Best medicines for back pain

Back pain can be taken by surprise and is intermittent or persistent. It is often caused by trauma, sprains, or inflammation, as well as chronic musculoskeletal conditions. This can be increasing pain or spasms that restrict movement, impairing muscle circulation. For the relief of such relapses, drugs have been created that have a different mechanism of action and a different form. The rating presents only the best medicines for back pain according to doctors and leading medical specialists.

Medicine for back pain which company is better to choose

When choosing drugs, users often do not pay attention to the manufacturer, focusing on the purpose of the drug or its properties. The brand is critical because people tend to trust the advertised drugs. As doctors note, this is not entirely correct, because only official companies can offer drugs that have passed international certifications. To familiarize readers, the 2024 rating provides brief information on each manufacturer:

• Kanonfarma Production CJSC (Meloxicam) - has been working on the Russian market for over 20 years. The company has its own scientific laboratory, produces various medicines, focusing on GMP standards.
• Menarini Group (Dexalgin) - the company was founded in 1886 in Italy. The brand produces drugs for the treatment of asthma and oncological diseases, as well as drugs for pain and inflammation.
• Biosynthesis PAO (Ketorolac) - the company opened its production in 1955, produces pharmaceuticals in various forms, and has recently been involved in state projects for the development of the pharmaceutical industry.
• Wasserburger / Takeda Alliance (Lornoxicam) - creates new patented drugs that have analgesic and antipyretic effects. Lornoxicam is on the list of essential drugs.
• Schering Plow (Diprospan) - produces prescription and non-prescription drugs. The firm has factories and research laboratories in Asia, Europe, North and South America.
• Pfizer (Celebrex) - founded back in 1849, the corporation has its own research centers and laboratories, where new drugs are produced annually.
• Akhrin (Diclofenac) - the company is in the TOP-5 of the largest manufacturers in Russia, successfully sells products to other countries, having more than 30 international quality marks.
• JSC Vertex (Celecoxib) - established in 1999, offers over 300 prescription and non-prescription drugs, is the winner of the national pharmaceutical rating.
• Pharmstandard-Leksredstva OJSC (Paracetamol) - is engaged in the development and release of leading tools. The factories of the enterprise are located in Russia, where five factories annually produce more than 1.5 billion medicines.
• Merkle GmbH (Dolobene) - the company produces generics, occupies one of the leading positions in the European market, exporting its products to the countries of Russia, the CIS, Europe, Asia.
• Boehringer Ingelheim (Finalgon) - the company was founded in 1885, produces innovative medicines for humans and animals, is a member of the international pharmaceutical organization EFPIA.
• Veropharm (Pepper plaster) - the company produces medical products. The company has several of its own factories, where careful control is carried out at each stage of drug development.

Back pain medications rating

In compiling the rating, experts took part, who studied the nominees in detail, setting independent assessments.Testing was carried out that showed all the pros and cons of drugs, and the reviews of real people helped to draw up more detailed reviews. The best medicines for back pain are selected according to the following criteria:

• Type of drug;
• Application safety;
• Composition;
• Efficiency;
• The convenience of use;
• Interaction with other medicinal products;
• Availability in pharmacies;
• The presence of side effects;
• Number of contraindications;
• Price.

Also, experts considered the duration of the intake, which has a general effect on the body. The presence of restrictions also became one of the main aspects of the selection of drugs in the TOP.

The best cold remedies

The best injections for back pain

Injections are presented in ampoules and are administered in the form of ready-made solutions intramuscularly or intravenously. These pain relievers for back pain have a faster effect on the inflammation, relieving pain in a few minutes. In this category, five nominees are considered, which became the best among analogue products in Russian pharmacies.

Meloxicam

Meloxicam belongs to the group of non-steroidal drugs, has an analgesic effect, relieves inflammation. The tool begins to act in 15-20 minutes, reaching maximum molarity in an hour. A drug is used to treat osteoarthritis, rheumatoid arthritis, ankylosing spondylitis. It is administered intramuscularly, but it can be used only for two to three days, and then you should go to the tablet forms of the drug. It is not recommended to use Meloxicam simultaneously with other drugs, and the manufacturer also recommends caution to patients with gastrointestinal diseases.

Advantages

• High efficiency;
• The composition does not include hormones;
• Reduces swelling;
• Used not only to treat the back;
• Affordable price.

disadvantages

• A large list of restrictions;
• A number of side effects.

Meloxicam is extremely contraindicated in pregnant women, people with stomach ulcers, as well as in patients with renal and heart failure. It is dispensed according to a doctor's prescription, in compliance with a strict dosage.

