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Effective tablets against back pain

, medical expert
Last reviewed: 10.08.2022
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Eliminate the pain syndrome will help special medicines. The most common pill is from back pain. They have a pronounced anti-inflammatory effect. The effectiveness of such treatment is the simultaneous use of external and warming agents, together with local analgesics. A special place in the treatment is given to complex therapies, this will help ease the condition and lead to complete recovery.

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Indications for the use of tablets against back pain

Consider this issue is necessary for a particular drug. So, under the general review the agent Diclofenac gets. It is widely used in rheumatic diseases. It can be both arthritis and osteoarthritis. Tablets from back pain eliminate pain in the spine, gout attack, postoperative pains, which are accompanied by inflammation and swelling. Diclofenac relieves biliary colic and migraine attack.

Most often, the remedy is used to eliminate rheumatological diseases. It was in rheumatology that it first manifested itself as a means not only able to anesthetize, but also to relieve inflammation. Moreover, it is perfectly tolerated by patients, therefore it is prescribed in most cases. Continuous use of the drug significantly reduces the morning stiffness of the joints, relieves pain and reduces swelling. For all rheumatoid diseases this remedy is one of the most popular.

The main indications for which this remedy is used are problems with the musculoskeletal system. These include rheumatoid arthritis, osteoarthritis, osteoporosis, osteochondrosis, as well as inflammatory diseases of soft tissues.

Pharmacodynamics

This issue will be considered on the example of non-steroidal anti-inflammatory drug Diclofenac. This drug belongs to nonselective blockers of cyclooxygenase. It has an anti-inflammatory and antipyretic effect. Moreover, he is an analgesic. The main mechanism of action of this pill against back pain is to inhibit the biosynthesis of prostaglandins. They are assigned one of the most important roles in the genesis of inflammation.

The agent provides a clinical effect. It is characterized by a significant reduction in pain syndrome during motion and at rest. With a post-traumatic or post-operative inflammatory process, the drug actively blocks pain. It quickly removes the edema and promotes the healing of a postoperative wound.

The drug is an excellent analgesic. This is noticeable with moderate and severe pain. Diclofenac eliminates pain syndrome and reduces the severity of blood loss. Tablets of this type have a beneficial effect on the manifestation of migraine attacks.

Pharmacokinetics

Slow absorption means occurs immediately after its introduction into the muscle. The maximum amount in the blood is observed after 20 minutes after using the medication, it equals 2.5 μg / ml. Immediately thereafter, the concentration drops sharply. What amount of active substance will penetrate the body, completely depends on the prescribed dose.

After repeated administration, the pharmacokinetic parameters do not change. Cumulation is not noted, but only if the interval between tablets and back pain is observed.

The drug produces binding to serum proteins at a maximum, 99.7%. It occurs with albumin. With regard to the volume of distribution, it is 0.17 l / kg body weight. The agent is able to penetrate into the synovial fluid. The maximum content in the blood is reached 4 hours after use (depending on the drug). Half-life is an average of 6 hours. After 2 hours, after reaching the maximum content of active substance in the blood plasma, the content of the drug is much higher than in the synovial fluid. This value is maintained for 12 hours.

Metabolism is carried out by means of glucuronization of an unchanged molecule. This is due to a single and multiple methoxylation. This process contributes to the formation of several phenolic metabolites. The total ground clearance is 263 minutes. The half-life is two hours. Practically 60% of the taken dose is excreted in the urine unchanged. The rest goes with bile and feces.

Anesthetics for pain in the back

Often, with pain syndrome, analgesics are used. They are represented by a large group of drugs that can reduce pain and completely eliminate it. All of them are divided into two types: non-narcotic and narcotic tablets from back pain.

Narcotic drugs are very powerful. During the research it was revealed that these drugs are most often used to eliminate chronic pain. These include Codeine and Tramadol. These are weak drugs. To strong combined agents include Morphine, Fentanyl and Methandone. Despite the fact that these drugs are able to quickly and effectively eliminate pain, apply them with caution. They are capable of damaging the nervous system and causing addiction.

