What is the best pain reliever for Uti

Which pain reliever is best for me? The most important questions and answers

Many people take pain medication regularly or at least frequently. Be it with headaches, migraines or nerve pain, with tooth or back pain, with complaints in the abdomen during menstruation, with ear, throat or limb pain due to a cold or flu or after an injury during sports, with chronic rheumatism or acute joint pain - There are many reasons why pain medication is taken. Thus, pain relievers, which are known in medicine as analgesics, are unfortunately almost part of everyday life for many people. How good that most painkillers are now available over the counter, over the counter and at low prices in every pharmacy!

However, you probably know very well that you should always exercise the utmost care when taking pain relievers. This also means that you always take a look at the package insert before you take any product and, if in doubt, first consult an experienced expert if you feel any form of uncertainty or if you have specific questions. In addition, you should monitor your body very closely after taking medication in order to be able to classify any side effects.

Nevertheless - or precisely for this reason - many people ask themselves numerous questions about pain medication. What remedies and active ingredients are there for unpleasant pain and which pain reliever is recommended when? Which active ingredient is best suited for which complaints or illnesses and are there possibly sensible alternatives or home remedies that are just as effective? What is the risk of taking it and what interactions or side effects are to be expected?

We've gathered these and other important pain medication questions that our PTAs are asked frequently. So that you can get a good overview, you will find all the important answers clearly presented in this guide below.

If you have any further questions or uncertainties, please do not hesitate to contact us. Just give us a call or send us an email - we are happy to be there for you!

What types of painkillers are there?

Painkillers are in opioid and non-opioid pain relievers divided, with the non-opioid drugs also being broken down into non-prescription painkillers and prescription-only painkillers.

Over-the-counter non-opioid pain relievers

The non-prescription non-opioid agents include, for example, the non-steroidal anti-inflammatory drugs (NSAIDs) with the active ingredient ASS, Ibuprofen, Diclofenac and Naproxenwhich inhibit the formation of prostaglandins by blocking the COX enzyme (cyclooxygenase). Prostagladins are tissue hormones that are produced to a greater extent when there is inflammation and thus cause pain. So non-steroidal anti-inflammatory drugs fight the development of pain instead of just relieving symptomatic pain.

Also the active ingredient Paracetamol, which belongs to the group of analgesics, is assigned to the over-the-counter non-opioid pain relievers, although its mechanism of action has not yet been conclusively clarified. According to scientists, paracetamol is also said to work at the synaptic cleft in the brain, where it blocks the transmission of pain signals from one nerve cell to the next. Unlike the NSAIDs, however, paracetamol has hardly any anti-inflammatory effects.

Well-known over-the-counter active ingredients at a glance:

  • Ibuprofen (partly combined with the active ingredient accelerator lysine): Pain-relieving, anti-inflammatory (anti-inflammatory), fever-lowering, quick onset of action (approx. 15-20 minutes), suitable for fever, headache, back pain and joint inflammation, among other things
  • Diclofenac: analgesic, antipyretic and anti-inflammatory, use for pain and inflammation of various causes
  • Acetylsalicylic acid (ASA): analgesic, antipyretic, anti-inflammatory, anti-platelet aggregation, fast action, suitable e.g. for headaches, toothache, joint pain, back pain, fever, colds etc.
  • Naproxen: analgesic, antipyretic and anti-inflammatory, long duration of action (8-12 hours) - note: depending on the dosage or pack size, naproxen may also require a prescription!
  • Paracetamol: Pain-relieving, fever-lowering, ideal for mild to moderate pain


Prescription non-opioid pain relievers

Prescription non-opioid pain relievers are, for example, drugs with the active ingredient novaminsulfon (metamizole), piroxicam and meloxicam, which prevent or inhibit the development of pain.

Opioid pain relievers (only available on prescription)

Opioids are highly effective pain relievers that are either of native origin or are semi-synthetic or fully synthetic.

They act on the opioid receptors on the cells of the central nervous system (CNS) and ensure that the transmission of pain is hindered and the processing of pain is changed. This means that the cause of the pain still exists, but that it is no longer perceived or is perceived only to a lesser extent.

Because opioids interfere with cognition, all opioid pain relievers require a prescription. Depending on the potential for abuse and addiction, as well as the corresponding concentration, they must also use BtM prescription (BtM, abbreviation for narcotics prescription). These include, for example, morphine, and, fentanyl, hydromorphone, methadone and oxycodone.

