There is no magic bullets so keep the peace triumvirate of aspirin, paracetamol and ibuprofen to hand.
Aspirin is effective for general pain, while ibuprofen is particularly good for inflammation, but both can irritate the stomach.
Paracetamol is very safe in correct doses and can also be taken with ibuprofen or aspirin.
However, be ware of Codeine, it can cause drowsiness as well as increasing the effect of alcohol. Speaking of which, for hangovers, effervescent paracetamol and ibuprofen with a pint of water is your best plan of attack.
Here is a comparison table summary of popular pain medication. The pain relievers below were ranked by effectiveness for chronic back pain, by a Harvard Study. Each pain medication was rated for effectiveness on a scale of from 1 (aspirin) to 10 (morphine).
From Weakest to Strongest | ||||||
. 1. OVER - THE - COUNTER (OTC) Pain Medicine | ||||||
(Capitalized) | (not capitalized) | (per pill) | RELIEF SCORE | to Label | (according to Consumer's Guide) | Caused |
Anacin Bayer Bufferin Ecotrin | (acetylsalicylic acid) NSAID | 325 mg | | Minor aches, pains cold, headache, muscular ache | minor aches and pains | aspirin allergy, asthma, stomach bleeding, Reye's Syndrome |
Anacin non Excedrin Tylenol | (N-(4-hydroxyphenyl) acetamide) | | | Headache | fever, if allergic to aspirin, arthritis, rheumatism, musculo-skeletal | June 2009, again 7-04-06- Tylenol Liver Damage "Tylenol is the No. 1 cause of acute liver failure in the U.S." "[Acetaminophen] is a leading cause of death from pharmaceuticals," |
Vanquish | aspirin (NSAID), and acetaminophen | 500 mg | | Headache Muscle ache | headache | same as above not for children and teens |
Advil Motrin Nuprin | (2-(4-Isobutyl-phenyl)- propionic acid) (analgesic, antipyretic) NSAID | | | Aches, pains, colds, toothache, muscle aches, backache, menstrual, fever | fever, muscle ache | aspirin allergy, asthma, upset stomach, not for last trimester |
Aleve Naproxen | (anti-inflammatory) NSAID | | | Joint and muscle pain | arthritis, rheumatism, musculo-skeletal | Naproxen heart risk upset stomach, not for nursing mothers |
Motrin 800 | (analgesic, antipyretic) NSAID | | | (listed above) | (as above) | (as above) |
Actron Orudis | (anti-inflammatory) NSAID | | | Anti-inflammatory, analgesic | arthritis | Ketoprofen side effects |
Notes : | (NSAID= Non-Steroidal Anti-Inflamatory Drug) More Warnings on OTC Drugs: NSAIDS Increase Blood Pressure Aspirin and NSAIDS Cause Stomach Bleeding Resulting In Death NSAIDS Linked to Erectile Disfunction |
2. PRESCRIPTION Pain Medicine | |||||
| | (per pill) | RELIEF SCORE | to Label | Caused |
Celebrex | (COX-2 inhibitor) NSAID | 200 mg | | Osteoarthritis, rheumatoid arthritis, short term pain, painful menstruation | Celebrex heart risk stomach bleeding, heart attack, stroke |
Ultram | | | | Moderate pain | nausea, constipation, dizziness, headache, drowsiness, vomiting |
* Note: The scores for Celebrex and Ultram are estimates (3.7* and 3.8*). These two drugs did not exist at the time of the study. | |||||
Demerol | | 50 mg 100 mg | | The opiates and synthetic opiates (from 4 down to 10) are the most effective pain killers, but they are subject to the most abuse, and prescription pain killer addiction. All the opiates and derivatives are habit-forming. The inclusion of high amounts of acetaminophen with all these medications is a rather CRUEL attempt by the pharmaceutical companies to prevent abuse, since overdosing will result in the destruction of the liver. I would describe this, at best, as "not very nice". The Puritanical ethic at work, destroying livers, and lives. "Let's kill off all the druggies." This is way beyond cynical. Knowing that these drugs are abused, and then filling them up with the poisonous acetaminophen, is criminal malfeasance by the drug companies. One more reason to prosecute them. Fed Seeks Less Acetaminophen in Combo Pain Pills - Jan. 13, 2011 FINALLY! ** The score for Norco is an estimate. It did not exist at the time of the study. | |
Lorcet | acetaminophen | 5-500 mg | | ||
Vicodin | acetaminophen | 5-500 mg | | ||
Lorcet Plus | acetaminophen | 7.5-650 mg | | ||
Vicodin ES | acetaminophen | 7.5-750 mg | | ||
Norco | and acetaminophen | 5-325 mg 7.5-325 mg 10-325 mg | | ||
Lortab | acetaminophen | 10-500 mg | | ||
Vicodin HP | acetaminophen | 10-660 mg | | ||
Percocet | | 2.5-325 mg 5- 325 mg 7.5-325 mg 7.5-500 mg 10-325 mg 10-650 mg | | Oxycodone is very effective. ** The score for oxycodone is an estimate. It did not exist at the time of the study. | |
Percodan | oxycodone HCl, oxycodone terephthalate, and aspirin | 4.50 mg 0.38 mg 325 mg | | ||
Oxycontin 40 | | | | ||
RMS MS Contin | | 30 mg 60 mg 100 mg | | Morphine may be the THIRD strongest pain relief medicine available. | |
Duragesic Fentora Actiq | | Lollipop | | ** The score for fentanyl is an estimate. It did not exist at the time of the study. Fentanyl is very effective for gunshot wounds, and fragmentation wounds. However, there have been serious problems with fentanyl dosing (overdosing). Death has resulted from simply handling the medication with the fingers. One must use great care when handling fentanyl. | |
Dilaudid (tabs) Palladone (caps) | hydrochloride AKA dihydromorphinone | 2 mg 3 mg 4 mg | (was 9) | I recently received a very thoughtful email from a Special Operations medic. He stated that he has extensively administered all of these top medications. He concludes that Dilaudid is several times more effective than morphine, and that it has fewer side effects, although just as serious. I have therefore moved Dilaudid to the "most-effective drug" position on the list. | |
Opana Opana ER | extended release | 10 mg 5 mg 7.5 mg 10 mg 15 mg 20 mg 30 mg 40 mg | | 3 hours (also, injection and suppository) 5 - 8 hours |
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