  • Codeine. The agent is applied to 0.01-0.03 grams at a time. A day can take no more than 0.2 grams. The dosage is prescribed by the attending physician depending on the chosen therapy and pain syndrome. Contraindications: it is forbidden to children of younger age. Side effects: constipation, with prolonged use - addictive.
  • Tramadol. Adults and children, whose age is older than 14 years, it is administered intravenously. It is enough 50-100 mg, daily - 400 mg. In the same dosage, the agent can be administered intramuscularly and subcutaneously. Contraindications: alcohol intoxication, hypersensitivity, age up to 14 years. Side effects include: rarely nausea, vomiting and dizziness.
  • Morphine. The remedy is administered internally, in a dosage prescribed by the attending physician. The dose is prescribed depending on the pain syndrome. Contraindications: hypersensitivity, brain trauma, pulmonary heart failure, severe inflammatory processes in the intestine. May cause: nausea, vomiting, intestinal atony, constipation, headache.
  • Fentanyl. The agent is administered intramuscularly with droperidol, at a dosage of 0.05-0.1 mg. Dosage is appointed individually. Contraindications: obstetrical operations, drug addiction, bronchial asthma. The agent can cause a negative reaction on the part of the body: respiratory depression, dependence, short-term rigidity of muscles.
  • Methandone. The drug is administered inward depending on the severity of the pain syndrome. Usually, 15-40 mg per day is enough. The dose is adjusted by the attending physician. Contraindications: drug intolerance, pregnancy, breastfeeding and respiratory failure. It is not excluded: sweating, constipation, sleep disturbance.

Non-narcotic analgesics are used quite often. These include painkillers. They are divided into non-steroidal and analgesics. The main representatives of these classes are Tempalgin, Benalgin, Citramon, Indomethacin.

  • Tempalgin. The drug is used in the form of tablets. It is enough to use one tablet three times a day. Everything depends on the pain syndrome. Contraindications: children's age, drug intolerance, lactation period, severe liver or kidney damage. Can cause: dizziness, tachycardia, urticaria.
  • Benalgin. The drug is used three times a day for one tablet. It is important not to exceed a single dose. Contraindications: bronchial asthma, hypersensitivity, hemopoiesis. It can cause: sleep disturbances, tremors, and leukopenia.
  • Citramon. The drug is used one tablet three times a day. The main contraindications: intolerance, ischemic heart disease, impaired functionality of the liver or kidneys. Can cause: nausea, vomiting, kidney damage, tinnitus, deafness.
  • Indomethacin. The drug is administered inwards after eating. The initial dose is 25 mg. You need to take medication three times a day. Contraindications include: stomach ulcer, hypersensitivity, pregnancy, the period of breastfeeding. Rarely causes: periodic headaches, nausea, vomiting, decreased appetite.

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Tablets with radiculitis and back pain

Self-medication can lead to severe consequences. Even trivial non-observance of all rules can aggravate the situation by causing radiculitis. The effectiveness of treatment depends on the definition of the reason for the pain syndrome. To eliminate radiculitis, anti-inflammatory pills are used against back pain, such as Ketoprofen and Ketorolac. It is worth noting that they can cause irritation of the stomach mucosa. Therefore, patients with ulcer use is highly not recommended. Attention should be paid to Movalis and Nimesulid, they have minimal side effects.

  • Ketoprofen. At the beginning of treatment, the drug is used in a large dose, it is 300 mg per day, before meals. Use it three times a day. Contraindications: the presence of gastric ulcer, child age, intolerance, functional changes in the liver or kidneys. Can cause: disorders of the gastrointestinal tract, headache.
  • Ketorolac. It is used once, in the amount of 10 mg. At repeated use it is better to apply 10 mg 4 times a day. The exact dose is prescribed by the attending physician. Contraindications: inflammatory processes in the intestines, hypersensitivity, severe liver and kidney damage, pregnancy, childbirth. Rarely causes: nausea, decreased appetite, headaches, jumps in blood pressure.
  • Movalis. The dose is prescribed by the doctor, individually, depending on the severity of the pain syndrome. Contraindications to the use of the drug: hypersensitivity to the active substance of the drug, a violation of the functionality of the liver or kidneys. Side effects include the manifestation of nausea, vomiting, abdominal pain, allergic reactions, noise in the ears.
  • Nimesulide. Apply one tablet twice a day. A single dose is 100 mg and should not exceed this figure. The duration of the drug depends on the person's condition. Contraindications: pregnancy, child age, intolerance. The drug can cause: disorders of the gastrointestinal tract, allergic reactions are possible.

