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Medications
Over-the-counter Medications
Over-the-counter medications can be very effective in helping relieve or manage back or neck pain. There are two types of basic pain medication: acetaminophen and non-steroidal anti-inflammatory drugs (NSAIDs). Because they work on the body in different ways, they can be used in combination. In fact, many patients find them to be more effective used in tandem. Consult your doctor for recommendations on a combined dosage schedule, or for prescription drugs if over-the-counter medications don't seem to manage your pain.
Acetaminophen (Tylenol, etc.) blocks the brain's perception of pain. It has little chance of any side effects. Note: Patients with liver disease should check with their doctor before taking acetaminophen.
NSAIDs (Aleve, Advil, Motrin, Nuprin, etc.) reduce inflammation, which is typically partially responsible for your back and neck pain. There are different forms of NSAIDs, including ibuprofen (Advil, Motrin or Nuprin) and naproxen (Aleve or Naprosyn). The newest class of NSAIDs, called Cox-2 inhibitors, (including Celebrex) are prescription drugs, but are easier on the stomach. Note: Patients over 65 and those with with kidney problems or a history of ulcers should check with their doctor before using NSAIDs.
Prescription Medications
For short periods of time, prescription medications (such as muscle relaxants and narcotic pain medications) may be required to alleviate pain. Sometimes other classes of drugs (such as antidepressants and anti-seizure medications) are also prescribed. These can help reduce the sensation of pain and some can be taken for longer periods of time than narcotics. Narcotic pain medications can be very addictive and all prescriptions can have adverse effects when combined with other drugs — both prescription and over-the-counter — so your physician will carefully manage your pain, prescriptions, drug interactions and refills.
As with any drugs, inform yourself of risks, drug interactions, and potential side effects. Report any unusual or adverse reactions to your physician immediately.
See also our Prescription Policy.