Dexalgin

Belongs to the group of non-steroidal drugs, has antipyretic and analgesic properties. It is intended for the treatment of toothache, dysmenorrhea, as well as for the treatment of acute or chronic diseases of the musculoskeletal system. Limitations include ulcers, colitis, bronchial asthma, and renal, hepatic, and heart failure. The drug is administered intravenously and intramuscularly every 8-12 hours at the time of acute attacks of pain. Within half an hour, an analgesic effect occurs, which lasts up to six hours. It is allowed to take it for no more than two days in a row.

Advantages

• Relieves inflammation;
• Relieves pain quickly;
• Eliminates spasms;
• Large packaging;
• Extended shelf life.

disadvantages

• Not recommended for use with other NSAIDs;
• May cause decreased ability to concentrate.

With utmost attention, the remedy should be used by elderly patients, people suffering from allergic reactions and gastrointestinal diseases. During pregnancy, the drug is also contraindicated.

Ketorolac

This nominee is presented as the cheapest pain reliever for moderate to severe pain. The main active ingredient is ketorolac trometamol, which is considered a very strong analgesic, so the medicine very quickly relieves different types of pain. It is not recommended to use it for more than five days in a row, using only three ampoules a day to the maximum. In a package of 10 ampoules, the drug is injected intramuscularly or intravenously, preliminarily diluted with saline. Absorption when the drug is injected into the muscles is almost instantaneous.

Advantages

• No sedation;
• Long action;
• Relieves fever;
• Does not affect the course of diseases;
• Low price.

disadvantages

• Poorly relieves joint pain;
• A large number of adverse reactions.

Ketorolac is not recommended for use in patients with kidney disease, blood coagulation disorders and people suffering from high blood pressure. It can also cause swelling, allergies or itching, so the drug should be used only when prescribed by a doctor.

Lornoxicam

Lornoxicam is the main active ingredient of the drug Ksefokam, designed for intramuscular and intravenous administration. It has an analgesic effect, does not affect vital signs and the central nervous system. Absorption and absorption in the blood are quite fast, the drug relieves moderate to severe pain for a short time, and is used as a treatment or maintenance therapy. Lornoxicam is not recommended for children and adolescents under 18 years of age, as well as for elderly people, since there is no information on the use of the drug in this age group.

Advantages

• It is quickly excreted from the body;
• Relieves muscle tension;
• Can be used in complex therapy;
• Eliminates swelling;
• A painless injection.

disadvantages

• Complications from the gastrointestinal tract;
• There is a risk of thrombosis.

As users note, the drug has a cumulative effect, so if you use the medicine in course doses, then Ksefokam will have a brighter effect.

Diprospan

Diprospan belongs to the group of glucosteroids, the main active ingredient in it is betamethasone, which is a hormonal agent. The medicine has an antipyretic, anti-allergenic effect, is prescribed for diseases of the musculoskeletal system, soft tissues and skin diseases. The drug has a large number of side effects, however, with short-term use, it does not cause them. It is completely eliminated from the body only ten days after application, but gives a long-term, cumulative analgesic effect. Additionally, the drug is compatible with estrogens and diuretics, but only as directed by a doctor.

Advantages

• It dissolves well after intramuscular injection;
• Quickly has a therapeutic effect;
• Allowed during pregnancy;
• Appointed as a one-time appointment;
• Prevents cramping.

disadvantages

• May cause swelling and bruising;
• Has an effect on metabolism.

Experts warn that serious complications from the central nervous system (before death) are possible. It is also recommended to enter it only under the supervision of a physician, avoiding the ingress of the drug into the vessels.

The best back pain pills

Tablet preparations are the easiest to use, they are more delicately absorbed, and can be compatible with injections. The effectiveness of the tablets is quite high, but it takes time for the medicine to dissolve. In this category, there are four nominees who reached the TOP thanks to their action.

Celebrex

Celebrex is presented as a non-steroidal agent, and the main active ingredient is celecoxib. The drug has an analgesic effect, does not affect physiological processes, being absorbed quite well. The medicine is prescribed for the treatment of arthritis and osteoarthritis; it relieves moderate pain syndromes in muscle tissues and joints. Celebrex can be prescribed as a complex therapy, it is applicable with antifungal drugs, with ACE inhibitors.

Advantages

• Easy to carry;
• Acts symptomatically;
• In an increased dosage, it quickly relieves even acute pain;
• Applicable for gastrointestinal diseases;
• Blocks inflammation.

disadvantages

• May cause allergies;
• Increases the risk of complications from CVS.

It is noteworthy that Celebrex is presented not in tablets, but in capsules (100, 200 mg), which can be taken on an empty stomach with water.It is recommended to use the drug in short courses to avoid complications from the CC system.

