B1 + lidocaine) | 532 ₽ | |
| The best pills for back pain | 1 | Celebrex (Celecoxib) | 449 |
| The best ointment for back pain | 1 | Final | 254 ₽ |
| 2 | Apizartron | 266 ₽ | |
| 3 | Nayatox | 197 ₽ | |
| The best gels and creams for back pain | 1 | Fastum - gel | 240 ₽ |
| 2 | Dolobene | 454 ₽ | |
| 3 | Cream with comfrey | 260 ₽ | |
| The best patches for back pain | 1 | Pepper plaster | 16 ₽ |
| 2 | Versatis (lidocaine plaster) | 570 ₽ |
Best Backache Injections
"Injections" in common parlance usually denote preparations that are sold in ampoules, and are administered in the form of ready-made solutions, most often intramuscularly.In acute back pain, indications for the appointment of a short course of intramuscular administration of drugs usually will be the first two or three days of the most acute back pain, which is associated with the ability to partially serve themselves in everyday life.
Usually, the duration of injections is limited to two to three days, especially in the case of "rough" drugs, and then the patient is transferred to taking tablets with the appointment of non-drug methods of relieving pain syndrome, when the swelling of tissues that compress the nerve formations gradually decreases, and you can use thermal procedures . And the rating of "pricks" begins with a rough, but effective drug, long known in medicine - diclofenk.
Diclofenac (Diklak, Voltaren, Diklogen)
Rating: 4.9
Perhaps it is the most effective and most frequently prescribed drug from the entire group of nonsteroidal anti-inflammatory drugs (NSAIDs). It is available in the form of ointments and gels, in the form of creams and in the form of enteric tablets, in the form of eye drops, in the form of rectal suppositories and injection solutions for intramuscular and intravenous administration. Even there is a spray for external use.
It is usually considered (and rightly) that diclofenac can be quite dangerous with uncontrolled administration, self-treatment, and with prolonged use it can cause aggravation of erosive and ulcerative processes of the stomach and duodenum, and even lead to drug hepatitis. Why is he so popular?
The fact is that the evolution of nonsteroidal anti-inflammatory drugs and the emergence of new generations led to the creation of safer drugs (Movalis), but it has not yet been possible for anyone to create a drug that is not only safer, but more effective. High-quality diclofenac preparations (Diclac, Voltaren) have a strong analgesic and anti-inflammatory effect, and even Ketorolac and other very strong “pure” anesthetic preparations from the NSAID group are even better than the total effect.
In order for Voltaren to show its activity and not cause side effects, it is necessary to apply it deep intramuscularly in acute back pain, in the form of a solution of 3 ml in an ampoule, 2.5% solution, but not more than 2 days in a row, and then proceed on tablet form. Voltaren is produced by Novartis Pharma, Switzerland, and the cost of one package of 5 ampoules starts at 221 rubles.
Advantages and disadvantages
The strength of diclofenac (Voltaren) will be a pronounced activity, a significant decrease in pain, an increase in range of motion, and is associated with this improvement in the quality of life. But at the same time the drug can cause significant side effects, and most often from the gastrointestinal tract. These are abdominal pains, nausea and vomiting, aggravation of gastritis, the formation of erosions and ulcers, and even gastrointestinal bleeding. Therefore, in clinical practice, together with the appointment of diclofenac usually prescribed "protective" means, for example, Omeprazole or other similar drugs. In the event that a patient has gastritis, or, especially, a peptic ulcer, then such protection is considered mandatory. We remind you that diclofenac self-medication is a very risky exercise, despite the patient’s serious relief.
Meloxicam (Movalis, Mirlox, Amelotex, Artrozan)
Rating: 4.8
Meloxicam is considered a second-generation drug, and, having a sufficiently high anti-inflammatory and analgesic activity, which, incidentally, does not reach diclofenac slightly, it has a much better safety profile. Indications for use Movalis - any pain syndrome from the musculoskeletal system, including it is prescribed for back pain, in the treatment of rheumatoid arthritis, with neuralgia, myositis, arthritis.