Selected opioid active ingredients at a glance:

  • Morphine: Administration only in very severe pain and under medical supervision, many side effects, high potential for addiction
  • Codeine and Dihydrocodeine: mostly for the treatment of coughs, codeine in combination with paracetamol also for pain
  • Fentanyl:The synthetically produced opioid is prescribed for very severe pain and is about 100 times more potent than morphine
  • Methadone:Also used in substitution therapy for opiate addicts


Which strong pain relievers can I get without a prescription?

Strong pain relievers require a prescription. You can get it at the pharmacy without a prescription Painkillers for mild to moderate painsuch as drugs with the active ingredient ibuprofen, aspirin with the active ingredient acetylsalicylic acid (ASA for short), diclofenac-based pain relievers such as Diclac Dolo 25 mg, naproxen and paracetamol.

What are the conditions with regard to duration and amount of application for painkillers?

The duration, type and amount of painkillers used differs depending on the preparation and usually varies according to the age, weight and state of health of the person being treated. You can find precise information and details on use in the package insert for the corresponding preparation. If you have any questions, it is best to contact an experienced doctor or pharmacist who will provide you with all the important information on taking.

Rule of thumb: In general, the rule of thumb is that pain relievers should only be taken for 3 days in a row and for a maximum of 10 days per month without medical advice.

Take aspirin, for example

aspirin with the active ingredient acetylsalicylic acid is used, among other things, for the symptomatic treatment of pain and fever. For this purpose, the drug is taken once or every 4 to 8 hours with or after meals with sufficient liquid (for example a glass with 200 ml of water). The duration of use should be kept as short as possible and not be longer than 3 days without medical advice. The single dose for adults aged 16 and over is 500 to 1,000 mg, the maximum daily dose for adults is 3,000 mg.

Important: Even over-the-counter pain relievers should not be used for longer than stated in the leaflet if you have pain or fever without medical advice. Please make an appointment with the doctor as soon as possible if the symptoms do not get better or worsen.

What action do I have to take if I have overdosed on my pain reliever?

In the event of an overdose of pain relievers, quick action is required, as serious complications and side effects can occur. See a doctor right away or call an emergency contact to get treatment as soon as possible.

The general rule: Before taking pain relievers, always read the information in the package insert and adhere to the dosage and method of use indicated therein. If you have any questions, please contact in front taking a doctor or pharmacist.

Which pain medication do I use for which pain?

As explained above, the so-called non-steroidal anti-inflammatory drugs (NSAIDs) such as acetylsalicylic acid, naproxen, ibuprofen and diclofenac prevent the onset of pain instead of just combating symptomatic pain. In addition, they have an antipyretic and anti-inflammatory effect and sometimes accumulate in the inflamed tissue. Thanks to their complex mechanism of action, they are used to treat pain of various causes (headache, back pain, migraines, toothache, menstrual problems, etc.) and are particularly useful for inflammation-based pain such as rheumatic diseases (e.g. rheumatoid arthritis), arthrosis, joint pain and toothache, etc. very suitable.

In contrast to NSAIDs, the active ingredient paracetamol has no significant anti-inflammatory properties, which is why it has no effect on inflammation-based pain (e.g. joint pain). It is therefore usually given for mild to moderately severe pain such as headache and fever.

The prescription opioid pain relievers, on the other hand, reduce the sensation of pain, which means that the pain is no longer perceived or not so strongly.

The so-called bioavailability of the selected active ingredient provides information about how quickly and in what quantity the active ingredient is absorbed and available at the site of action. Availability also depends on the method of manufacture and composition of the pain reliever. Medicines in which the active ingredient is already dissolved (for example in drops or dissolvable effervescent tablets) or combined with an accelerator such as lysine usually work faster.

Which pain relievers are suitable for babies, children or adolescents?

When babies and toddlers have mild to moderate pain or a fever, they are usually given acetaminophen or ibuprofen.


The pain and fever lowering paracetamol in suppository form, for example, is approved without any age restriction. The suppositories from 75mg active ingredient strength can even be administered to newborns and infants from 3kg body weight in case of pain. Depending on body weight and age, paracetamol is dosed with 10-15 mg / kg body weight as a single dose. The total daily dose is a maximum of 60 mg / kg body weight.

Tip: Normally, pregnant and breastfeeding women can also take acetaminophen for pain and fever. Please ask your doctor or pharmacist in advance and read the package insert!


