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Aug 9, 2023 · Another treatment option that can be used in conjunction with, or in place of, other treatments: over-the-counter sciatica creams. “Topical medications tend to be very safe,” says Dr....
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- Overview
- What causes nerve pain?
- OTC nerve pain medication options
- What pain reliever is best for nerve pain?
- Bottom line
Some over-the-counter (OTC) topical creams, like lidocaine or capsaicin, may be helpful for nerve pain.
Nerve pain is distinct from typical tissue pain. When you have tissue pain, like falling down or getting a cut, your nerves deliver the pain message to your brain.
But when the nerves themselves become irritated or damaged, they become the source of pain. This type of pain can be severe and more difficult to treat.
Nerve pain is typically treated with prescription-strength medications, but some over-the-counter products, primarily topical creams and ointments, can help take the edge off.
Nerve pain, or neuropathy, is when the nerves that carry information to and from the brain and spinal cord become damaged, leading to symptoms like
•pain
•numbness
•tingling
•weakness in the affected areas
Common conditions causing neuropathy include:
Nerve pain can be difficult to treat since it affects the nerve itself. This pain can be quite severe and debilitating, causing numbness, tingling, and stinging.
Typical over-the-counter (OTC) pain relievers, like acetaminophen (Tylenol) and ibuprofen (Advil), aren’t very effective for nerve pain, and most people will need prescription-strength medications.
Typical OTC oral medications and nonsteroidal anti-inflammatory drugs (NSAIDs) aren’t very effective for neuropathy.
Rather, medications like anticonvulsants, antidepressants, and opioids are often used to treat nerve pain. These medications work by targeting the nervous system and helping to reduce the perception of pain signals.
Based on research-based evidence, first-line medications for neuropathy include:
•gabapentinoids — a subclass of anticonvulsants (gabapentin, pregabalin)
•tricyclic antidepressants (amitriptyline)
•selective-serotonin-norepinephrine reuptake inhibitors (duloxetine, venlafaxine)
If your nerve pain is chronic or severe, you’ll likely need prescription-strength medications because common OTC medications, like ibuprofen, aspirin, and acetaminophen aren’t very effective for nerve pain.
Still, certain OTC topical options, like capsaicin or lidocaine cream, may be helpful if your pain is mild or if you use them along with prescription medications.
- Traci Pedersen
Feb 9, 2023 · Not all over-the-counter painkillers are effective for sciatica pain. Paracetamol is unlikely to help, whereas ibuprofen and other anti-inflammatory drugs may relieve pain and swelling 2. Ask your pharmacist for advice, and check if there are certain types you should not take.
Jun 3, 2024 · Over-the-counter (OTC) pain relievers (like ibuprofen or naproxen) Cold packs (to relieve pain and reduce inflammation) Heat packs (to improve blood flow and muscle tightness)
People also ask
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Mar 1, 2024 · Stay active. One of the most important things you can do when sciatica flares is to avoid bed rest. "Part of low back pain is muscle-related, possibly because muscles surrounding the irritated nerve roots tighten and try to protect the area. Movement keeps the muscles loose and working correctly.