Diclofenac

This drug also belongs to the group of NSAIDs, it is intended for the treatment of joints, being a powerful pain reliever. Absorption of Diclofenac is quite good, but for a faster effect, it is recommended to take the drug half an hour before meals with a little water. The remedy is used for inflammatory diseases of the musculoskeletal system, ENT organs, for gout, sciatica, neuralgia, migraine. Interaction of Diclofenac with other drugs is possible, but this should only be done under medical supervision. The drug has few restrictions, which is a big plus.

Advantages

• Reduces fever;
• Well tolerated by patients with liver disease;
• Suitable for complex treatment;
• Long shelf life;
• Low price.

disadvantages

• It is recommended to take the drug together with prebiotics;
• The risk of heart attack and CV disease with long-term use.

Diclofenac is available with a prescription, but users note that they were able to get it over the counter. This medicine for severe back pain is on the list of essential drugs.

Celecoxib

A non-steroidal drug designed to relieve moderate pain syndrome, it, like most analgesics, has an antipyretic effect. Celecoxib is prescribed for the treatment of osteoarthritis or rheumatoid arthritis; in small doses, it does not affect normal physiological processes, being considered relatively safe. Celecoxib can even be taken by people with gastrointestinal diseases, elderly patients, people with mild kidney and liver dysfunctions. Experts evaluate Celecoxib as a drug that is analogous to Diclofenac and Naproxen, but with fewer restrictions.

Advantages

• Improves physical activity;
• Well absorbed;
• It is quickly excreted from the body;
• Acts quickly;
• Eliminates aching pain.

disadvantages

• High price;
• Affects the ability to drive vehicles.

Celecoxib and Celebrex are practically equivalent drugs, but the latter has a lot of side effects. User reviews of the drug are positive, there is little information about serious violations.

The best remedies for joints

Paracetamol

One of the cheapest and most effective medicines. It gives a strong analgesic effect, precisely affects the center of pain, without significantly affecting the gastrointestinal tract. Paracetamol has a minimum number of restrictions, is excreted through the kidneys unchanged and is included in the list of vital medicines. Pills are used for toothache, neuralgic or headache, it is able to relieve the symptoms of fever in infectious and viral diseases. Overdose is possible only when the drug is used together with other drugs containing paracetamol.

Advantages

• Low toxicity;
• Suitable for children;
• High absorption;
• Fast impact;
• Low price.

disadvantages

• In case of overdose, poisoning is possible.

Experts note that paracetamol works well with ibuprofen and is useful in this form for relieving fever. However, this technique should be carried out with extreme caution, after consultation with specialists.

The best ointments and gels for back pain

Ointments have a good effect, they directly affect the focus point, have a warming, cooling or analgesic effect, and can also have a cumulative effect. In this category, there are three pain relieving agents that are approved by specialists.

Fastum

Fastum belongs to non-steroidal drugs, is produced in aluminum tubes (30, 50,100 g) and has the active active ingredient ketoprofen.It has a thick gel consistency, a persistent odor and absorbs very well with moderate application without leaving marks on clothes. The remedy is intended for the removal of musculoskeletal or traumatic pains, for diseases of the bone apparatus, myalgia, rheumatism. However, for ulcers, gastrointestinal diseases, heart failure, and impaired renal or liver function, the gel should be used with extreme caution.

Advantages

• A small number of restrictions;
• Acts quickly;
• Suitable for the treatment of sprains and bruises;
• Has a cooling effect;
• Does not accumulate in the body.

disadvantages

• May cause an allergic reaction;
• Strong unpleasant odor.

During the period and two weeks after the application of the drug, it is necessary not to expose the treated area to direct sunlight in order to prevent burns.

Dolobene

Dolobene is presented as a direct anticoagulant agent, it is also available in the form of a gel and contains DMSO, which works as the main component. Dolobene has a decongestant and analgesic effect, has a long-lasting effect, and is well absorbed. Unlike Fastum gel, this drug has a pleasant aroma, a semi-thick consistency, more like a cream. It is used for closed injuries, edema, sprains, periarthritis, neuralgia. Interacts with other drugs, but this requires a doctor's consultation.

Advantages

• Absorbs quickly, even when applied in large quantities;
• Lack of non-steroidal compounds;
• Economical consumption;
• Cumulative effect;
• Well tolerated.

disadvantages

• A large number of restrictions;
• High price.

Dolobene is not recommended for people with bronchial asthma, disorders of the CC system, kidney or liver disease. This is a fairly effective remedy for back pain, which has been proven by positive reviews and testing.

Finalgon

This drug is presented as a pain reliever, the main active ingredients are nonivamide and nicobasil, which have analgesic properties and dilate blood vessels. In a combined composition, they increase the rate of enzymatic reactions and improve metabolism. After applying Finalgon, the effect occurs almost immediately, reaching full concentration after 20 minutes, which is positively noted by users. The cream is used for rheumatic pains in joints and muscles, for injuries, bruises, neuritis, sciatica, as well as for acute pain. Also, the tool can be used as part of complex therapy.

