One of the negative signs that indicates damage to the peripheral nerves is severe pain. The most correct measure in this case would be to take a suitable painkiller for neuralgia. As a rule, drugs and methods of pain management 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 correctly choose the most suitable and safe drug, you need to get acquainted with all of them.
Neuralgia pain
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 the discomfort can be either a few minutes or several hours. Discomfort often increases at night.
Localized pain syndrome in neuralgia, 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 extending to the clavicle area, and the frontal area with the temporal part of the head.
To eliminate an unpleasant factor in any of the situations, almost the same painkillers are used. In case of trigeminal neuralgia or another area of localization, medications are prescribed in the form of tablets, injections, etc.
Causes of disease
The pathological process can affect any nerve ending in the human body. There are a number of factors that can cause neuralgia:
- Hypercooling.
- Diseases of the central nervous system.
- Severe SARS.
- Infectious diseases.
- Spondyloarthritis (systemic chronic disease of the spine, which is characterized by ankylosis of the sacroiliac symphysis, which, during progression, develops into a pronounced form of thoracic kyphosis).
- Osteochondrosis (a disease in which premature aging and destruction of the intervertebral discs and then the vertebrae occur).
- Spondylosis (a chronic pathology accompanied by deformation of the vertebral bodies, which, in turn, occurs under the influence of bone growth).
- Allergic reaction.
- Medication intoxication.
- Harmful industrial production.
- Inflammatory processesand malignant tumors.
- Compression of the nerve in a forced position.
- A large number of medical manipulations in one area of the body.
Symptoms
Trigeminal nerve injury 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. Sharp pain continues for several hours.
With intercostal lesions of the back, intense pain appears in 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.
Injury to the sciatic nerve causes pain in the buttock area, which radiates 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 to be in one position for a long time.
When the external cutaneous nerve of the thigh is affected, local aching and prolonged pain, burning and numbness appear. The ailment is aggravated by movement. Often the pain does not go away even after taking painkillers.
Neuralgia of the occipital nerve provokes pain in the back of the head, which can move higher, localized in the area of the temples and eyes. The attack appears suddenly. Notthe occurrence of vomiting and increased pain is excluded.
Postherpetic lesions appear in people who have the herpes virus in their bodies. The pain syndrome 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 such a pathological process, the tissues of the nerve and its sensitivity change. As a result of frequent attacks, a person develops a depressive state, as well as a decrease in immunity and insomnia.
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 ingredients of narcotic drugs are based on a change in the nature of the pain syndrome due to a direct effect on the brain.
Subsequently, not only the pain "leaves", but also a feeling of euphoria arises. But, unfortunately, such medicines store a certain danger. They are addictive.
As a rule, narcotic drugs are used for myocardial infarction, burns and cancer. These medicines contain codeine, morphine, fentanyl.
Non-narcotic painkillers are divided into several groups:
- traditional;
- combined;
- for migraine;
- nonsteroidal anti-inflammatory drugs;
- COX inhibitors;
- antispasmodics.
Negative reactions
These drugs can cause certainadverse reactions:
- Nausea.
- Gagging.
- Meteorism.
- Peptic ulcer of the gastrointestinal tract.
- Migraine (severe pain that is localized in different parts of the head).
- Dizziness.
- Insomnia.
- Depressive disorders.
- Tinnitus.
- Urticaria.
- Quincke's edema.
- Rhinitis (runny nose).
Non-steroidal anti-inflammatory drugs are considered the main group of drugs that are used for pain in neuralgia. They not only eliminate perceptible discomfort, but also effectively eliminate inflammation.
In addition, this group of medicines can reduce the elevated body temperature that occurs when peripheral nerves are damaged. 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, medicines are:
- pills;
- injections;
- ointments;
- suppositories.
The choice of a specific pain reliever for intercostal neuralgia, as well as its dosage, should be carried out only by a medical specialist, with the obligatory consideration of all the characteristics of the patient's body.
When selecting a dosage form, as a rule, the general state of he alth and the patient's high sensitivity to any components of the drugs are taken into account.
According to the speed of manifestation of the analgesic effect, as well as its durationthe most commonly used and prescribed are tablets. Pain relievers for intercostal neuralgia also include certain suppositories and injection solutions.
Ointments and gels are usually used in addition to therapy. Their anti-inflammatory properties far exceed the ability of other drugs to eliminate spasms and pain.
Pills
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 impaired functioning of the liver and kidneys, it is not recommended to use such medicines.
The most effective neuralgic drugs include:
- "Ketorolac".
- "Toradol".
- "Ketokam".
- "Dolak".
- "Ketofril".
- "Ketanov".
- "Zaldiar".
- "Flamax".
- "Ibuprofen".
- "Nurofen".
- "Ibusan".
- "Nalgezin".
- "Brufen".
- "Paracetamol".
Despite the high popularity of the analgesic drug "Diclofenac", which also belongs to the anti-inflammatory drugs of the nonsteroidal 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 and intestinal ulcers.
Injections
One of the most effective ways to eliminate pain in various types of neuralgia are intramuscular injections. The effect of the use of injectable drugs appears very quickly and has virtually no negative effect on the internal organs of the patient.
What are the strongest painkillers for neuralgia? Injections into the muscle. Analgesics that were administered by injection are absorbed by the body much faster than tablets. That is why when using them, it is imperative to follow the dosage and treatment regimen prescribed by the doctor.
The principle of drug use must also be observed, as certain drugs require slow infusion to stimulate the active ingredient, while others should be warmed to room temperature.
List of the best drugs for neuralgia
The most effective painkillers for neuralgia are solutions for intramuscular injections:
- "Ketanov".
- "Lornoxicam".
- "Xefocam".
- "Toradol".
- "Flamax".
- "Meloxicam".
- "Movalis".
- "Flexen".
Injection with analgin
If you need an emergency single injection, 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 painkillers for neuralgia is contraindicated, as 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 a reduced effectiveness. But their long-term 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 drugs 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, beforethe beginning of therapy with an ointment or gel that eliminates the inflammatory process and pain in neuralgia, it is imperative to consult a medical specialist and eliminate all restrictions.
With increased sensitivity of the patient's body to most of the substances of anesthetic liniments, most often he is prescribed "Mioton", the structure of which includes plant components. But its effectiveness is somewhat less than that of other drugs in this group.
Suppositories
One of the fastest options for neutralizing pain in various types of peripheral nerve damage is the use of special rectal suppositories. The most effective ones are:
- "Oki".
- Voltaren.
In addition to being a quick analgesic, these suppositories also effectively eliminate inflammation and reduce fever.
But, despite the speed of the body's reaction to rectal suppositories, they are extremely rarely used in the treatment of neuralgia. The reason for this is believed to be the inconvenience of their use, which includes mandatory prolonged bed rest.
In general, in the treatment of 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 differentpainkillers for neuralgia, which are widely used in the disease. By using them, it is possible to reduce inflammation and neutralize pain.
To achieve an immediate positive effect, 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.