Tablets from back pain and joint pain

A good tool is Sabelnik-Evalar. It can improve the overall condition of the musculoskeletal system. The agent shows bactericidal action. In addition, it is characterized by anti-inflammatory properties, and also acts as an analgesic. It helps to remove puffiness, and also improves the mobility of the joints. The agent has two forms of release: in the form of tablets and powder. Adults are recommended to take 2 tablets of back pain per day, they should be used during meals. The duration of treatment does not exceed one month.

To date, recorded more than forty drugs that help cope with the pain syndrome. The main of them are: Tenoxicam, Analgin, Naproxen and Butadion.

  • Tenoxicam. Apply the drug in the amount of one tablet, once a day. In a day, you can consume no more than 40 mg of the drug. Take the drug is not possible with: hypersensitivity, peptic ulcer, gastritis. Side effects: nausea, skin raw materials, itching, rarely - swelling.
  • Analgin. The drug is used in the form of tablets, intramuscularly and intravenously. Use it after eating. The dose is 0.25-0.5 mg per day. It can vary depending on the condition of a person. Contraindications: hypersensitivity, hemopoiesis. Side effects: itching, scaling of the skin.
  • Naproxen. In the acute stage, the drug is used at 0.5-0.75 mg 2 times a day. Everything depends on the person's condition, the dose is further adjusted. Contraindications: intolerance, pregnancy, childhood, impaired functionality of the liver or kidneys. May cause: nausea, vomiting, drowsiness.
  • Butadione. It is applied inside 0.1-0.15 mg 2-4 times a day. Treatment is carried out for 5 weeks. Contraindications to use: the presence of gastric ulcer, impaired functionality of the liver and kidneys, intolerance. May cause side effects: nausea, pain in the stomach, anemia, hematuria.

Names of tablets from back pain

To date, many drugs have been fixed that can relieve pain. All of them are subdivided into certain types, have a more pronounced or weak effect. There are such pills for back pain, which are taken most often. These include Nurofen, Ibuprofen, Ketoprofen, Ortophen, Rapent Rapid, Voltaren retard, Metindol, Celebrex, Naproxen, Meloxicam and Baclofen.