Like paracetamol, ibuprofen not only reduces pain and fever, but also has an anti-inflammatory effect. It is approved for small children from the 3rd month of life or a body weight of approx. 6 kg. For young children, juice with ibuprofen is usually given, as this allows a more precise dosage (depending on the age and weight of the child). For example, under the name "Nurofen" Painkillers specially designed for children with the active ingredient ibuprofen are offered. From juice to tablets, everything is included here so that children can be relieved of pain quickly and effectively.

Important: Do not give your child ibuprofen on an empty stomach and make sure that they drink a lot after taking the pain reliever to help elimination through the kidneys.

Diclofenac only from 6 years of age (> 25 kg body weight)

Children usually do not tolerate drugs containing the active ingredient diclofenac as well as ibuprofen and paracetamol. In Germany, it is only approved from the age of 6 (over 25 kg body weight) and may be administered a maximum of three times a day at a maximum dose of 3 mg / kg body weight.

Diclofenac is mostly used for moderate pain and inflammation caused by injuries or diseases of the musculoskeletal system.

Acetylsalicylic acid (ASA, e.g. aspirin) - not always suitable

Due to the risk of the very rare but life-threatening Reye's syndrome, children under 12 years of age should not take acetylsalicylic acid (ASA) if possible and if possible only after consulting a doctor. In the case of pain that is not accompanied by fever, ASA can be administered, but the dosage in small children is quite difficult.

The recommended dosage of acetylsalicylic acid is 50-100 mg / day for children 6 months and older, 100 mg for children between 3 and 4 years of age, 200 mg for children between 4 and 6 years of age, and 250-500 mg for children between 6 and 14 years of age . From the age of 14, the daily dose corresponds to the regular adult dose of 500 to 1,000 mg.

Important: Please read the information leaflet carefully before giving your child any pain relievers and, if in doubt, ask your doctor or pharmacist for more detailed information if you have any questions. Please also keep in mind that children are not small adults and should therefore never take the same amount of painkillers as adults. Like adults, children should not take pain medication for more than 3 days in a row. If the symptoms persist, please contact your pediatrician!

How do I dose pain medication correctly?

Each preparation contains precise information on the dosage and composition, which provides information about the strength of the pain reliever. For example, the drug "Naproxen axicur 250 mg" contains 250 mg naproxen, while "Ibuprofen 400 mg pain tablets" contain 400 mg of the active ingredient ibuprofen.

Maximum dosage per over-the-counter tablet:

  • Paracetamol (max. 1,000 mg / tablet)
  • Naproxen (max. 250 mg / tablet)
  • Acetylsalicylic acid (max. 500 mg / tablet)
  • Ibuprofen (max. 400 mg / tablet)
  • Diclofenac (max. 25 mg / tablet)


Dosing is usually different for babies and children! If you do not have a package insert at hand, do not have internet access or contact a doctor or pharmacist, you can use the following guide values ​​as a rough guide to determine the correct dosage:

  • Infants: approx. 1/6 to 1/5 of the adult dose
  • Small children: approx. 1/4 to 1/3 of the adult dose
  • School children from 12 years: approx. 2/3 of the adult dose


What pain relievers can I give my dog?

Please never give your dog pain relievers or any other medication made for humans. If you suspect that your four-legged friend is sick and in pain, visit a veterinarian and have him examined in detail. Your vet knows exactly what to look out for when administering painkillers and will prescribe a suitable, species-appropriate medication that will surely get your dog back on its feet soon.

What are the reasons that my pain reliever is not working (anymore)?

If a pain reliever isn't working as expected, you should first check the dosage. Have you taken the product in sufficient quantity and observed all important aspects related to the intake? The effect of some drugs is impaired, for example, by the consumption of alcohol and sometimes even enormously reduced.

In addition, you should make sure that the pain reliever is actually used indication fits. For example, if you have taken paracetamol for pain that occurred as a result of inflammation, no improvement is normally expected because the active ingredient does not have anti-inflammatory properties.

If you take the medication regularly or very frequently, it may also cause a habituation effect. Your body will no longer respond to the pain reliever as it did before, and the pain would persist as a result. Please talk to your doctor if you have the impression that you have any of these Habituation effect are affected! Together you can check your guess and, if necessary, choose another preparation to relieve your pain.

Which pain relieving home remedies can I try if no pain reliever is at hand?

Are you in pain but no pain medication on hand? It is not always necessary to take a pain pill - especially not if it is only mild or recurring pain. Depending on where you feel the pain, other home remedies are recommended, which may not always have the same effect as chemical pain pills, but help you relax and take the pain into the background. Read through the tips, try some of them, and keep in mind the alternatives that are good for you and that work best for you against discomfort and tension.