For ease of use Movalis is available in a package containing three vials.Accordingly, the course of treatment with injections is designed for 3 days, one ampoule per day. One 1.5 ml ampoule of Movalis contains 15 mg of meloxicam (as much as a tablet). After a short course of injections, the patient is transferred to taking pills. Beringer Ingelheim produces Movalis company, and the average cost of one package in 3 ampoules is 600 rubles.
Advantages and disadvantages
The advantage of Movalis is considered to be better safety with good effect, it is well tolerated in elderly patients, but, like other NSAIDs, it also has quite a few contraindications, which include aspirin intolerance, gastric ulcer, severe liver failure, as well as children up to 18 years old, period of pregnancy and breastfeeding. The list of diseases for which Movalis should be prescribed with caution is large enough, and therefore the doctor must prescribe treatment and monitor its results. But with all this, Movalis in “pricks”, or his injection form, is considered to be a modern effective first aid tool for stopping acute pain in the back.
Mydocalm (tolperisone)
Rating: 4.7
A very important component that leads to chronic pain in the back is pronounced muscle spasm. Compact muscles are able to maintain soreness for quite a long time, even after the primary cause (for example, stretching due to injury) can be eliminated. This is how chronic pain is maintained in osteochondrosis of the lumbosacral spine in patients with physical inactivity who lead a sedentary lifestyle. To break the vicious vicious circle and applies Mydocalm.
This is a muscle relaxant, or a medicine that relaxes the muscles, its action is central. This means that it blocks tonic muscle reflexes by acting on the neurons of the brain and spinal cord, and not on the muscle itself. Mydocalm is used, in addition to the treatment of acute back pain, also for spasticity strokes and severe pain. It is prescribed for various muscle spasms, for paralysis, multiple sclerosis, and for other neurological disorders.
Mydocalm is used in injections together, for example, with Movalis on the same days (naturally, without mixing the means in one syringe). This injection form is called Mydocalm - Richter, each ampoule contains 100 mg of the drug, and in the acute period, you should use the drug intramuscularly 2 times a day, in the morning and in the evening. One pack of 5 ampoules costs, on average, 550 rubles.
Advantages and disadvantages
Mydocalm as a whole is well tolerated, but it relieves back pain in the best way only as part of complex therapy, that is, being prescribed together with NSAIDs. On its own, it relaxes the muscles, but does not have a truly analgesic effect. The minus of Mydocalm will be a ban on its use in children, allergic reactions, as a side effect. Muscle relaxation can be an obstacle to driving a car and working with moving machines and mechanisms, therefore it is advisable to refrain from such work during treatment. Otherwise, the use of Mydocalm in complex therapy accelerates the pace of treatment of pain syndrome.
Milgamma (vitamin B6 + B12 + B1 + lidocaine)
Rating: 4.7
Milgamma is considered to be a multicomponent, multivitamin in its composition, and contains neurotropic B vitamins, and the solvent is a local anesthetic - Lidocaine. Do not confuse Lidocaine, which are introduced specifically for medical blockades to relieve pain, and Lidocaine, which is injected intramuscularly as a solvent. In the latter case, it simply makes the injection less painful. Each ampoule contains 2 milliliters, and the content of vitamins B1, B6 and B12, respectively, is 100 mg, 100 mg and 1 mg. Milgamma produces anesthetic, metabolic and neuroprotective effects.
Milgamma is used, except for acute back pain, with neuritis and neuralgia, with plexopathies and various polyneuropathies, and other neurological diseases. Dosage regimen - deeply intramuscularly (in the upper outer quadrant of the buttock) 2 ml daily for 5 to 10 days. The cost of one package in 10 ampoules of 2 ml each, which is produced by the German company Vervag Pharma, averages 560 rubles. per pack.
