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Shelia Lewis: Smith County Extension

Posted on Thursday, November 22, 2007
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Learn Differences In Pain Medications
Shelia Lewis
Most Americans suffer from some type of aches and pains. Therefore, we rely heavily on over-the-counter pain medications. Health specialists with Texas Cooperative Extension provide some im-portant information regarding the different types of over-the-counter medications.

Many older adults have pain that does not go away. Deciding what type of pain medicine to take is not easy. Over-the-counter (OTC) pain relievers are medicines that you can buy without a prescription from your doctor. Two main types of OTC pain relievers are available. One type is acetaminophen (brand name: Tylenol).

The second type is nonsteroidal anti-inflammatory drugs (also called NSAIDs). NSAIDs include the following: aspirin (two brand names: Bayer, St. Joseph); ibuprofen (two brand names: Advil, Motrin); ketoprofen ( one brand name: Orudis KT); and naproxen (one brand name: Aleve).

Acetaminophen seems to relieve pain and reduce fever by working on the parts of the brain that receive pain messages and control the body's temperature. NSAIDs relieve pain and fever by reducing the level of hormone-like substances, called prostaglandins, which your body makes. Prostaglandins cause pain by irritating your nerve endings. They also help your body control its temperature.

Acetaminophen and NSAIDs relieve pain caused by muscle aches, stiffness and reduce fever. NSAIDs can also reduce inflammation - redness and swelling. OTC pain relievers can be helpful in treating many types of pain, such as pain from arthritis, earaches, back pain and pain after surgery. They can also treat pain from the flu or a cold, sinusitis, strep throat or a sore throat.

Acetaminophen may help relieve headaches and other common aches and pains. It may be used safely by most people on a long-term basis for arthritis and other chronic painful conditions.

NSAIDs may be helpful for pain from inflammation, such as muscle sprains. For most people, OTC pain relievers are all they need to control pain or fever. If an OTC drug does not help your pain or fever, or if you've been taking an OTC drug for more than 10 days for pain or three days for fever, call your health provider. These may be signs that you have a more serious problem or need a prescription medicine.

SIDE EFFECTS

Side effects from OTC pain relievers are not common for healthy adults who only use pain relievers once in a while. However, side effects may be a concern for people who use pain relievers often, who have health problems or who take other prescription medications. If you have health problems, use pain relievers often or take prescription medications regularly, talk to your health provider before taking an OTC pain reliever.

Acetaminophen may cause liver damage in people who take very high doses or who already have abnormal liver function. To reduce your risk of liver problems, never take more than the recommended dose of acetaminophen. You generally should not take acetaminophen if you are already taking another product containing acetaminophen. If you have severe kidney or liver disease, or if you have three or more drinks that contain alcohol every day, you should talk to your health provider before taking acetaminophen.

With long-term use, NSAIDs may cause gastrointestinal (GI) problems. These problems range from upset stomach to ulcers to GI bleeding. For minor stomach upset, eating some food or drinking some milk before you take an NSAID may help. Your risk of GI problems from NSAIDs goes up the higher the dose you take and the longer you take them. Drinking alcohol may increase this risk.

Over-the-counter pain medications can be useful and effective. Even though they are considered safe enough to be taken without a prescription, they are real medicines. It is important to discuss their use with a health provider, especially if they are being combined with prescription medications.


Shelia Lewis is a Smith County Extension agent in family and consumer sciences. She can be reached at sk-lewis@tamu.edu.

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