Important Information About All Medicines
Never take more than the prescribed dose. If you suspect that you or someone else might have taken an overdose of this medicine, go to the accident and emergency department of your local hospital. Take the container with you, even if it is empty.
Do not keep out-of-date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.
If you have any questions about this medicine ask your pharmacist.
Further reading and references
Medicines For Back Pain
Acute back pain often goes away on its own over several weeks. In some people, back pain persists. It may not go away completely or it may get more painful at times.
Medicines can also help with your back pain.
OVER-THE-COUNTER PAIN RELIEVERS
Over-the-counter means you can buy them without a prescription.
Most health care providers recommend acetaminophen first because it has fewer side effects than other drugs. Do not take more than 3 grams on any one day, or over 24 hours. Overdosing on acetaminophen can cause severe damage to your liver. If you already have liver disease, ask your doctor if acetaminophen is OK for you to take.
If your pain continues, your provider may suggest nonsteroidal anti-inflammatory drugs . You can buy some NSAIDs, such as ibuprofen and naproxen, without a prescription. NSAIDs help reduce the swelling around the swollen disk or arthritis in the back.
NSAIDs and acetaminophen in high doses, or if taken for a long time, can cause serious side effects. Side effects include stomach pain, ulcers or bleeding, and kidney or liver damage. If side effects occur, stop taking the drug right away and tell your provider.
If you are taking pain relievers for more than a week, tell your provider. You may need to be watched for side effects.
NARCOTIC PAIN RELIEVERS
Examples of narcotics include:
- Fentanyl — available as a patch
Possible side effects of these drugs include:
Treating Your Back Pain
No matter what you suspect to be the cause of your pain, the first step in treating it should be to see your doctor. Usually, most short-term back pain improves over time without medical treatment. A typical course of treatment for back pain, which may be accompanied by muscle spasm, could include the following:
- Bed rest for a day or two, though a long period of bed rest is not recommended
- Local application of either heat or cold, depending on the type of injury,
- A massage of the area, especially for a muscle spasm, and/or
- An OTC anti-inflammatory pain medication such as Advil or a prescription anti-inflammatory drug and muscle relaxant.
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How Does This Medication Work What Will It Do For Me
This is a combination product containing 2 medications: methocarbamol and ibuprofen. It is used to relieve pain associated with muscle spasm such as strains and sprains, back pain, and tense neck muscles.
Methocarbamol belongs to a class of medications called muscle relaxants that reduce muscle spasms. Ibuprofen belongs to a class of medications called nonsteroidal anti-inflammatory drugs that reduce pain and inflammation.
This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here.
Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor.
Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not recommended it.
Video: Back Pain Treatment Options
Nonsteroidal anti-inflammatory drugs . You will see more improvement of your symptoms after 1 week of taking NSAIDS than taking nothing. Motrin/Advil or Aleve , all available without a prescription, are all good options for you. Ibuprofen can be taken 400 600 mg at a time, 4 times a day, and naproxen can be taken 220 mg twice daily for improvement of back pain. In studies, NSAIDS provide more relief of back pain than Tylenol . Try it as a first line choice.
Acetaminophen at higher doses, 1000 mg taken 4 times a day, does help modestly with back pain. Tylenol is better tolerated than NSAIDS, causing less stomach discomfort. This is your second choice after NSAIDS for the treatment of acute back pain. The usual warning here is not to take it for longer than 10 days at those doses.
What about both together? Studies suggests that there is little, if any, benefit of adding NSAID therapy to high-dose acetaminophen.
What about herbal options? Herbal non-steroidals may be effective. Willow bark extract works as an anti-inflammatory and may help for back pain. The bark of white willow contains salicin, which is similar to aspirin. In one study, the relief provided by willow bark was equivalent to the prescription COX-2 inhibitor rofecoxib .
What worked for you?
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How To Decide If Ibuprofen Is Right For You
While you can purchase ibuprofen over the counter, you should always speak with a doctor before beginning an ibuprofen regimen. They can recommend the next steps, and she will go over your medical history to see if there are any indications that would prevent you from safely taking ibuprofen. They can also prescribe the adequate amount of ibuprofen needed to resolve your specific back pain conditions.
