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Although these drugs are well tolerated, in few cases they cause side effects such as diarrhea, constipation, gas, tinnitus and nervousness. Back pain that do not respond to NSAIDs and acetaminophen are frequently treated with muscle relaxants or medications that help to reduce the muscle spasms that trigger pain.
Opioids are prescribed by doctors only when prescription NSAIDs, muscle relaxants and corticosteroids cannot alleviate severe chronic back pain. Morphine, the strongest opioid painkiller is prescribed only when the milder opioids fail to reduce the pain.
Treatment for gouty arthritis focuses on reducing the pain and inflammation of the joint and treating the underlying cause of gout. Corticosteroid is occasionally injected to the painful joints to reduce inflammation and improve joint mobility. Among the different NSAIDs, naproxen and indomethacin are most effective in reducing the pain and inflammation of the joints affected by gouty arthritis. Naproxen and indomethacin rarely increase the risk of stroke, heart attacks and stomach or intestinal bleeding.
Severe gouty arthritis pain that do not respond to NSAIDs is frequently treated with corticosteroids. This anti-gout drug is taken orally with or without food, once or twice a day or as directed by the physician.
Allopuronol and febuxostat belong to the class of drugs known as xanthine oxidase inhibitors.
During the first few months of the treatment with xanthine oxidase inhibitors, you might experience frequent gout attacks. Uricosuric drugs such as probenecid and sulfinpyrazone prevent gout attacks by eliminating excess uric acid through urine. Although these drugs cannot cure the underlying cause of the back pain, such as an injury, nonetheless, they can provide prompt relief from the pain. The mild analgesics available over the counter that are usually considered safe for reducing back pain include ibuprofen, and naproxen.

Muscle relaxants used for treating back pain include cyclobenzaprine, carisoprodol, tizanidine and baclofen.These drugs provide fast relief from acute backache. These powerful anti-inflammatory medications are prescribed only for treating severe back pain that cannot be healed with conventional therapies. You accept that you are following any advice at your own risk and will properly research or consult healthcare professional. Joint pain is usually treated with common pain relief medications such non-steroidal anti-inflammatory drugs (NSAIDs) and acetaminophen or paracetamol. To prevent recurrent acute gout pain, medications for treating hyperuricemia are recommended by physicians.
The corticosteroid prednisone is commonly used for reducing the pain and inflammation of the joints. To treat gouty arthritis, the first dose of the medication should be taken when you experience the first symptom of gout, following by a smaller second dose an hour later. By inhibiting the activities of the enzyme that converts purines in food into uric acid, these medications lower the uric acid level in the body, thereby lowering the risk recurrent gout attacks. To prevent acute pain, an anti-gout medication such as colchicine is prescribed along with allopurinol. These medications work by preventing production of inflammatory chemicals that trigger pain. The extended release acetaminophen medications can provide relief from the pain for a longer time. However, too much use of corticosteroids increases the risk of bone loss, diabetes and weight gain. Opioids work by numbing the pain receptors in the brain and obstructing transmission of pain signals. Side effects such as dizziness, headache, diarrhea, vomiting, constipation, tinnitus and irritation of the rectum, although rare, may occur following intake of these NSAIDs. You should wait at least for 12 hours after the additional dose before taking the next dose of colchicine.

Increase in gout attacks is a common side effect of the drug that occurs at the early stage of the treatment. If your back pain does to respond to mild NSAIDs, your physician might recommend prescription NSAIDs such as meloxicam, celecoxib, nabumetone and diclofenac.
However, just as the aforementioned NSAIDs, acetaminophen drugs should be used only for a short time. The risk of side effects can be reduced by limiting use of corticosteroids to three injections a year for treating chronic back pain. In most cases, doctors prescribe mild formulations of opioid drugs that usually combine an opioid compound with an acetaminophen.
Recent studies have revealed that prolonged use of these drugs may worsen the back pain by changing the response of the nervous system to the pain signals. While high doses of the medication are prescribed by physicians for healing acute gouty arthritis pain, gradually the dose is reduced or the drug is stopped when the pain subsides. Long-term use increases the risk of bone loss and weight gain and reduces the body’s ability to process sugar. However, in a small number of cases it causes diarrhea, nausea, vomiting and abdominal pain and cramps. Higher doses of these drugs when used for a prolonged period increase the risk of ulcers and kidney problems.
Loss of appetite, vomiting, headache and dizziness are common side effects of these medications.

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01.02.2015 admin

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