Talk to your doctor or pharmacist for more information or if you have any questions or concerns. Paracetamol can also damage your liver if taken at high doses. The number you can buy at any one time is limited because of this risk.
Be aware that many other products also contain paracetamol, so you should include these in your daily totals. These include cold and flu medications, and compound painkillers. Paracetamol may not be suitable if you need long-term pain relief. Paracetamol must be used in lower doses than usual if you have kidney problems. It should also be used with caution if you have liver problems. You should only drink alcohol in moderation when taking paracetamol. Aspirin is used for mild or moderate pain.
Some types can be bought over the counter from pharmacies and others are only available on prescription. Aspirin can cause problems with your stomach at higher doses. This is less likely with tablets you can dissolve in water, or ones that have an enteric coating. This is a special covering on tablets, so that the drug is not released until it has passed through your stomach.
Ibuprofen eye-boo-pro-fen is commonly used and can help with pain and inflammation. It can be bought over the counter, without a prescription. Ibuprofen can interact with other medicines. This can increase your risk of side effects and stop your medication from working properly. Check the leaflet that comes with your medicine to see if it can be taken with ibuprofen.
However, there are many more available over the counter or on prescription. You might be at a higher risk of side effects if you:. Speak to your doctor if you are worried about this, as they can assess your heart attack and stroke risk. Stronger and slow-release NSAIDs are available on prescription, which can be used for rheumatoid arthritis and other types of inflammatory arthritis. Speak to your doctor if you need longer-term pain relief.
A number of NSAIDs are also available as gels, creams, sprays or patches, which you apply to the affected area. Some of these, such as ibuprofen and diclofenac, are available over the counter. Others, such as ketoprofen key-toe-pro-fen are only available on prescription. If you have osteoarthritis , it is recommended that topical NSAIDs are tried before tablets, cox-2 inhibitors or opioid painkillers. This is because there is evidence that they are safer than taking tablets.
Compound painkillers are made from a combination of two different drugs. These are usually a standard painkiller, such as paracetamol, aspirin or ibuprofen , plus a low dose of an opioid painkillers, such as codeine or dihydrocodeine. Some common compounds are listed in Table 2. Compound painkillers containing low doses of codeine are available over the counter from pharmacists. Stronger ones are only available on prescription. Compound painkillers can be more effective than taking a single painkiller, and are more convenient than taking multiple tablets.
However, they also combine the risks of each of the ingredients. Compound painkillers usually contain paracetamol or aspirin combined with an opioid. For information about the benefits and risks, please see the sections on each ingredient. This is because they are potentially addictive. If you take compound painkillers according to their instructions, it is unlikely that you will become addicted to them.
However, it is important to talk to your doctor if:. Opioid painkillers come in tablets, liquids or patches. You can only get strong opioid painkillers on prescription. It is illegal to have opioid painkillers unless they have been prescribed to you.
Opioid painkillers can become addictive, so they should be used with caution. It is important to talk to your doctor if:. Opioid painkillers can cause more side effects than simple painkillers. They are only available on prescription and need to be monitored by your doctor. This is to reduce the risk of you becoming addicted to them and other side effects. If you are using antidepressants or antipsychotics, be careful of taking tapentadol.
This is because your risk of seizures may be higher if you are being prescribed these drugs at the same time. Mixing any opioid painkillers with alcohol or tranquilisers means that having an overdose is more likely. This can cause a coma, breathing problems and in some cases, death. People can build a tolerance to opioid painkillers. This means that you have to take more of them to get the same effect or avoid withdrawal symptoms.
Because of this, they may not be suitable for treating long-term pain. Withdrawal symptoms are physical or psychological reactions that happen when you stop taking a drug that you are addicted to. It is illegal in England and Wales to drive when taking prescription drugs if this affects your ability to drive. Some people need to take more than one type of painkiller at any one time. If you need to do this, you need to be aware of drug combinations that are safe and unsafe. Speak to your doctor if you have any questions or concerns about the types of painkillers you have been advised to take.
Many people with arthritis and related conditions will need to take painkillers or NSAIDs, along with drugs that treat the underlying cause of their condition. The combination you take will depend on your condition. For inflammatory types of arthritis, such as rheumatoid arthritis , your doctors should recommend disease-modifying anti-rheumatic drugs DMARDs. These types of drugs change how your condition develops. If you have gout , you may need NSAIDs or colchicine coal-chuh-seen to deal with the pain and swelling from an attack.
You may then need another drug, such as allopurinol al-oh-pure-ri-nol or febuxostat fe-bucks-oh-stat , in the longer term to reduce the risk of having more gout attacks. If you have pain as a result of nerve damage, or fibromyalgia fie-bruh-my-al-juh your doctor may suggest drugs such as amitriptyline am-ee-trip-ter-leen , gabapentin gab-a-pen-tin or pregabalin prey-gab-a-lin.
Cataflam , Voltaren , Zipsor , Zorvolex. Toradol Pro Generic name: ketorolac. Voltaren Pro Generic name: diclofenac. Aleve Generic name: naproxen. Mobic Pro Generic name: meloxicam. Sprix Pro Generic name: ketorolac. Cambia Pro Generic name: diclofenac. Cataflam Pro Generic name: diclofenac.
Zipsor Pro Generic name: diclofenac. Advil Pro Generic name: ibuprofen. Relafen Pro Generic name: nabumetone. Naprosyn Pro Generic name: naproxen. Indocin Pro Generic name: indomethacin. Zorvolex Pro Generic name: diclofenac. Advil Liqui-Gels Pro Generic name: ibuprofen. Ponstel Pro Generic name: mefenamic acid.
Motrin Pro Generic name: ibuprofen. Naprelan Pro Generic name: naproxen. Lodine Pro Generic name: etodolac. Feldene Pro Generic name: piroxicam. Anaprox Generic name: naproxen. Indocin SR Pro Generic name: indomethacin. Voltaren-XR Pro Generic name: diclofenac. Motrin IB Pro Generic name: ibuprofen. Clinoril Pro Generic name: sulindac. Anaprox-DS Generic name: naproxen. Orudis KT Generic name: ketoprofen. Dolobid Generic name: diflunisal. Daypro Pro Generic name: oxaprozin. Children's Motrin Generic name: ibuprofen.
Ansaid Pro Generic name: flurbiprofen. Oruvail Generic name: ketoprofen. Orudis Pro Generic name: ketoprofen. Midol Extended Relief Generic name: naproxen. Tolectin DS Generic name: tolmetin. Tivorbex Pro Generic name: indomethacin. Nalfon Pro Generic name: fenoprofen. Ibu-Tab Generic name: ibuprofen. IBU Pro Generic name: ibuprofen. Flanax Pain Reliever Generic name: naproxen.
Advil Migraine Generic name: ibuprofen. Vivlodex Pro Generic name: meloxicam. Tolectin Generic name: tolmetin. Relafen DS Pro Generic name: nabumetone. Q-Profen Generic name: ibuprofen. Proprinal Generic name: ibuprofen. ProFeno Pro Generic name: fenoprofen. Nuprin Generic name: ibuprofen. NeoProfen Pro Generic name: ibuprofen. Motrin Junior Strength Generic name: ibuprofen. Motrin Childrens Generic name: ibuprofen.
Midol IB Generic name: ibuprofen. Lodine XL Generic name: etodolac. IBU Generic name: ibuprofen. Ibu-8 Generic name: ibuprofen. Ibu-6 Generic name: ibuprofen. Ibu-4 Generic name: ibuprofen. Haltran Generic name: ibuprofen. Genpril Generic name: ibuprofen.