When It Might Be Time For Back Surgery
For example, we might consider surgery if a patient has one of the symptoms we mentioned above that warrant an immediate visit to the doctor: numbness in an arm or leg, trouble with bowel or bladder control, or weakness in an arm or leg. These could be signs of a neurological condition. Other symptoms of a neurological condition include trouble using the hands or frequent falls in addition to back pain.Mechanical issues, or problems with the physical structure of the spine, also are conditions we can correct with surgery. Mechanical issues often show up in one of these ways:
- Back pain thats worse when moving, sitting, or standing a certain way, as opposed to constant pain
- Deformity or other structural issues with the back
- Pain thats significantly worse when standing or sitting upright and supporting body weight
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What Are The Side Effects Of Ibuprofen
This is not a complete list of side effects, and others may occur. A medical professional can advise you on side effects. If you experience other effects, contact your pharmacist or a medical professional. You may report side effects to the FDA at www.fda.gov/medwatch or 1-800-FDA-1088.
Ibuprofen can cause side effects, most of which are mild. However, some of ibuprofen’s side effects can be serious and require medical intervention. Be sure to mention any side effects you experience to your healthcare provider.
What Is The Best Over
These are the medications that you can find while perusing the aisles at your local pharmacy or convenience store. Most of them are household names, and its not uncommon to keep them on hand, stashed in a medicine cabinet, just in case. Even though OTC medications are easy to obtain, theyll do the job for many aches and pains, and doctors often recommend them prior to prescribing stronger treatment options.
OTC NSAIDs, like ibuprofen and naproxen, are a good first-line agent to decrease inflammation surrounding an injury, recommends Joanna Lewis, Pharm.D., creator of The Pharmacists Guide. They might not have the same potency of high-grade muscle relaxants, but theyre still effective and have very few side effects. If you roll your ankle at the gym or wake up with back pain, try one of these before asking your doctor for a prescription.
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Exercise And Mindful Movement
Regular exercise is a good way to ward off chronic pain and to reduce symptoms if it does develop. But certain types of movement may be more beneficial than others.
Tai chi has been shown to benefit people with fibromyalgia, for example, and yoga may help with back pain and arthritis. Even if these techniques dont necessarily decrease pain, they may help people cope with it better, says Nagda.
Nagda also recommends swimming to many of her pain patients, as a way to stay active and flexible without stressing their joints. And for injuries, she stresses the value of using heat and ice and seeing a physical therapist, rather than masking pain with a pill.
Tylenol Vs Ibuprofen For Back Pain
So which is better for back pain: Acetaminophen or an NSAID ?
As you can see from this article, NSAIDs such as ibuprofen or naproxen are more effective than acetaminophen for low back pain. This is in part due to the fact that NSAIDs can reduce inflammation in your lower back, whereas Tylenol does not.
However, if you have medical reasons that put you at risk of side effects with NSAIDs , you should try Tylenol instead. Tylenol is generally safe. Do not take Tylenol with alcohol and avoid it if you have liver disease.
After an injury, make sure to rest and ice your back for a few days. If that is not enough, use ibuprofen or naproxen. If you have chronic low back pain, check out this article: 6 Best Exercises for Low Back Pain.
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Which Is Safer For The Gut
To sum it up, has a slightly lower risk of causing ulcers and gastrointestinal bleeding compared to naproxen. With any NSAID, take the lowest effective dose and avoid using it long term. And if you have to use an NSAID for more than a few days, add protection for the stomach with a proton-pump inhibitor drug like , , or .
Salicylates Cousins To Aspirin
The large chemical family of salicylates has several maybe-medicinal members. Aspirin is the star of the show, but minty methyl salicylate has been widely used in ointments for decades, as well as many other products . Just look for some kind of salicylate on the label.
Certainly these are interesting chemicals. Plants use MeSa in complex ways for signalling and self-defense it can attract the natural enemies of plant predators. And it might be an analgesic in humans, but the science isnt exactly settled, despite their long history of usage Harvard Health Publishing in 2019: Theres little, if any, rigorous research into methyl salicylates effectiveness as a pain reliever, which seems a touch dismissive to say without any substantiation, so I checked myself and, sure enough, good job Harvard. There truly isnt much data! A 2004 review found little to review,31 and the situation wasnt much better in 2014,32 and the latter review concludes that evidence does not support the use of topical rubefacients containing salicylates for acute injuries or chronic conditions.
On the other side of the question, there certainly is some positive evidence,33 and Anderson et al declared in 2017 that its analgesic action is beyond question.34 Thats a bit much, but their paper was more focused on the safety concerns about MeSa:
Still, anyone with a persistent pain problem should probably test, in moderation, all of the above. Except homeopathic arnicathats just nonsense.
