Butalbital-APAP
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TREATMENT FOR SELF-HELP IN BACK PAIN: MEDICATIONS
Along with moist heat, exercises, and proper control of activity and rest, medications may help control acute back pain. In this situation, the medications do not cure the problem, but they give some relief while the other measures are taking effect! Try not to expect total pain relief, but do expect to be fairly comfortable. The pain reduction will allow more activity and will enable you to do more effective exercises. Medications should] be taken only until the pain is controlled enough to get along without them.
In many cases, the pain can be controlled by medications available over the counter. These medications for pain include ibuprofen (Advil), aspirin, and acetaminophen. Follow the directions on the package label.
If you do not get enough pain relief from these medications, your doctor may prescribe one of a group of drugs called the non-cortisone (or non-steroid) anti-inflammatory drugs. These can help reduce the inflammation in the muscles and other soft tissues of the back. They also have a pain-relieving (analgesic) effect.
Over 20 of these anti-inflammatory medications are available. You should be able to find one that gives you satisfactory relief without side effects. Many of these products require a prescription from your doctor.
It is not possible to predict which of the medications will be the most effective. It is best to try a small supply for about two weeks and judge the effect. This sampling can allow you to find the “correct” one for you. If there is no improvement or if side effects occur, then another should be tried. You can continue the one that gives the most pain relief.
Although most people do not have side effects, you should constantly watch for any upset stomach, nausea, heartburn, abdominal pain, change in the bowel habits, or other abdominal discomfort. If any of these occurs, report it to your physician. In this way, you can find the medication that gives the best relief with the least side effects.
If you take anti-inflammatory medications over a long period of time, be safe and check with your doctor at intervals for evaluation and blood tests.
Analgesics, a type of medication, may be needed simply to treat the pain associated with your back. There are times, especially before treatment is started, when ibuprofen (Advil) or acetaminophen in low doses can greatly improve comfort. Occasionally, stronger prescription pain medications are needed for short periods of time. These may include propoxyphene (Darvon) or codeine (often combined with acetaminophen or aspirin). Propoxyphene, codeine, oxycodone, pentazocine, and hydrocodone should be used only when very necessary, to avoid becoming dependent on these drugs.
Other medications for pain that are available only by prescription include ketorolac (Toradol), which is actually an anti-inflammatory drug. Its advantage is that it may give pain relief without the use of a narcotic. It is used for up to five days at a time and can be given by injection as well as in tablet form. Your doctor can advise you according to your own situation.
Muscle relaxants may be used for muscle spasms in the lower back in acute back pain. A muscle relaxant may be helpful a night to improve sleep. These medications may cause drowsiness and require a prescription from your doctor. If no muscle spasm is present, these products may not give any further relief from back pain.
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