Tips for headaches and migraines

Headaches and migraines, for example, can vary depending on the causes light massages help in the shoulder and neck area as well as the temples. You can also rub a little peppermint oil or tiger balm on your temples to cool the affected areas and reduce the pain. Some people also find it helpful to hold a cool pack on their foreheads or necks, while others prefer warm towels, grain pillows or hot water bottles.

Help with menstrual cramps

If you suffer from period pain, a hot water bottle is also recommended to relax the abdomen. A hot bath can also be beneficial.

Fight back pain without pain medication

Depending on the cause, something can Exercise, yoga or a short walk help against back pain. In addition, heat patches and special pads for use in back pain have proven their worth.

Tip: Both acupuncture and professional massages are used more and more frequently for chronic back pain and headaches as well as to relieve tension and energetic blockages. If you are interested, simply speak to your doctor once and ask him whether he considers treatment for your symptoms to be useful.

What interactions can occur between pain relievers and alcohol?

Each package insert indicates possible interactions between the medication and other medication, food and luxury goods. This is also the case with painkillers: If these are taken together with alcohol or if alcoholic beverages are consumed before or after ingestion, this can sometimes strong interactions occur.

Among other things, the ability to react can be more strongly influenced by the simultaneous consumption of alcohol, which can enormously limit active participation in road traffic, the use of machines and devices and the ability to make decisions. Even small amounts of alcohol are enough to trigger such an interaction.

On the other hand, the effects of alcohol and painkillers can mutually reinforce each other because they block certain messenger substances and act on the central nervous system. If the pain reliever has a calming effect, in the worst case it can even cause a circulatory collapse through alcohol consumption.

In addition, both painkillers and alcohol put a strain on the liver, as both are broken down by the liver, which slows down the breakdown accordingly. In a drastic case, this can even lead to poisoning.

A similar toxic reaction caused by the combination of alcohol and pain relievers is called the flush reaction. Because some painkillers inhibit the action of the enzyme aldehyde dehydrogenase (ADH for short), which is responsible for breaking down alcohol, both substances stay in the body longer, which causes increased sweating, reddening of the skin and a racing heart.

Since ibuprofen and acetylsalicylic acid, like alcohol, attack the gastric mucosa and alcohol also stimulates the formation of gastric acid, the risk of ulcers and bleeding in the gastrointestinal tract increases, especially when taking ibuprofen or aspirin and consuming alcohol. In more harmless cases, only nausea and vomiting occur.

What pain relievers are good for a hangover?

Have you had a drink or two and suffer from a pounding headache? Taking a painkiller is all too tempting. To combat the headache after drinking alcohol, the over-the-counter pain relievers ibuprofen are best suited, e.g. combined with the active ingredient accelerator lysine (e.g. ibu-lysine from various manufacturers such as Ratiopharm or Hexal) or Aspirin® with the active ingredient acetylsalicylic acid. However, acetylsalicylic acid is not suitable for sensitive people because it irritates the gastric mucosa, which is probably already strongly irritated by alcohol, even more.

Paracetamol should not be used if you have a hangover, as this is broken down in the liver by the same enzyme as alcohol. Taking paracetamol would on the one hand unnecessarily delay the detoxification process, on the other hand it could result in toxic degradation products that damage the liver.

More tips against the hangover

In addition to taking pain pills, there is more you can do about a hangover. That is particularly important Compensation for the lack of fluids and mineralssuffered by the body from drinking alcohol. It is best to drink plenty of mineral water and juice spritzers (for example apple spritzer or a spritzer with orange juice). When you're hungry, eat something light that doesn't add extra stress to your body. Fresh air can also work wonders for a hangover. Take a short walk, oxygenating your cells and promoting your body's regeneration. Sleep also supports regeneration, while a little mint oil cools the throbbing temples and relieves headaches. If you have a hangover, however, you should avoid sunbathing and rich, fatty meals, which sometimes demand enormous digestive work from the body.

What pain relievers can I use for lumbago?

In the case of lumbago, a pain reliever temporarily removes the Range of non-steroidal anti-inflammatory drugs like ibuprofen or diclofenac relief. In some cases, the doctor will also prescribe cortisone - but this must be decided on a case-by-case basis.

So that a lumbago does not even arise, you should take action and do something for your fitness on a regular basis. Do sport two to three times a week, combining muscle training and endurance training, make sure you maintain a healthy posture (this is especially true for an office job) and stretch yourself in between to loosen up your body. If you often have back pain, preventive or curative professional physiotherapy is also recommended. Your doctor will surely be happy to advise you on this!