Advantages and disadvantages
As in the previous case, the main disadvantage of Milgamma will be a rather weak anesthetic effect, if the drug is used alone. But if the patient is prescribed Milgamma and Mydocalm, or Milgamma plus Movalis, then the anesthetic and trophic effect will be more pronounced. The term for returning patients with back pain to active life will be shorter. In some cases, the drug can cause side effects, most often there are allergic reactions, but usually their frequency is not higher than 0.1%. The drug is contraindicated during pregnancy and during breastfeeding, in children and in patients with severe heart failure. A big plus is the ability to continue drug therapy in tablet form after a short course of injections.
The best pills for back pain
Virtually all tablets of back pain medications are available in the form of injections for intramuscular injections. This dual form of release allows in the first days with the appearance of acute pain, or with the exacerbation of chronic disease to provide emergency care by administering injection drugs that act more quickly and efficiently, and then, after a few days, switch to pills.
The advantages of the injection form are that the drug is directly absorbed into the bloodstream, bypassing the liver. This avoids the weakening of the medicinal effect. In addition, from a commercial point of view, continuity and simplicity are important. Thus, a patient shoots Movalis' injections for 3 days, at a dosage of 15 mg in one ampoule, and then he simply acquires a package of the same tablets of 15 milligrams each, and takes them within 3-4 days. Then the dosage is halved, and you can buy a package of tablets with a dosage of 7.5 mg. After the pain subsides, non-drug forms of treatment begin to be activated, and great attention is paid to local forms.
Such lines (ampoules - tablets) exist in almost all non-steroidal anti-inflammatory drugs, in muscle relaxants, since Mydocalm is also available in tablets that are prescribed after injections, and in Milgamma. But there are new drugs that have only pill forms, but no “shots”. They belong to the most modern anti-inflammatory drugs, and in this section we will tell only about one of them. This is a representative of the group celecoxib - Celebrex.
Celebrex (Celecoxib)
Rating: 4.9
Celebrex is a new group of Coxibs, and it was introduced into clinical practice in 1998. It also belongs to the group of nonsteroidal anti-inflammatory drugs, but at the same time it has much greater safety under the condition of long-term use, because Celebrex is still used in rheumatology for the treatment of osteoarthritis and rheumatoid arthritis. It is proved that such a serious complication, like an ulcer in the gastrointestinal tract, is practically uncharacteristic for Celebrex. If taken in a therapeutic dosage, it does not affect blood clotting factors and platelet aggregation function.
For the treatment of acute back pain, the drug is taken on the first day in the amount of 400 mg - that is, two tablets at once, and then the third - in the evening. In the following days, the recommended dose is one tablet 200 mg 2 times a day. Course duration 3 - 5 days.The cost of 1 pack of 10 tablets designed for 5 days to treat acute back pain is an average of 510 rubles. A large pack of 30 tablets, which is most often used in the treatment of rheumatological diseases, already costs more than 1,200 rubles.
Advantages and disadvantages
As mentioned above, the advantage of Celebrex is high safety, the ability to use in patients with lesions of the gastrointestinal tract, in elderly patients, in patients with impaired liver and kidney function. Celebrex is much safer, and at the same time it also has antipyretic effect, which is also important. However, such a bias towards safety makes it not as effective as a simple and “rough” diclofenac. And in this sense, the expensive Celebrex pills certainly lose to a single injection of diclofenac in strength and speed of action. The power of Celebrex - if you need long-term treatment in patients, for example, with chronic gastritis.
Local remedies: warming and cooling.
In the treatment of pain in the back is very important not only drugs for intramuscular injection and oral administration, but also local remedies. These are ointments, gels and creams. Often, by performing opposite functions (warming or cooling), local remedies can reduce pain, improve blood circulation in the muscles, and have a distracting effect. Therefore, both warming and cooling ointments are widely used in neurology, traumatology and sports medicine.