Advantages

• Warming effect;
• Wide application;
• Minor side effects;
• Easily spreads over the skin;
• Low price.

disadvantages

• May cause burns;
• Does not wash off with water.

Itching and burning at the site of application are common when applying the ointment. It is necessary to wash off Finalgon with the help of oils or cosmetics, since the interaction of the product with water can cause severe burning.

Best back pain patches

The plasters differ in composition and effect. They can be created on the basis of herbal ingredients and warming additives. Such drugs can be quite effective, as evidenced by numerous reviews. There are only three products in this category that give a good result.

Pepper plaster

This product is based on natural plant extracts. The main components are Krasavka and Capsicum, which have a warming and analgesic effect, and are also able to relieve spasms, dilate blood vessels and relieve muscle tension. Pepper plaster is used for radiculitis, rheumatism, neuralgia and colds, instantly acting on the painful focus. With a mild effect, it is permissible to use the product in conjunction with pain relievers.

Advantages

• Long-term action;
• Warming effect;
• There are practically no side effects;
• Low price.

disadvantages

• Prolonged use can cause skin tissue burns;
• Not the most pleasant scent.

Users emphasize that the Pepper Patch for back pain acts quite accurately and intensely, maintaining the effect for up to two days. Low price and minimal restrictions are also highlighted by users as the main advantages of the drug.

Chinese plaster Golden Tiger

The main active ingredient of the Golden Tiger is musk, which has an analgesic and warming effect. Additionally, the preparation contains an extract of belladonna, cloves, ginger, aconite, which act in a complex on the painful focus. Tiger is used for the treatment of arthrosis, osteochondrosis, rheumatism, radiculitis and for injuries of various origins. It relieves pain quickly enough, relieves swelling, inflammation and resolves hematomas. You can use the Golden Tiger both one-time and by course.

Advantages

• Large packaging;
• Pleasant aroma;
• Relaxes muscles;
• Does not cause burns.

disadvantages

• Not widely available;
• May cause an allergic reaction.

It is noteworthy that you can buy the Golden Tiger Chinese patch only through the Internet, on order. Also, buyers consider the lack of instructions in Russian and English as a disadvantage.

Voltaren

The active ingredient in Voltaren is diclofenac, which is a powerful pain reliever. The patch has a transdermal effect, it delicately releases the drug, eliminating pain and removing puffiness. It is prescribed for the treatment of joints, for diseases of the spine, bruises, sprains and rheumatism. Long-acting, quickly absorbed and relieves pain. Of the side effects, experts isolate only dermatitis and allergic reactions.

Advantages

• Tolerable by patients with kidney and liver damage;
• Has a cooling effect;
• Large exposure range;
• Nice smell.

disadvantages

• High price;
• Does not stick to the skin stably.

Buyers note that the strips of the Voltaren patch are very wide, they can be divided for ease of use. However, some people note that the product does not adhere well to the skin and often comes off.

Which medicine for back pain is better to buy

Only the attending physician can accurately answer this question by studying the symptoms and analyzing the disease from a medical point of view. Independent experts only give recommendations on which medications for back pain are prescribed by specialists most often. When buying local dosage forms from pharmacies, you need to pay attention to the expiration dates, which should be normal. Also, it will not be superfluous to immediately study the restrictions under which the medicine should not be taken. The composition, the main active ingredient, interaction with other medicines and ease of use are also equally important criteria for selection. Analyzing the presented drugs, rating experts recommend the following:

• To quickly relieve pain and spasms in the spinal muscles, you can take Dexalgin injections.
• For the same purposes, Lornoxicam is used, however, it has a more delicate effect and a smaller number of restrictions.
• For people prone to allergic reactions, it is recommended to use injections of Diprospan, which has a cumulative analgesic effect.
• When the back hurts or pulls in the lumbar region, you can pay attention to Diclofenac tablets, which are suitable for complex treatment and relieve the symptoms of fever.
• Paracetamol is considered the most gentle and safe among the tablets, it has low toxicity and is suitable for children, but it is important not to increase the dose.
• To relieve muscle-joint and traumatic pain, you can use Fastum gel, with a cooling effect.
• As a quick pain reliever, experts advise Finalgon ointment, which has a wide range of uses and warming effect.
• And for a more delicate, but at the same time powerful effect, the Voltaren plaster, with a transdermal effect, is suitable.

It should be noted that these recommendations are not a prescription for treatment, they are presented only for the information of readers. A more accurate determination of the appropriate medication can only be given by the attending physician.