Best Painkiller for Back Pain

best painkiller for lower back pain

Back pain frequently goes away by itself over numerous weeks. In some people, back pain continues. It may not go away completely or it may get more painful at times. Medicines can also assist with your back pain.

Over-the-Counter Painkillers for Back Pain

Over the counter ways you can purchase them without a prescription.

Many health care suppliers advise acetaminophen (such as Tylenol) first since it has less side effects than other drugs. Do not take more than 3 grams (3,000 mg) on any one day or 24 hours. Overdosing on acetaminophen can cause severe damage to your liver. If you already have liver disease, ask your doctor if acetaminophen is OKAY for you to take.

If your pain continues, your company might recommend nonsteroidal anti-inflammatory drugs (NSAIDs). You can purchase some NSAIDs, such as ibuprofen and naproxen, without a prescription. NSAIDs help reduce the swelling around the swollen disc or arthritis in the back.

NSAIDs and acetaminophen in high dosages, or if taken for a long period of time, can cause major side effects. Side effects include stomach pain, ulcers or bleeding, and liver or kidney damage. If side effects take place, stop taking the drug right away and tell your service provider.

If you are taking painkiller for more than a week, inform your service provider. You might have to be watched for side effects.

Strongest Over-the-Counter Painkiller for Back Pain

For some patients, NSAIDs and muscle relaxants are inadequate. People with long-lasting, chronic back pain, particularly after several surgeries, are often recommended opioid or narcotic medications. In fact, one study revealed that as many as 70% of back pain patients get opioids.

These drugs act on pain receptors in the brain and afferent neuron to alleviate pain. Jung states there are milder, shorter-acting versions, such as Vicodin (acetaminophen and hydrocodone) and Tylenol with codeine – which is what many people start with — along with more powerful drugs like morphine.

Narcotic Painkillers for Back Pain

Narcotics, also called opioid pain relievers, are used just for pain that is severe and is not assisted by other types of pain relievers. They work well for short-term relief. Do not use them for more than 3 to 4 weeks unless advised by your company to do so.

Narcotic painkillers work by binding to receptors in the brain, which obstructs the feeling of pain. These drugs can be abused and are habit-forming. They have been associated with accidental overdose and death. When used carefully and under a supplier’s direct care, they can be efficient in reducing pain.

Examples of narcotics include:

  • Codeine
  • Fentanyl – available as a patch
  • Hydrocodone
  • Hydromorphone
  • Morphine
  • Oxycodone
  • Tramadol

Possible side effects of these painkillers consist of:

  • Drowsiness
  • Impaired judgment
  • Nausea or vomiting
  • Constipation
  • Itching
  • Slowed breathing

When taking narcotics, do not drink alcohol, drive, or run heavy machinery. strongly recommend to quit alcohol anyway.

Muscle Relaxants for Back Pain

Your service provider may recommend a medication called a muscle relaxant. Despite its name, it does not work straight on muscles. Rather, it overcomes your brain and spinal cord.

This drug is frequently given along with over the counter pain relievers to ease the symptoms of back pain or muscle convulsion.

Examples of muscle relaxants include:

Information verified by the team.
  • Carisoprodol
  • Cyclobenzaprine
  • Diazepam
  • Methocarbamol

Side effects of muscle relaxants prevail and consist of drowsiness, confusion, nausea, and vomiting.

These medications can be habit-forming. Speak to your provider prior to using these drugs. They may interact with other medications or make certain medical conditions worse.

Do not drive or run heavy equipment while taking muscle relaxants. Do not drink alcohol while taking these drugs.


Antidepressants are usually used to treat people with depression. But, low dosages of these medications can assist with chronic low back pain, even if the individual does not feel sad or depressed.

These drugs work by altering the levels of certain chemicals in your brain. This changes the method your brain notifications pain. Antidepressants most typically used for chronic low back pain also assist you sleep.

Antidepressants frequently used for back pain are:

  • Amitriptyline
  • Desipramine
  • Duloxetine
  • Imipramine
  • Nortriptyline

Typical side effects include dry mouth, constipation, blurred vision, weight gain, sleepiness, issues urinating, and sexual issues. Less commonly, some of these drugs can likewise cause heart and lung problems.

Do not take these drugs unless you are under the care of a provider. Do not stop taking these drugs unexpectedly or change the dose without also talking with your provider.

Anti-seizure or Anticonvulsant Medicines

Anticonvulsant medications are used to treat people with seizures or epilepsy. They work by triggering modifications in the electric signals in the brain. They work best for pain that is triggered by nerve damage.

These drugs may assist some people whose long-term back pain has actually made it tough for them to work, or pain that hinders their everyday activities.

Anticonvulsants most often used to treat chronic pain (including back pain) are:

  • Carbamazepine
  • Gabapentin
  • Lamotrigine
  • Pregabalin
  • Valproic acid

Typical side effects include weight gain or weight loss, indigestion, loss of appetite, skin rashes, drowsiness or feeling confused, and headaches.

Do not take these drugs unless you are under a service provider’s care. Do not stop taking these drugs unexpectedly or change the dosage without likewise talking with your provider.

Q: I Have Severe Back Pain That Isn’t Really Relieved With Ibuprofen, Ice, or Heat. What Could It Be?

I am a 26 year old woman. I have actually been operating at a desk job for 2 years and began full-time at graduate school for mentor in April. 3 months ago my lower right back began feeling sore, however absolutely nothing seriously unusual. 2 weeks ago I needed to go the ER because the pain ended up being severe. I drove home first, however then could not get out of my car. Any movement triggered my back to enter into an extremely painful spasm. I went to the ER, they gave me pain medication and diagnosed me with a stretched muscle. I am still feeling moderate pain, and now it feels more like a tightness when I aim to stand up from sitting, and can’t walk due to the fact that the tightness develops into a stabbing pain if I move. It takes me up to 4-5 minutes for it to chill out to where I can move, however then still injures. The medications don’t help, icing does not assist, and heat application does not assist the pain.

Answer: This is a good question. Although you already got emergency situation care for your back, it is crucial that you follow up with your primary care doctor because you are still having pain that is impacting your quality of life. Your doctor will ask you many concerns about your symptoms and do a full history and physical. Depending on what your doctor finds, he or she might buy imaging, such as an x-ray (if this was not done in the ER) or a CT or MRI. Back pain is one of the most common factors for visits to the doctor. It can be caused by lots of things, such as a pulled or strained muscle, a slipped disc, arthritis, or perhaps referred pain from your pancreas. Oftentimes, musculoskeletal pain (like what it seems like you are describing) needs a course of physical therapy in order for it to enhance. Massage therapy can likewise be really valuable if the issue is muscular in nature. In some cases the issue stems from bad mechanics or a bad quality mattress. Again, as it seems like your pain is rather severe, it is extremely important for you to make an appointment with your primary care doctor as quickly as possible.

Reyus Mammadli

As a healthy lifestyle advisor I try to guide individuals in becoming more aware of living well and healthy through a series of proactive and preventive measures, disease prevention steps, recovery after illness or medical procedures.

Education: Bachelor Degree of Medical Equipment and Electronics.

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  1. Ann smyth

    I have fibromyalgia and lower back pain, what is the best pain killer to take