For warming ointments, the main physiological mechanism of action is an increase in plethora. Increased muscle blood supply allows you to break the vicious cycle, and to improve the outflow of venous blood from the muscles, which will carry out excess lactic acid, and eliminate myofascial excess stress. Cooling ointments, which often contain mint oil, camphor and other essential oils, can reduce the acute back pain in the first hours after injury, stretching or contusion.
The best ointment for back pain
In this rating we included drugs that warm, cool and contain animal components - snake and bee venom. They also contribute to a pronounced decrease in back pain with regular topical application.
Final
Rating: 4.9
Pharmacists consider Finalgon to be a local irritant. Final contains two components, which are derivatives of nicotinic and nonylic acid. Active ingredients promote blood flow, skin vessels dilate, pain decreases. As a result of an increase in metabolic activity in the dermis, hyperemia or reddening of the skin occurs, and peripheral vascular blood flow increases. After half an hour, there is a maximum anesthetic effect.
Finalgon is shown for rheumatism, osteochondrosis, backache or lumbago, for various pains in the lower back, the source of which is the musculoskeletal system. Finalgon must be applied first in a volume of not more than 1 pea to assess tolerability. Then the working amount is considered a column of ointment, not longer than 1 centimeter. The ointment is applied with massage movements no more than 3 times a day, and after applying the Finalgon, it is necessary to wash your hands with soap and water to avoid burning. Finalson is produced by the German company Beringer Ingelheim, and the cost of one 20 g tube is 290 rubles.
Advantages and disadvantages
The big advantage of Finalgon will be high activity, the ability to warm up muscles well and fight pain, which has acquired a chronic hue due to the formation of a secondary myofascial syndrome. But at the same time, Finalon is one of the most powerful burning ointments, and the patient may have such side effects as excessive burning, severe redness of the skin, the occurrence of cough, and even contact dermatitis. Therefore, it is first necessary to investigate how the skin will react to the application of the finalgon.The drug should not be used for pregnant and lactating women, as well as for persons with arterial hypertension, since excessive sensation of heat can lead to an increase in blood pressure. In addition, you need to be very careful with the ointment, in order to avoid its application to the face, accidental contact with the eyes, nose or mouth.
Apizartron
Rating: 4.8
Apizartron contains natural bee venom, as well as salicylic acid derivatives. Evenly distributed in the ointment base, these substances have a pronounced anti-inflammatory and analgesic effect. Apizartron is indicated for patients who are not allergic to bee products and honey. It is widely used for inflammation of the sciatic nerve, for pain in the back muscles, for radiculitis, for muscle sprain, for sports injuries, and for intercostal nerve neuralgia.
Apply Apizartron should be in the form of a strip, not longer than 3 cm. It is necessary to distribute this amount of ointment on the skin of the back, and after the appearance of a sensation of heat (or after 3 minutes), to rub the ointment slowly. Thermal procedures are recommended after application. The course of treatment with Apizartron is usually 7 or 10 days, as in the case of other ointments for acute back pain. Apizartron is produced by the German company Lichtenfeld, and the cost of one tube weighing 20 g is, on average, 260 rubles.
Advantages and disadvantages
Due to the content of bee venom, Apizartron intensively stimulates the nerve endings on the periphery and dilates the blood vessels. Additional activation of the metabolism in the skin and muscles contributes to the rapid development of the analgesic effect. Many consider Apisartron’s weakness to have a sharp and peculiar smell of the ointment, as well as some contraindications for use. Among them are psoriasis and various types of rash, acute inflammatory diseases of the joints, children's age, as well as severe chronic lesions of the liver and kidneys, pregnancy and the period of breastfeeding. As in the case of Finalgon, you need to be careful not to get the ointment in your eyes.
