Answers Neurologist at the Pain Treatment Clinic of the Moscow Hospital. Vinogradova Pyotr Sokov:
– Most likely, we are talking about non-steroidal anti-inflammatory drugs (NSAIDs). A clear recommendation – it is better to take a maximum of two tablets on one day. But much more important is how many pills a person drinks per month. If you take the most common reason for taking painkillers – headache – then it is not recommended to take more than 10 tablets per month. What is the reason? There is a separate type of headache called abusal headache, otherwise called drug-induced headache. It develops with excessive use of non-steroidal anti-inflammatory drugs and some other analgesics. This triggers pathological mechanisms that lead to the fact that a person drinks a pill for a headache, but it does not subside, but, on the contrary, intensifies. Or a new type of headache appears. Therefore, if a person has to drink non-steroidal anti-inflammatory drugs or other analgesics for more than one tablet in 3 days, then you need to go to the doctor and select another therapy to avoid abusal headache, because it is much more difficult to treat.
Back pain is also a common reason for taking pain medications. Here the danger lies primarily in the fact that these tablets have a rather aggressive effect on the mucous membrane of the stomach and duodenum. Therefore, you need to be very careful about your condition when you are taking this kind of drugs. I want to note: the idea that the intramuscular administration of the drug does not affect the gastric mucosa is a myth. Both the anesthetic injection and the pill equally adversely affect the mucous membrane. Only with the injection are other undesirable phenomena possible, for example, pain, redness at the injection site, etc. Therefore, the tablet form of modern painkillers is preferable.
In addition, some drugs from the group of non-steroidal anti-inflammatory drugs have a side effect in the form of an effect on the heart – cardiotoxicity. And also the effect on the kidneys – nephrotoxicity. Therefore, if you are worried about some kind of pain syndrome, then it is always best to first consult with a specialist and discuss with him what therapy you can choose. There is no single best pain pill in the world. There are many different ones. They are the most commonly prescribed drugs in the world after blood pressure lowering drugs, and their range is huge. Moreover, each drug has its own characteristics of purpose and tolerance.
There are contraindications. Be sure to consult your doctor.