When patients tell their medication history, it is often only pain relievers. The pain goes away but after the effect of the medication subsides, they complain again. So they usually state that the medication is not working or useless. It is actually working but the cause of the pain is not addressed. Anti-inflammatory medications should then be used instead.
These are the common generic “Over the Counter” (OTC) pain medications in the Philippine drugstore:
1. paracetamol or acetaminophen
2. Mefenamic acid.
Brands such as Tylenol or Biogesic are Paracetamol base while Ponstan is mefenamic acid.
The anti-inflammatory medications that are over the counter are Ibuprofen found in Advil, or in the US, it is Motrin. Another one that recently became OTC is Flanax or Naproxen its generic name.
Some combine the two (Ibuprofen+paracetamol) such as Alaxan and Restolax. Its purpose is to combine the effect of removing the inflammation at the same time further relieve the pain while minimizing the usual side effect of gastric (stomach) irritation peculiar for anti-inflammatory medications.
So can your physician combine the two? Generally yes especially if the pain is too much. However, if your physician feels it can be taken care off by only one, then that would be 1 less medication to take.
Unfortunately, here in the Philippines, most of us like to take the advice given by a “friend” or “neighbor” who used this certain medication for his painful joint. Please be careful on such recommendations. This might not be the best drug for you and might end up making it worse. Consult your physician please.
anti-inflammatory medication should be used.
If over the counter (OTC) drugs such as those mentioned above do not work after a day or two, consult your nearest physical medicine and rehabilitation specialist.
Do NOT self medicate based on the advise of a non-physician.
Combining both (pain and anti-inflammatory) medications can be done especially if the pain is too much to handle by the patient.