Nayatox
Rating: 4.7
Nayatox also contains an “animal” component. This is the dried venom of an ordinary cobra. In one tube, that is, 20 grams of ointment, contains about 2.5 mouse units of action of this poison. This means that the contents of the tube in terms of cobra poison can be “poisoned” in about 3 mice. In addition to this poison, Nayatox contains camphor, eucalyptus oil, and methyl salicylate, which has an anti-inflammatory effect. Due to camphor, Nayatox somewhat cools the skin, has an irritating effect, contributes not only to anesthesia, but also to the development of a distracting effect.
Nayatox is shown for various back pains, the source of which is the locomotor system. It is prescribed for various arthritis, radiculitis, intercostal nerve neuralgia, for exacerbations of osteochondrosis, among which various radicular syndromes most often prevail. Najatox is applied in a volume not exceeding 2 teaspoons of ointment by applying on painful areas, not more than once a day, followed by intensive rubbing. At the beginning of treatment, and with particularly severe pain, you can use the drug twice a day, but not more than 10 days in a row. The Maykofar company from Vietnam produces the Nayatox, and the average cost of one tube weighing 20 g is 200 rubles.
Advantages and disadvantages
Nayatox snake poison is rapidly absorbed into the skin, irritates receptors and promotes the synthesis, release into the blood and the absorption of biogenic amines. This leads to the expansion of blood vessels, and improve blood circulation. The drug is very well tolerated, and has few contraindications. These are individual intolerance, pregnancy and breastfeeding, and severe liver and kidney disorders. Naturally, the drug is not used for various skin diseases.In the same case, when Nayatoks is applied according to indications with the subsequent appointment of thermal procedures and medical gymnastics, it serves as an excellent means of relieving acute pain in the back at the stage of damped exacerbation.
The best gels and creams for back pain
We have repeatedly considered various gels for the relief of certain neurological and muscular symptoms. Gels differ from ointments in that they dry out very quickly, create a protective film on the skin, their base is not greasy, and does not stain clothes. All gels are rubbed very quickly, and can be used during the day.
Creams, unlike gels, have a delicate texture and are emulsions, that is, a suspension of one liquid in a cream base. Creams penetrate much deeper than gels, but ointments penetrate even deeper. Therefore, at the beginning of treatment, in case of acute pain syndrome, it is necessary to use ointments, and then switch to creams or gels.
Fastum - gel
Rating: 4.9
Fastum - gel contains ketoprofen - one of the most famous non-steroidal anti-inflammatory drugs. Fastum-gel is a transparent gel-like gel, which has a specific, but unsharp and even pleasant smell. When applied to the skin, Fastum - gel helps to anesthetize, reduces the symptoms of inflammation, helps to increase the mobility of the joints, including reduces their morning stiffness. It is shown not only for back pain caused by stretching of muscles and ligaments, but also for radicular symptoms, for plexitis, for inflammation of the sciatic nerve, or sciatica. Fastum-gel is used for various injuries of soft tissues, as well as for ankylosing spondylitis, or ankylosing spondyloarthritis.
Fastum-gel is applied with a thin strip on the necessary area, but not more than 5 cm long, and lightly rubbed with light massage movements, no more than 2 times a day. The usual duration of treatment is 7-10 days, but not more than 2 weeks without consulting a specialist. The Fastum-Gel pharmaceutical company Menarini (companion Berlin-Chemie) produces, and the cost of one package is, on average, 330 rubles.
Advantages and disadvantages
The advantage of Fastum-gel is high efficiency, fast absorption, after its application the skin remains clean and you can put on a shirt: there are no greasy stains left. But still you need to know about the contraindications. Fastum-gel should not be used if the patient has a lesion of the gastrointestinal tract with the formation of ulcers, a serious disorder of renal function, a change in liver enzymes, leukopenia. Fastum-gel is not used in pregnant and lactating women, as well as in children under 15 years of age. But if it is used according to indications, then in the complex treatment of the treatment of acute back pain, along with injecting drugs or tablets, it will help to quickly reduce the severity of pain.
