One of the negative signs, which indicates damage to the peripheral nerves, is considered severe pain. The most appropriate measure in this case would be to take a suitable pain medication for neuralgia. As a rule, medicines and methods for eliminating pain can not only eliminate unpleasant symptoms, but also stop the development of the inflammatory process.
And since there are a lot of ways to treat neuralgic pain, in order to choose the most suitable and safe drug correctly, you need to get to know all of them.
Pain with neuralgia
Regardless of the location of the damaged nerve, acute pain is considered a sign of this unpleasant condition. As a rule, it appears instantly and tends to intensify with any physical exertion. The duration of an unpleasant sensation can be several minutes or several hours. At night, discomfort is often worse.
The pain syndrome with neuralgia is localized, depending on the location of the damaged nerve. In most cases, this is the intercostal zone, as well as the lower back, neck with discomfort, giving off to the clavicle, and the frontal region with the para-temporal part of the head.
To eliminate an unpleasant factor in any of the situations, almost the same painkillers are used. With trigeminal neuralgia or another localization zone, medications are prescribed in the form of tablets, injections, etc.
Causes of the disease
The pathological process can affect any nerve ending in the human body. There are a number of factors that can cause neuralgia:
- Hypothermia.
- Diseases of the central nervous system.
- Severe ARVI.
- Infectious diseases.
- Spondylitis (a systemic chronic disease of the spine, which is characterized by ankylosis of the sacroiliac symphysis, which, during progression, develops into a pronounced form of kyphosis of the thoracic region).
- Osteochondrosis (a disease in which premature aging and destruction of the intervertebral discs and then the vertebrae occurs).
- Spondylosis (a chronic pathology accompanied by deformation of the vertebral bodies, which, in turn, occurs under the influence of bone tissue proliferation).
- Allergic reaction.
- Intoxication with medications.
- Harmful industrial production.
- Inflammatory processes and malignant tumors.
- Compression of the nerve in a forced position.
- A large number of medical manipulations in one area of the body.
Symptoms
The defeat of the trigeminal nerve provokes severe acute pain in the face, which can occur at any time. Before the onset of the disease, the patient's face begins to itch, goosebumps and numbness occur. A sharp pain lasts for several hours.
With intercostal damage to the back, intense pain appears in the region of the ribs, which worsen the situation with any physical exertion, as well as coughing, sneezing, or taking a deep breath. As a rule, osteochondrosis of the thoracic spine is considered the cause of the pathological process.
The defeat of the sciatic nerve provokes pain in the buttock, which gives to the thigh, as well as the lower leg and toes. The pain syndrome becomes unbearable during movement, coughing or sneezing. The patient feels pain or burning in different areas of the limb. Such sensations lead to immobilization and do not allow for a long time to be in the same position.
When the external cutaneous nerve of the thigh is affected, local aching and prolonged pain, burning and numbness are manifested. The ailment is aggravated by movement. Often the pain does not go away even after taking the pain medication.
Occipital neuralgia provokes pain in the back of the head, which can move higher, localizing in the temples and eyes. The attack appears suddenly. The occurrence of vomiting and increased pain are not excluded.
Postherpetic lesion appears in people whose body has the herpes virus. Pain can be acute and intense. It develops suddenly, regardless of the exacerbation of the disease.
Without proper treatment, the disease can develop into neuropathy. With this pathological process, nerve tissue and its sensitivity change. As a result of frequent attacks, a person develops a depressive state, and also immunity decreases and insomnia suffers.
Classification of painkillers for neuralgia
All analgesics are divided into non-narcotic and narcotic. The second group of painkillers is able to suppress the central nervous system. The active substances of narcotic drugs are based on a change in the nature of the pain syndrome due to direct effects on the brain.
Subsequently, not only the pain “goes away”, but also a feeling of euphoria. But, unfortunately, such medicines contain a certain danger. They are addictive.
As a rule, narcotic drugs are used for myocardial infarction, burns and cancer. The composition of these drugs includes codeine, morphine, fentanyl.
Non-narcotic pain medications are divided into several groups:
- traditional
- combined;
- from migraine;
- non-steroidal anti-inflammatory drugs;
- COX inhibitors;
- antispasmodics.
Negative reactions
These drugs can cause certain adverse reactions:
- Nausea.
- Vomiting.
- Flatulence.
- Gastrointestinal ulcer.
- Migraine (severe pain that is localized in different parts of the head).
- Dizziness.
- Insomnia.
- Depressive disorders.
- Tinnitus.
- Hives.
- Quincke's edema.
- Rhinitis (runny nose).
The main group of drugs that are used for pain with neuralgia are non-steroidal anti-inflammatory drugs. They not only eliminate tangible discomfort, but also effectively eliminate inflammation.
In addition, such a group of medicines can reduce the increased body temperature that occurs when peripheral nerves are affected. What is the best pain reliever for neuralgia?
