Intercostal neuralgia is a condition caused by compression or irritation of the nerves. In this case, severe pain appears, movements become constrained. The symptomatology lasts a long time, it is treated with medication, in a complex, with the help of tablets for intercostal neuralgia. Select drugs from different groups.
Record content:
- 1 Classification
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2 Top 10 drugs from the pharmacy
- 2.1 "Baralgin"
- 2.2 Ibuprofen
- 2.3 "Nise"
- 2.4 "Baclofen"
- 2.5 "Pentovit"
- 2.6 "Spazmolgon"
- 2.7 "Milgamma"
- 2.8 "Sirdalud"
- 2.9 "Novo-Passit"
- 2.10 "Konvulex"
- 3 Video about intercostal neuralgia
Classification
Tablets for intercostal neuralgia presented in the table can be classified into groups. The action of drugs is aimed at eliminating negative symptoms and restoring mobility.
| Group | general characteristics | Drug names |
| Pain relievers | The group includes analgesic drugs that reduce or stop pain. "Analgin" additionally has a mild anti-inflammatory effect, but is distinguished by a large number of contraindications and side effects. This is an old generation drug. The stronger one is Baralgin. It contains components that prevent the propagation of nerve impulses. "Ketorolac" is not suitable for everyone, as it contains hormones. Ortofen is prescribed for mild attacks of pain. |
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| NSAIDs (anti-inflammatory) | The cause of neuralgia can be inflammation of the nerve endings. NSAID drugs help to eliminate this process. At the same time, they reduce fever, fever and pain. These drugs are not taken in courses. They are more effective in relieving symptoms. |
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| Muscle relaxants | A group of drugs for suppressing muscle spasms. This helps to eliminate pinched nerve roots. |
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| Preparations containing B vitamins | They aid healing by speeding up the regeneration of damaged tissues by providing them with nutrition. They fight inflammation at the same time. The drugs are more effective for intercostal neuralgia for people with digestive system pathologies, diabetes mellitus and alcohol dependence. Vitamins strengthen the immune system, which gives the body strength to fight inflammation on its own. B1 is also necessary for the functioning of the nervous system, proper metabolism. | "Pentovit" is a combined preparation, which includes several vitamins of group B at once - 1, 6, 12 and folic acid. |
| Neuroprotective agents | They improve metabolic processes in the tissues of the brain, which allows them to regenerate faster. |
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| Sedatives | Acute attacks cause severe irritability, depression, mental disorders. Sedatives relax by relieving stress. For intercostal neuralgia, herbal preparations are chosen - with extracts of medicinal herbs. Combined products are becoming more effective, the tablets of which contain several types of plants at once. | More than 10 herbs are included in "Novo-Passit". The drug has established itself as one of the best. |
| Anticonvulsants | They help eliminate tension and spasms, prevent seizures and, as a result, new seizures and irritation of nerve endings. |
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During pregnancy, the treatment regimen for intercostal neuralgia differs from the usual algorithm. Only a doctor should prescribe drugs. Only herbal remedies will do.
Top 10 drugs from the pharmacy
Tablets for intercostal neuralgia are considered the best if they have a combined effect, acting in several directions at once. This allows you to reduce the burden on the body by prescribing fewer medications. However, each drug has its own contraindications, they differ in effect, they are prescribed depending on the cause that caused intercostal neuralgia.
"Baralgin"
"Baralgin" is an antipyretic and analgesic from the group of non-steroidal non-narcotic drugs. Eliminates fever, pain, but the anti-inflammatory effect is weak. It is rapidly absorbed, most of it is excreted by the kidneys in about three hours, with cirrhosis this time increases to 10 hours. The effectiveness of the drug is enhanced with the simultaneous administration of sedatives.
"Baralgin" is produced in solutions for injections, tablets. The active substance is sodium metamizole.
Indications:
- mild to moderate pain of any origin;
- after operations;
- feverish conditions against the background of inflammation and infectious pathologies;
- spasms of smooth muscles;
- elimination of symptoms with neuralgia.
The recommended dose is 1-2 tablets 2-3 times a day. Drink with plenty of water. The maximum amount is no more than 6 tablets. As an antipyretic drug, take within 3 days, as a pain reliever - no more than 5.
Contraindications:
- bronchial asthma;
- hepatic porphyria;
- anaphylactic reactions;
- 1st and 3rd trimester of pregnancy;
- severe hematopoiesis disorders;
- age up to 15 years;
- disorders of the liver and kidneys;
- intolerance to the components of the drugs.
"Baralgin" is well tolerated by the body and usually does not cause side effects. But sometimes there is a decrease in blood pressure, disorders of the hematopoietic and excretory systems, allergic reactions.