Dolobene
Rating: 4.8
Gel Dolobene stands slightly apart: the main active ingredient in its composition is heparin, which slightly dilutes the blood and has an anti-inflammatory effect, reduces peripheral vascular thrombosis. Dimethyl sulfoxide, or dimexide, is able to relieve puffiness, anesthetize and help reduce inflammation. Also included in the Dolobene is dexpanthenol, which is converted into pantothenic acid in the skin. Shown gel in various painful and inflammatory conditions that are accompanied by soft tissue edema. These are various injuries and stretches of the back muscles, intercostal nerve neuralgia, lumbago, radicular complications of osteochondrosis. Dolobene should be applied with a thin layer to the required place 2 to 4 times a day, and rub in with light massage movements, but without excessive intensity. Dolobene German firm produces Merkle. 1 tube weighing 100 g costs, on average, 550 rubles. It is quite expensive, but the consumption of the gel is small, and it lasts a long time.
Advantages and disadvantages
The advantage of Dolobene will be the absence of non-steroidal anti-inflammatory compounds, which means that this tool can be used in patients with gastritis and even gastric ulcer. It is very important that Dolobene can be used as a dressing, as well as used in iontophoresis and phonophoresis. But, despite the great advantages, there are contraindications. This is bronchial asthma, severe damage to internal organs, pregnancy and breastfeeding, age up to 5 years.
In some cases, alternating local means are shown, for example, Apizartron on one day and Dolobene on another day. This combination is especially good for sports injuries and stretching of the soft tissues of the back, for which there is swelling.
Cream with comfrey
Rating: 4.7
Cream with comfrey is an excellent example of a complex local product that contains herbal ingredients. In addition to comfrey extract (zhivokost), the cream contains oleoresin - component of capsicum, camphor, sesame and rosemary oil, perfume composition and inert substances. From the point of view of medicine, cream with comfrey belong to parapharmaceutical products. The active ingredients of the cream warm, the agent stimulates the nerve endings on the periphery, oleoresin and essential oils improve capillary blood flow, the cream with comfrey helps remove excess lactic acid from the muscles, additionally the cream has a beneficial effect on the skin, improving trophic processes in the dermis.
The cream is used for not very pronounced pain syndrome, or at the stage of recovery, when the pain is not so severe. The best area of its application is minor sports injuries, prolonged physical exertion, after which the appearance of a muscle pain component is possible, and the cream is also used in the treatment of lumbosacral osteochondrosis. Apply the cream on the problem area of the back up to 3 or 4 times a day, and rub in with light massage movements. Cream produces joint stock company Tvins TEK, and 100 ml of cream is inexpensive, about 110 rubles per pack.
Advantages and disadvantages
Cheapness, softness of action and safety in application will be big plus of cream, it contains only natural components. It is not too burning, well tolerated. The maximum that is noted is the rarely occurring local allergic reactions. The preparation can be safely combined with the above listed ointments and gels, for example, an ointment is applied at night, and a cream is rubbed into the back skin in the morning and at the right time. But on the other hand, the absence of NSAIDs in its composition makes it ineffective with too much back pain, on the first day after an injury or exacerbation.
The best patches for back pain
Plasters also belong to local drugs, but unlike gels, ointments and creams, a plaster has a dense carrier that is attached to the surface of the skin, and on this carrier is a medical substance. The plaster is not applied to the skin, and is glued, it is applied. This method of application allows you to firmly fix the active substance to the skin surface, which contributes to its more long and full penetration into the subcutaneous tissue, muscles and peripheral nerve endings. The current rating includes effective and popular medical patches for the relief of acute pain in the back.
Pepper plaster
Rating: 4.9
One of the most popular and popular patches. It consists of pepper extract, belladonna extract, arnica tincture, rosin, lanolin, liquid paraffin. These and some other components are applied to the fabric base. The patch has an irritant effect, promotes blood flow to the area of application, distracts from pain, and helps to improve the exchange in superficial muscles.
