The manufacture and safe and sale of ‘painkillers’ is big business. Painkillers often forms a part of the monthly grocery shopping list,just like the favorite soap or toothpaste. Tablets sold under different brand names have different constituents. It is advisable to check these constituents.
The market if flooded with a variety of pain-relieving tablets comprising either a single drug containing aspirin, paracetamol, codeine,or a combination of drugs comprising the pain-reliever with a tranquilizer,an anti-vomiting drug, antacid, etc, as the other ingredient.
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We thank that a 75 mg dose of aspirin (two tablets of Delisprin) or 500-1000 mg of paracetamol (one or two tablets of paracetamol) or Ibuprofen 400 mg are enough to reduce pain in most cases. If the pain reappears or is of a severe nature and not relieved by these, a doctor should be consulted who may investigate the underlying cause and treat it.
It is advisable to avoid the use of multiple drugs containing pain reliever. These are not only expensive but may produce adverse effects like unwanted sedation or drug dependence mixtures containing both tranquilizer and narcotic analgesic have no justification (Diclofenac Sodium) mixture containing this drug (Meftal Spas tablet) should be avoided in view of the availability of safer drugs.
Newer drugs may be used when above drugs are not tolerated and Adverse effects are unacceptable.
* Dr. Ram Bahadur Bohara is the Chairman of the of Nepal Alternative Medical Development Council and Advisor of Science Infotech.