Customer question:
I have severe pain due to menstruation every month and an injury after breaking my leg, which hurts a lot. Please list strong painkillers...
Anonymous customer.
Answer:
In the described case of pain conditions, it makes sense to use the active substances naproxen (example: Nalgesin) or Ibuprofen (example: Ibubel). If the pain is intense, it may be reasonable to plan the medication regimen so that it is taken approximately 12 to 24 hours before the onset of pain (source: https://www.mayoclinic.org). The menstrual cycle is very predictable and often entirely accurate.
If you need a more potent analgesic, it makes sense to use a combination of the mentioned active ingredients: Ibuprofen + paracetamol in one tablet - for example, Lekofusin. It should not be superfluous to suggest that you can try a natural method with infrared heat patches before taking any analgesics.
From the weakest to the most potent forms of painkillers
In most cases, doctors mainly opt for standard painkillers to treat less pronounced pain.
The group of standard weaker painkillers includes paracetamol, naproxen, and Ibuprofen. Even though it is a series of active ingredients chosen as the first option for pain, combining only these can synergistically improve the analgesic effects. For example, paracetamol, combined with Ibuprofen, is a more potent analgesic combination than each ingredient.
Suppose these standard painkillers and their combinations are insufficient, depending on the type and origin of the pain. In that case, the doctor may decide on opioid analgesics, which are the subject of a medical prescription. Opioids bind to receptors located in the brain, which are part of the spine and the gastrointestinal tract. The binding of the analgesic to these receptors makes it possible to perceive pain differently. In addition, during the period of action of the analgesic, it is known that the tolerance to pain increases.
Distribution of opioids
Weaker opioids: this includes codeine and dihydrocodeine
More potent opioids: these include tramadol, morphine, methadone, buprenorphine, fentanyl, diamorphine, and oxycodone.
Even though opioids are listed in the same group, their action can be differentiated even within this group.
Weaker opioids are usually available in tablet form. In comparison, more potent opioids are available in various pharmaceutical forms, such as liquids and syrups, modified extended-release tablets, capsules, sachets, orodispersible tablets, near-the-gums, dermal patches, intranasal preparations, and injections.
Interesting reading: Strongest over-the-counter painkillers