Analgesia

As far as medication is concerned

  • paracetamol is the first line medication (although there is limited evidence regarding its efficacy)
  • if paracetamol alone does not provide sufficient pain control offer
    • non steroidal anti-inflammatory drugs (NSAIDs) and/or
    • weak opioids
  • consider potential benefits and risks of these medications and patient preference when prescribing medications
  • if NSAIDs or COX-2 inhibitors are prescribed to people over age 45 years consider the need to prescribe a proton pump inhibitor (PPI)
  • consider co-prescribing a laxative with opioids to counteract the constipating effect of opioids, as straining to defaecate may aggravate back pain
  • aim for the lowest dose required for relief of symptoms
  • when prescribing opioids, short-acting agents given at regular intervals rather than on a pain-contingent basis is recommended
  • evidence suggests that NSAIDS have some effect for short-term pain relief compared with placebo, but there are no benefits compared to paracetamol, narcotic analgesics or muscle relaxants

Previous

Next

Your privacy

This website uses cookies to ensure you get the best experience, please accept these so we can deliver a more reliable service.

To find out more, read our privacy policy and cookie policy.

Manage preferences