Agranulocytosis, thrombocytopenia may develop. An overdose of the drug causes nausea, vomiting, tinnitus. Confusion, stomach pain, tachycardia, and respiratory arrest may occur. Available without a prescription in pharmacies. Cost - 180-280 rubles.
Ibuprofen
"Ibuprofen" is used to eliminate symptoms. Non-steroidal anti-inflammatory agent. Analgesic, antipyretic drug. Reduces morning stiffness, swelling, improves the motor activity of the joints. It is quickly absorbed, but with the simultaneous intake of food, the process slows down. It is excreted mainly in the urine.
The drug is available in tablets. The active ingredient is ibuprofen.
Indications:
- rheumatoid arthritis;
- migraine;
- feverish conditions;
- muscle and joint aches;
- pain in neuralgia, radiculitis, in the back and lower back;
- osteoarthritis;
- headaches.
Tablets of 200 mg are taken in 3-4 doses per day (one at a time), 400 mg - for 2-3 doses, with a break of 4 hours. The daily dosage should not exceed 1200 mg. These are 6 tablets of 200 mg or 3 tablets of 400 mg. The drug is recommended to be taken after meals with plenty of water.
Contraindications:
- ulcers and erosion in the gastrointestinal tract;
- stomach and intestinal bleeding;
- ulcerative colitis;
- 3rd trimester of pregnancy;
- exacerbation of intestinal inflammation;
- serious violations of the liver, kidneys;
- hyperkalemia;
- intolerance to the components of the drug;
- after bypass surgery;
- blood clotting disorders;
- age up to 6 years.
With caution, tablets are given to the elderly, with heart failure, hypertension. Only after consultation with a doctor is it allowed for diabetes mellitus, heart ischemia, severe somatic diseases. Children are given only in extreme cases, after agreement with the pediatrician.
If the dosage is observed, there are no side effects. Otherwise, nausea, vomiting, and abdominal pain may appear. In some, overdose causes flatulence, dry mouth, and ulceration of the gums. Among the more serious complications are hepatitis, pancreatitis, violation of the integrity of the gastrointestinal mucosa with the appearance of bleeding.
Available without a prescription in pharmacies. Cost - 40-170 rubles.
"Nise"
Intercostal neuralgia tablets include a selective COX-2 inhibitor from the NSAID group. Suppresses the synthesis of mediators of inflammation and edema. The drug is combined, it acts in several directions at once - it relieves pain, eliminates swelling and fever. At the same time, it thins the blood, preventing the formation of blood clots, restores the motor activity of the joints.
Available in pill form. The active substance is nimesulide.
Indications:
- joint diseases;
- ankylosing spondylitis;
- lumbago;
- sciatica;
- inflammation of the nerve endings in the spine;
- muscle aches;
- inflammatory processes;
- post-traumatic pain;
- feverish conditions;
- any pain, regardless of location.
"Nise" take a tablet a day before or after a meal with plenty of water. With severe pain, you can drink the medicine twice a day - in the morning and in the evening. The maximum dosage is 400 mg per day. But if the kidneys fail, the drug is taken only in minimal quantities. For children, the dosage is calculated according to the formula 3 mg / kg. Take 2-3 times a day, but generally not more than 5 mg / kg.
Contraindications:
- asthma;
- "Aspirin triad";
- atopic dermatitis;
- bleeding in the gastrointestinal tract;
- exacerbation of ulcers and erosion in the alimentary tract;
- pregnancy;
- lactation;
- severe violations of the kidneys, liver;
- intolerance to the composition of the drug;
- children under 12 years of age.
Take "Nise" with caution in type 2 diabetes mellitus and arterial hypertension. Side effects can occur only against the background of an overdose - nausea, vomiting, stomach pain. Sometimes there are allergic reactions, diarrhea, drowsiness.
Available without a prescription in pharmacies. Cost - 200-560 rubles.
"Baclofen"
It is a centrally acting muscle relaxant. The drug acts on intermediate neurons, reduces the excitability of fibers, weakens painful spasms and clonic convulsions. As a result, muscle tissue tension is reduced.
Available in pill form. The active substance is baclofen.
Indications:
- multiple sclerosis;
- strokes;
- neuralgia;
- meningitis;
- painful muscle spasms;
- traumatic brain injury;
- Cerebral palsy;
- spine pathology.
The standard dosage for adults is 15 mg per day. It is drunk in three doses. The dose is adjusted depending on the course of the disease. With neuralgia, for the first three days, you need to drink ½ tablet three times. Then another 3 days for the whole. Also for three times.