Pepper plaster is indicated for exacerbation of intercostal neuralgia, for acute low back pain, as well as for lumbosacral radiculitis, superficial injuries of soft tissues and for muscle tension. It is very easy to apply the patch. The protective film is removed, and the patch is applied to the desired part of the back. If there is no strong and unpleasant burning sensation, the duration of the application may be a day or even two. The pepper plaster is produced by the domestic pharmaceutical company Novosibkhimpharm, and one plaster with an area of 10 by 18 cm will cost, on average, only 40 rubles.
Advantages and disadvantages
The advantage of this patch will be undoubtedly cheap - the cheapest tool in the rating, ease of use, the ability to keep it after one application up to two days. Pepper plaster can be used for neuropathic, burning pain. It distracts and improves the quality of life without the use of powerful analgesics. One such indication may be neuropathic pain as a consequence of shingles (herpes zoster).
On the other hand, it is necessary to degrease the skin, for example, by wiping it with cologne for better adhesion of the patch. Hypersensitivity may occur to the pepper patch, which most often develops on pepper extract, this can manifest as itching, flushing and unpleasant sensations. But in the case when the plaster is used according to indications, and especially together with injectable preparations or tablets, and treatment is started in the first days, then a positive effect occurs within a day or two after its application.
Versatis (lidocaine plaster)
Rating: 4.8
The Versatis plaster is a “soft form” of medical blockade, and is used instead of injecting local anesthetics into affected muscles and joints. Sometimes it is very indicated in the first days with severe pain in the muscles, sciatica, radiculitis, and neuralgia. One of the main indications for Versatis is burning pain in the back as the consequences of shingles (postherpetic neuralgia). The plaster Versatis is issued in the form of a sachet, in which 5 separate plasters. Dimensions of one patch - 13 to 10 cm.
Versatis produces a pronounced anesthetic effect, which is strong and long lasting. The patch is glued once a day, and keeps on the skin for up to 12 hours. Most often practiced sticking plaster on the night. For relief of acute back pain, it is recommended to apply the patch for several days, usually from 1 to 3, against the background of the use of injectables with NSAIDs, combining this with daily application of an ointment or cream. Versatis is produced by the German company Grünental, and the tool is not cheap: one sachet of 5 patches costs, on average, 640 rubles.
Advantages and disadvantages
A great advantage of this patch will be a pronounced analgesic effect. On the other hand, the patch is the only remedy for symptomatic treatment. It relieves pain and does not contribute to the reduction of inflammation, therefore, in case of acute back pain, Versatis is indicated only as part of complex therapy. But on the other hand, the timely use of this patch with a short course, in the first two to three days of acute back pain, allows the patient to significantly improve the quality of life. He can move independently, and is no longer afraid to take a deep breath, sneeze, he can calmly strain and empty his intestines, and any movement will no longer be given by sharp, shooting pain. For this you can spend this amount, especially in the case when you can not be on bed rest.
Caution! Backache!
In this review, a sufficient number of various means were provided that a doctor may prescribe in case of acute back pain when it comes to injections and tablets. Self-administered drugs are also sold in pharmacies - these include local dosage forms. However, it is necessary to list the so-called “red flags”.So called special symptoms for which a thorough examination is necessary, since such “bad” back pain can be a symptom of a serious illness, such as osteomyelitis, or metastatic spinal lesions. In case if:
- back pain accompanied by persistent fever;
- there is a progressive weight loss;
- back pain occurs predominantly at night;
- pain does not stop within 2 months and increases;
- general well-being is disturbed -
In these cases, you need to urgently stop self-treatment and contact a specialist. With this pain syndrome, most likely, there is a common disease, it is urgently necessary to diagnose and begin to heal.
Attention! This rating is subjective, is not advertising and does not serve as a guide to the purchase. Before buying, you should consult with a specialist.