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Symptoms Of Back Pain Due To Sciatica
Sciatica is a very common condition that affects the lower back. As much as 3 million people per year may deal with sciatica in the US alone. Sciatica is caused when something compresses or irritates the sciatic nerve, one of the largest in the body.
The sciatica nerve springs from the lower part of the spinal cord and then branches down either side of the body throughout the hips, buttocks, and each leg. As a result, sciatic pain is usually felt on just one side depending on where the irritation or compression is taking place, usually somewhere in the lumbar region.
- Pain that radiates down one side of the body from the hip into the leg
- Numbness, tingling, or weakness may occur in the leg or foot on the affected side
- Pain can range from aching and burning to acute and severe
- Bowel and bladder function may be affected
Can You Overdose On Acetaminophen And Ibuprofen
If you exceed the recommended daily dosage of either acetaminophen or ibuprofen then it is possible to overdose. Contact your health provider immediately if you experience any of the following:
- Abdominal or stomach pain
- Tinnitus .
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Ibuprofen 800 Mg For Back Pain
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What Do I Need To Know Or Do While I Take Excedrin
Whenever you are on medication, you need to be more concerned about your food and lifestyle to avoid the side effects. The same rule goes for the Excedrin Back & Body. You can easily avoid any adverse impact of Excedrin by following the tips given below,
- While reaching out for any medical care, tell the professional that you take Excedrin.
- Excedrin contains Acetaminophen. Avoid taking any other drug that includes the same ingredient. Consuming too much Acetaminophen can cause liver issues.
- Ask your doctor if consuming alcohol will do any harm.
- Excedrin Back & Body is not safe for pregnant ladies and those who are trying to conceive. Also, consult your doctor if you are breastfeeding an infant.
- Excedrin is not suitable for children and teenagers with flu, chickenpox, and infection.
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Effectiveness Of Aleve And Ibuprofen
Aleve and ibuprofen are called nonselective NSAIDs because they block COX-2 enzymes and also COX-1 enzymes . This makes them effective at relieving pain and reducing inflammation, but there is a risk of stomach-related side effects. As far as effectiveness goes, 440mg Aleve is approximately equivalent to a 400mg ibuprofen.
Tylenol Effectiveness For Back Pain
Tylenol has historically been used for back pain. However, Tylenol has very limited benefit in patients with back pain. According to one study:
- Tylenoldoes not produce better outcomes than placebo for people with acute low back pain, and it is uncertain if it has any effect on chronic low back pain.
Tylenol is thus no longer recommended as a first-line treatment for low back pain. It may be worth a try if you cannot take ibuprofen or naproxen due to medical reasons. The dose you can try is this:
- Under 65 years old: Acetaminophen 650 mg orally every six hours as needed
- Over 65 years old: Acetaminophen 500mg orally every six hours as needed
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Which Painkiller Should You Pick
So which pain med reigns supreme? While theres no right answer, these pointers can help you decide.
Most research suggest acetaminophen and ibuprofen have similar results in controlling fevers, so pick what works for you.
If you have a sensitive stomach or find that ibuprofen causes heartburn or nausea, give acetaminophen a whirl.
Ibuprofen reduces your bodys production of prostaglandins. These are the chemicals that trigger the uterus to contract and start periods each month. Ibuprofen can ease menstrual cramps and may also make menstrual bleeding lighter.
Both ibuprofen and acetaminophen can interact negatively with some prescription and over-the-counter drugs. If youre taking medication, talk to your provider doctor or pharmacist before reaching for the painkillers.
If youre taking painkillers over several days, consider alternating ibuprofen and acetaminophen to lower the risk of side effects.
Both ibuprofen and acetaminophen can control pain in kids. But ibuprofen tends to work better as a fever reducer. Be sure to follow the dosage guidelines on the label for your little ones age and weight.
Whats the takeaway? When used responsibly, ibuprofen and acetaminophen are safe choices for turning down the dial on fever and pain. And isnt it good to have options?
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What Is Ibuprofen Or Naproxen
Ibuprofen and Naproxen are also very popular over-the-counter pain relievers and fever reducers. They belong to a class of drugs called Non-steroidal Anti-inflammatory Drugs . Similar to Tylenol, these drugs are also used for many types of pain including headaches, muscle aches, sprains and strains , menstrual pain, and certain types of arthritis. They are also found in many cough and cold medications because they can reduce fever in both adults and children.
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