Then the dose is increased every day by ½ tablet until a single dose reaches 2 pieces. The maximum you can take is 100 mg of the drug per day. To reduce the negative impact on the gastrointestinal tract, tablets are drunk with meals. For children, the dosage is reduced by 2 times. The drug is not given if the weight is less than 33 kg.
GABA-B agonist used for intercostal neuralgia
Contraindications:
- excessive sensitivity to the components of the drug;
- Parkinson's disease;
- epilepsy;
- convulsions;
- duodenal ulcer and stomach;
- chronic kidney failure;
- atherosclerosis of the vessels of the brain of the head;
- psychosis.
It is not recommended to give the drug to children under 12 years of age., with caution - for the elderly, pregnant women, as the substances droop through the placenta. This can harm the fetus.
Side effects occur only against the background of an overdose - shortness of breath, fainting, chronic drowsiness. From the digestive system - nausea, vomiting and diarrhea. Heart rate may change, hallucinations, and confusion may occur.
Available in pharmacies with a prescription. Cost - from 500 rubles.
"Pentovit"
This is a vitamin complex for the treatment of pathologies of the peripheral and central nervous system, diseases of the musculoskeletal system and internal organs. Available in pill form. Active substances - vitamins B 1, 6, 12, folic acid, cyanocobalamin, nicotinamide.
Indications:
- treatment of hypovitaminosis;
- neuralgia;
- deficiency of B vitamins;
- polyneuritis;
- asthenic conditions, stress;
- rehabilitation after infectious pathologies.
Dosage - 2-4 tablets with meals, 3 times a day. The minimum course of treatment is 3 weeks.
Contraindications - children under 12 years of age, intolerance to the components of the drug. Possible side effects - allergic manifestations (rash, itching, convulsions), excessive excitability, heart pain, sleep disturbances.
Overdose leads to hypervitaminosis, dizziness, migraines. There may be flushes of blood to the neck and face, dyspepsia, numbness of the extremities.
Available without a prescription in pharmacies. Cost - 110-130 rubles.
"Spazmolgon"
It is an antispasmodic, broad-spectrum drug. Relaxes smooth muscles, quickly relieves pain of varying intensity. It is used to treat joint pathologies in the postoperative period. Has antipyretic effect, lowers temperature. It is used in the treatment of infectious diseases and ARVI.
Available in the form of tablets, solution for injection. The active substances are metamizole sodium, fenpiverinium bromide, pitofenone.
Indications:
- neuralgia;
- sciatica;
- hepatic and renal colic;
- painful periods;
- pain in the intestines.
Children from 6 to 8 years old are given half a tablet 2-3 times a day, from 9 to 12 - ¾, from 13 to 15 - whole. Adults - 1-2 a day. The tablets are taken after meals. The maximum course of treatment is no more than 5 days. The daily dosage is no more than 6 tablets.
Contraindications:
- intolerance to the components of the drug;
- angina pectoris;
- violation of bone circulation;
- severe renal and hepatic pathologies;
- angle-closure glaucoma;
- lactose intolerance;
- age up to 6 years;
- severe hypotension;
- intestinal obstruction;
- 1st and 3rd trimester of pregnancy;
- lactation period;
- hyperplasia of the prostate.
Give with caution in case of excessive sensitivity to analgesics and prone to bronchospasm. Side effects - lethargy, drowsiness, nausea. There may be flatulence, constipation, pain in the epigastrium or in the right hypochondrium. Sometimes there are disturbances in the work of the cardiovascular, urinary system, allergic reactions.
In case of an overdose, dry mouth, a decrease in blood pressure, and confusion of consciousness appear. Convulsions, abnormal liver and kidney function, and vomiting may occur.
In some pharmacies it is dispensed without a prescription. Cost - 130-390 rubles.
"Milgamma"
These are multivitamins with anesthetic, neuroprotective and metabolic effects. It is used for inflammation, pathologies of the nervous system, accompanied by pain symptoms. Available in the form of tablets, pills, injection solutions. The active substances are pyridoxine hydrochloride, benfotiamine.
Indications:
- neuropathy;
- retrobulbar neuritis;
- alcoholic and diabetic polyneuropathy;
- neurological pathology;
- plexopathy;
- neuralgia;
- ganglionitis;
- muscle cramps;
- paresis of the facial nerve;
- myalgia;
- osteocondritis of the spine.
The drug is taken as a pill three times a day. The course of treatment is 3-4 weeks. Also, the drug can be used as maintenance therapy.
Contraindications:
- acute form of heart failure;
- age under 16;
- frequent bouts of allergies;
- intolerance to the components of the drugs;
- disruption of the heart muscle;
- erythremia;
- thromboembolism;
- stomach ulcer.