Views
All existing painkillers used for neuralgia can be divided into several groups. According to the form of release and use of medicines, there are:
- tablets;
- injections
- ointments;
- suppositories.
The choice of a specific pain medication for intercostal neuralgia, as well as its dosage, should be carried out only by a medical specialist, with the mandatory consideration of all the characteristics of the patient's body.
When choosing a dosage form, as a rule, the general state of health and the presence of a patient's high sensitivity to any components of the drugs are taken into account.
According to the rate of manifestation of the analgesic effect, as well as its duration, tablets are the most commonly used and prescribed. Painkillers for intercostal neuralgia also include certain suppositories and injection solutions.
Ointments and gels are usually used in addition to therapy. Their anti-inflammatory properties significantly exceed the ability of other drugs to eliminate spasms and pain.
Tablets
Painkillers for neuralgia in tablet form are quite effective, but they are not always allowed to be used. In the presence of problems with the stomach and intestines, as well as with impaired functioning of the liver and kidneys, it is not recommended to use such drugs.
The most effective neuralgic drugs include:
- Ketorolac.
- "Toradol."
- Ketokam.
- Dolak.
- Ketofril.
- Ketanov.
- Zaldiar.
- Flamax.
- Ibuprofen
- Nurofen
- Ibusan
- "Nalgesin."
- "Brufen."
- "Paracetamol".
Despite the high popularity of the analgesic drug "Diclofenac", which also refers to the anti-inflammatory drugs of the non-steroid group, it is better to refuse its use. This drug not only gives a short-term effect, but also significantly increases the likelihood of stomach ulcers and intestines.
Injections
Intramuscular injections are considered one of the most effective ways to eliminate the pain syndrome with different types of neuralgia. The effect of the use of injectable drugs manifests itself very quickly and has practically no negative effect on the internal organs of the patient.
What are the most powerful painkillers for neuralgia? Injections into the muscle. Analgesics that were injected are absorbed by the body much faster than tablets. That is why when using them, it is necessary to comply with the dosage prescribed by the doctor and the treatment regimen.
The principle of the use of the drug should also be respected, as certain medications require slow infusion to stimulate the active component, while others should be warmed to room temperature.
List of the best drugs for neuralgia
The most effective pain relievers for neuralgia are solutions for intramuscular injections:
- Ketanov.
- Lornoxicam.
- Xefocam.
- "Toradol."
- Flamax.
- "Meloxicam."
- Movalis.
- "Flexen".
Analgin injections
If you need emergency one-time administration, in the absence of the above painkillers, for neuralgia, injections that contain analgin can be used. These include:
- Spazgan
- "Trigan."
- "Baralgin."
- "Analgin."
These drugs are usually used in combination with Diphenhydramine for pain relief in ambulances. But the frequent use of pain medications for neuralgia is contraindicated, since there is an increased risk of agranulocytosis and other pathological changes in the blood.
Ointments and gels
Anesthetic liniments help activate the regenerative properties of tissues. This type of medication is used only simultaneously with other analgesic drugs in the form of tablets, as well as injections or suppositories.
As an independent pain reliever for neuralgia, ointments have reduced effectiveness. But their continued systematic use has a persistent anti-inflammatory and antispasmodic effect.
Also, such drugs help to activate the regenerative properties of tissues, so they are used both at the stage of anesthesia and in the process of restoring disorders in the disease.
The following medications are considered the most effective ointments and gels that can eliminate pain in neuralgia:
- Ketoprofen.
- Nimesulide.
- Ketonal.
- Viprosan.
- Apizartron.
- Finalgon.
- Myoton
As a rule, these medicines contain bee or snake venom. Based on this, before starting treatment with ointment or gel, which eliminate the inflammatory process and pain with neuralgia, it is necessary to consult a medical specialist and exclude all restrictions.
With increased sensitivity of the patient’s body to most substances of painkillers, most often he is prescribed "Myoton", which includes plant components. But its effectiveness is slightly less than that of other drugs in this group.
Suppositories
The use of special rectal suppositories is considered one of the fastest options for the neutralization of pain with various types of peripheral nerve damage. The most effective of them are:
- Oki.
- Voltaren.
In addition to the fact that these suppositories quickly analgesic, they also effectively eliminate the inflammatory process and reduce high fever.
But, despite the reaction rate of the body to rectal suppositories, they are rarely used in the treatment of neuralgia. The reason for this is the inconvenience of their use, which includes mandatory long-term bed rest.
In general, in the process of treating neuralgia, types of drugs can be combined with each other to provide a quick positive effect. But a prerequisite for safe and effective treatment is the strict control of the doctor.
Conclusion
There are a huge number of different painkillers for neuralgia, which are widely used for the disease. With their use, it is possible to reduce inflammation and neutralize pain.
To achieve instant positive effects, different types of anesthetics can be combined with each other. But this should be done only under the supervision of a doctor in order to avoid unpleasant symptoms.