The bulk of all antispasmodics and analgesics, which can be freely purchased in pharmacy chains, are effective only from mild and moderate pain syndrome. In more severe cases, you need strong painkillers, which can be divided into three groups:
- non-steroidal anti-inflammatory drugs;
- weak opiates;
- narcotic analgesics .
The last two types of pain relievers are sold exclusively for the doctor's prescription.
What are the most powerful painkillers for pills without prescriptions?
In the group of non-steroidal anti-inflammatory drugs and non-narcotic antispasmodics, the following are the most effective drugs:
- Meloksam;
- Ibuprofen;
- Solpaflex;
- Nurofen;
- Tempalgin;
- Nimulid;
- Ketorol;
- Amidopyrine;
- Indomethacin;
- Nyz;
- Kofergot;
- Movasin;
- Spasgan;
- Nalgezin;
- I took it;
- But-Shpa ;
- Drotaverine;
- Nekstrim Active;
- Solpadein;
- Ketonal;
- Movalis;
- Naklofen Duo;
- Oxadol;
- Paracodamol;
- Pentalgin Plus;
- Rapten Duo;
- Spazmalgon;
- Hotemin;
- Celebrex;
- Ketanov;
- Sedalgin;
- Moment of 400;
- Papaverine.
Strong prescription painkillers for oncology
To treat the pain syndrome, a special 3-step scheme is used in patients of the oncology department. At the first stage, non-steroidal anti-inflammatory drugs are prescribed from the above list. If this therapy is ineffective, then prescribe weak opiates:
- Codeine;
- Tramadol;
- Oxycodone;
- Zaldiar;
- Promedol;
- Hydrocodone;
- Tramal;
- Dimedrol.
It is also possible to use combined medications that contain a weak narcotic analgesic and a non-steroidal anti-inflammatory compound, usually paracetamol or aspirin.
In the case of weak efficacy of the second stage of anesthesia, true opiates are used:
- Sufentanil;
- Buprenorphine;
- Fentanyl;
- Bupronal;
- Pyrrthramide;
- Dipidolor;
- Trimperidone;
- Duragezik;
- Morphine.
The most powerful painkillers for use after surgery
Pain relief after surgery is mainly carried out through non-steroidal anti-inflammatory drugs, for example, Ketanov, Ibuprofen, Nimesulide. Rarely, in the presence of complications, weak opioid analgesics may be prescribed, but only for a very short time (up to 3 days) or once.