Side effects - disorders of the nervous system (confusion, dizziness), vomiting, hyperhidrosis. Allergic reactions may appear - rash, swelling, bronchospasm. Sometimes blood circulation, the work of the musculoskeletal system, and skin irritation are impaired. Side effects are mainly due to overdose.
Available in pharmacies with a prescription. Cost - from 280 rubles.
"Sirdalud"
This is a drug for the treatment of neurological diseases, muscle spasms, recovery in the postoperative period. It belongs to the group of muscle relaxants with a central action. Available in pill form. The active substance is tizanidine hydrochloride.
Indications:
- intervertebral hernia;
- neuralgia;
- muscle spasms;
- Cerebral palsy;
- osteoarthritis;
- spinal pathologies leading to pinching of nerve endings and spasms;
- multiple sclerosis;
- myelopathy;
- treatment after a stroke.
Dosage - one tablet three times a day. With neuralgia, you can take 3 tablets 3 times a day. The maximum dosage should be no more than 36 mg per day. In the first days, drowsiness and lethargy appear, but this is the norm and does not require treatment cancellation.
Contraindications:
- intolerance to the components of the drug;
- age under 18;
- serious liver pathologies.
Give with caution to the elderly with kidney disease. Side effects - dizziness, shortness of breath, decreased blood pressure. Palpitations, muscle weakness, flatulence may occur. Sometimes - nausea, stomach pain, dry mouth. In case of an overdose, difficulty breathing, hallucinations, and increased side effects may occur.
Available in pharmacies with a prescription. Cost - 220-340 rubles.
"Novo-Passit"
Tablets for intercostal neuralgia include herbal preparations with a complex calming effect. With their regular use, normal sleep is restored. The drug is not addictive.
Novo-Passit is available in tablet form. The active substances are guaifenesin and herbal extracts.
Indications:
- itchy dermatoses;
- excessive anxiety;
- neuralgia and neurotic reactions;
- sleep disturbance;
- menopause;
- cardiopsychoneurosis;
- migraine;
- pathology of the gastrointestinal tract;
- constant mental stress.
Take a tablet three times a day. If necessary, the dosage is doubled. With severe depression or nervous exhaustion in the morning and evening, take 2 tablets. The interval between doses is 4-6 hours.
Contraindications:
- intolerance to the components of the drug;
- age up to 12 years;
- myasthenia gravis.
Give with caution in case of exacerbation of diseases of the gastrointestinal tract, liver, brain injuries. It is not recommended to take medication for epilepsy and chronic alcoholism. Side effects are rare - nausea, heartburn, cramps. Dizziness, excessive drowsiness, and impaired attention may occur. Sometimes allergic reactions appear.
In case of an overdose, drowsiness first occurs, then nausea, muscle weakness and joint pain. Sometimes there is a heaviness in the stomach. Available without a prescription in pharmacies. Cost - 170-750 rubles.
"Konvulex"
The list of pills for intercostal neuralgia includes "Konvulex". It is a long-acting anticonvulsant drug. It is used for biopolar and behavioral disorders, febrile seizures, epilepsy. Additionally, it has a sedative and muscle relaxant effect. Available in pill form. The active substance is valproic acid.
Indications:
- convulsions;
- epileptic seizures;
- West, Lennox-Gastaut syndromes;
- behavioral disorders;
- nervous tic;
- neuralgia.
Dosage - a tablet 1-2 times a day, regardless of food intake. Drink with a little water. The tablets are swallowed without chewing. The recommended starting dose is no more than 600 mg per day, for children - 300 mg. The dosage can only be increased by a doctor.
Contraindications:
- porphyria;
- liver failure;
- hepatitis;
- age up to 3 years;
- hemorrhagic diathesis;
- patients weighing less than 20 kg;
- lactation period;
- disruptions in the exchange of urea;
- severe thrombocytopenia;
- intolerance to the components of the drug.
Take with caution in pathologies of the pancreas, hypoproteinemia, kidney failure. It is not recommended to drink the drug during pregnancy, mental retardation, brain pathologies.
Side effects are numerous - from the digestive, nervous, endocrine systems. Body weight may drastically decrease. Sometimes there are "flies" before the eyes, hair loss, allergic reactions. Disorders in the hematopoietic system may occur.
Overdose provokes the appearance of nausea, vomiting, dizziness. Diarrhea, respiratory failure, muscle hypotension may appear.
Available in pharmacies with a prescription. Cost - from 580 rubles.
When choosing tablets for intercostal neuralgia, you need to focus not on the cost of drugs, but on the composition. However, the price often rises due to long-term testing of the drug, during which the list of contraindications and side effects is minimized as much as possible.
Video about intercostal neuralgia
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