Two types of over-the-counter medications, acetaminophen and non-steroidal anti-inflammatory drugs (NSAIDs), are commonly recommended to alleviate low back pain medications. Acetaminophen and NSAID’s work differently and therefore may be taken at the same time. For short periods of time, prescription medications (such as narcotic pain medications and muscle relaxants) may be helpful to alleviate pain or related complications. Other classes of drugs (such as antidepressants or anti-seizure medications) can also help modulate the sensation of pain and can be taken on a prolonged basis.
Acetaminophen is probably the single most effective non-prescription back pain medications and has the fewest side affects. Tylenol is an example of a well-known medication that has acetaminophen as its active ingredient.
Unlike aspirin and non-steroidal anti-inflammatory drugs, acetaminophen does not have an anti-inflammatory effect. Instead, it relieves pain by working centrally (in the brain) to switch off the perception of pain. Up to 1,000 mg of acetaminophen may be taken every four hours, up to a total of 4,000 mg within 24 hours.
For severe episodes of low back pain, narcotic pain medications may be prescribed. Clearly, narcotic agents are strong and potentially addictive forms of medication and should only be administered by a physician.
All narcotic agents have a dissociative effect that helps patients manage pain. It does not actually deaden the pain, but works to dissociate patients from the pain.
Inflammatory medications are also effective low back pain medications. Like narcotics agents, oral steroids are intended for use for short periods of time (one to two weeks). Oral steroids come in many forms, but are usually ordered as a Medrol Dose Pack in which patients starts with a high dose for initial low back pain relief and then taper down to a lower dose over five or six days.
Ultram is a type of narcotic-like oral pain reliever that is often prescribed to treat low back pain medications. Ultram, also known as tramadol, was approved by the FDA in 1998 and acts centrally (in the brain) to modulate the sensation of pain.
It is not an NSAID (nonsteroidal anti-inflammatory drug) nor does it have the anti-inflammatory effect of an NSAID. Its mechanism of action is similar to acetaminophen (e.g. Tylenol), but Ultram is a stronger pain reliever than acetaminophen and has a weak narcotic effect. Therefore, if you are at a loss on the back pain medications to choose from, it is recommended that you use Ultram as it is with high potency but less side effects.
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