Which pain relievers don't go on the liver?

Usually be almost all pain relievers Metabolized via the liver, but above all paracetamol, which can lead to long-term organ damage. Before taking any pain reliever, read the package insert carefully and watch out for any contraindications. If you have liver problems, it is important to speak to your doctor before taking pain relievers and seek advice on possible alternatives.

Which painkillers do not thin the blood?

The pain reliever paracetamol does not thin the blood and can be taken with a blood thinning agent such as aspirin 100mg.

Which painkillers are considered to be "stomach-friendly"?

Many people worry about which pain relievers are gastric tolerated. This is usually due to one of the following two reasons:

1.) Regular use of pain relievers can increase the risk of stomach ulcers.

2.) Painkillers can attack the stomach lining and cause heartburn, stomach pain and other side effects in the stomach area.

However, it cannot be said of any pain reliever per se that it is stomach-tolerated, especially the one individual tolerance differs from person to person anyway.

If you value a drug that does not irritate the stomach and intestines as much, the best thing to do is to take paracetamol, which, however, can damage the liver in the long term. This has to be weighed up on a case-by-case basis.

In order to protect your stomach lining and prevent possible gastrointestinal complaints, a combination of several active ingredients can be useful. It is best to discuss this with your doctor if you have the impression that a pain reliever is causing you to produce more acid. It is also important that you never take painkillers on an empty stomach, but only with or after a meal, otherwise your stomach lining will be unnecessarily affected.

Which painkillers can I take during pregnancy?

During pregnancy, for the sake of your child's health and healthy development, it is advisable to avoid pain medication entirely. If possible, you should instead use suitable alternatives and the tips below to relieve any pain that occurs.

Tips against pain

A shoulder and neck massage, for example, can help with headaches. A little peppermint oil or tiger balm on the temples and forehead can also relieve headaches. In the case of abdominal pain, walks, easy stretching exercises, pregnancy yoga and gentle exercise are beneficial, and a cup of herbal tea can also alleviate discomfort in the abdomen. Back pain, on the other hand, can be reduced with a hot water bottle or a grain pillow.

If all of these tricks do not help, please contact your gynecologist so that together you can initiate a tolerable treatment.

Information on paracetamol, acetylsalicylic acid and ibuprofen

Paracetamol is the most commonly administered drug during pregnancy to control fever and pain. As a rule, the active ingredient is considered to be harmless, but should only be taken in exceptional cases, especially during pregnancy.

The administration of ibuprofen tends to be classified as harmless up to the 28th week of pregnancy. In the last trimester of pregnancy, however, it is strongly advised not to take it to protect the unborn child.

Acetylsalicylic acid (ASA), which is contained in aspirin, should not be taken by pregnant women (especially from the 28th week of pregnancy), as this active ingredient can drastically increase the risk of complications.

What are the differences between the pain relievers paracetamol and ibuprofen?

As already described above, ibuprofen belongs to the group of non-steroidal anti-inflammatory drugs (NSAIDs), which have anti-inflammatory, analgesic and antipyretic effects. They ensure that pain does not arise in the first place, while so-called opioids, for example, curb the perception of pain.

The exact mode of action of paracetamol has not yet been scientifically clarified. It is believed that paracetamol also works in the brain, where it blocks the transmission of pain signals. What is also certain is that, unlike ibuprofen and other NSAIDs, paracetamol has no significant anti-inflammatory effect. Another difference is that paracetamol does not thin the blood.

This results in different areas of application for the two painkillers. While paracetamol can even be used in babies with mild to moderate pain, ibuprofen can only be used in children from the age of 3 months. Ibuprofen works for pain from multiple causes and can also be used for alcohol-related hangovers and inflammation-based pain, which is not the case with paracetamol.

People with liver damage should never take paracetamol. In contrast, paracetamol is considered to be gentler on the stomach than ibuprofen, which in the long term can promote the formation of gastrointestinal ulcers.

How do pain killers affect the effectiveness of the pill?

Many women wonder if taking pain relievers can make the pill less effective. This is usually not the case, so the contraceptive protection is not reduced. However, pain relievers can lead to the side effects of the pill being favored. In order to prevent unwanted interactions and to better classify complaints, you should study the package insert carefully before taking and ask your gynecologist for advice.

Our tip: If you suffer from frequent pain, it is advisable to consult a doctor to clarify the causes of your symptoms. As soon as he has made a diagnosis, he can recommend a suitable remedy that combats the underlying causes as far as possible so that you no longer have to take painkillers as often in the future and can enjoy your life painlessly.


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