  • Nurofen. The agent is applied on 200 mg 4 times a day. The dose is given depending on the patient's condition. Contraindications: intolerance, auditory perception disorders, pregnancy, optic nerve diseases. Side effects include: headache, dizziness, upset stomach.
  • Ibuprofen. The drug is taken in the same way as Nurofen. Enough 200 mg to 4 times a day. Duration of the drug is determined by the doctor, depending on the patient's symptoms. Contraindications: pregnancy, the period of breastfeeding, inflammatory processes in the intestine. Side effects: hearing loss, pancreatitis, depression, acute renal failure, heart failure.
  • Ketoprofen. The drug is used during meals, 3 times a day at a dosage of 100 mg. The duration of treatment depends entirely on the patient's condition. Contraindications: a violation of the functionality of the liver or kidneys, hypersensitivity, inflammatory processes in the intestine. Side effects: digestive disorders, allergic reactions.
  • Orthophene. Apply the drug after eating. The daily dose varies within 200 mg, it needs to be divided into 3-4 admission, 50 mg each. If the drug is used in the form of a gel, then it must be applied to the skin area up to 4 times a day with a thin layer. Contraindications: hypersensitivity, inflammatory diseases of the digestive tract, cardiac, hepatic or renal insufficiency. May cause: headache, swelling, an intestinal disorder, a violation of appetite.
  • Rapent Rapid. The dose should be administered on an individual basis, depending on the severity of the pain syndrome. Usually the daily dose is 100-150 mg, distributed 3 times. Contraindications: bleeding from the digestive tract, pregnancy, intolerance, hematopoiesis. Side effects: vomiting, stomatitis, nausea, decreased appetite, pain behind the sternum.
  • Voltaren retard. Initially, appoint 1-2 tablets per day. Correct the dose can only be the attending physician. Contraindications: intolerance, stomach ulcer, severe kidney or liver damage, inflammatory processes in the intestine. May lead to headache, drowsiness, often causes disorders of the gastrointestinal tract, allergic reactions also appear.
  • Metindol. The product is used during meals. It is enough 1-2 tablets a day, it all depends on the patient's condition. Therapy is individual. Contraindications: pregnancy, period of breastfeeding, kidney or liver damage, bleeding disorders. Possible: decreased appetite, nausea, vomiting, intestinal distress, drowsiness, depression.
  • Celebrex. The agent is applied to 100 mg twice a day. With rheumatoid arthritis, the dose can be increased to 300-400 mg. In acute conditions, 600 mg can be used. The optimal dose is prescribed by a doctor. Contraindications: pregnancy, hypersensitivity. Side effects: flatulence, nausea, vomiting, anemia, tinnitus, rhinitis.
  • Naproxen. In a severe stage, the drug is used at 0.5-0.75 mg 2 times a day. The dose can be adjusted only by the attending physician. Contraindications: intolerance, pregnancy, the period of breastfeeding, a child's age, a violation of the functionality of the liver or kidneys. Possible: nausea, indigestion, drowsiness.
  • Meloksikam. The drug is used once, during meals. Contraindications: ulcer, age to 15 years, hypersensitivity, kidney or liver damage. Side effects include: violations of the central nervous system, impaired functionality of the liver or kidneys. Side effects include: tinnitus, dizziness, nausea, vomiting.
  • Baclofen. It is recommended to use the product while eating. In this case, the tablet is washed down with a sufficient amount of liquid. The initial dose is 5 mg 3 times a day. Contraindications: intolerance, the presence of ulcerative lesions of the stomach, psychosis, Parkinson's disease. Side effects: drowsiness, dizziness, nausea, decreased liver function.

Movalis

The main active ingredient of the medication is meloxicam. The agent belongs to the group of non-steroidal anti-inflammatory drugs. The active substance of the pill against back pain has pronounced anti-inflammatory properties. In addition, it plays the role of an analgesic and antipyretic drug

The main component binds to plasma proteins by 99%. Penetration into the affected organs occurs through the histohematological barrier. Metabolism occurs in the liver. Excretion takes place 20 hours after admission. Practically 5% of the drug comes out unchanged through the intestine.

The drug is widely used in rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, arthrosis and joint diseases. The agent is used according to the individual scheme. It can lead to the development of side effects. From the side of the digestive system, nausea, vomiting, diarrhea, constipation are noted. Hematopoietic system: anemia, extremely rarely leukopenia. Other symptoms include dizziness, allergic reactions.

Use this tool can not be people suffering from peptic ulcer, severe forms of hepatic and renal failure. Also refer patients with hypersensitivity to the main components of the drug. During pregnancy, taking the product is prohibited.

Nyz

The drug has a pronounced anti-inflammatory and antipyretic effect. In addition, he is an analgesic. In the focus of inflammation, he suppresses the formation of prostaglandin. When ingested, it is perfectly absorbed from the digestive tract. The maximum concentration of the pill from back pain in the body is fixed after 2 hours after ingestion. The half-life does not exceed 3 hours. The output is carried out by the kidneys.

Apply medication for osteoarthritis, bursitis, rheumatism, muscle pain, vertebral pain and infectious lesions. In the form of tablets, the drug is used 2 times a day for 100 mg. The permissible daily dose is 400 mg. In the form of a gel, Naise is applied to the affected area in a thin layer 3-4 times a day. The duration of treatment does not exceed 10 days.

Despite all positivity, this tool can lead to side effects. Often there are disorders of the gastrointestinal tract. It manifests itself in the form of nausea, vomiting, diarrhea, constipation and pain in the abdomen. Allergic reactions may occur, such as itching, flaking of the skin.

Use the product is not possible for people with peptic ulcer, hypersensitivity to the main components of the drug, asthma, as well as liver failure. When pregnancy and lactation, the remedy can be used, but after the permission of the doctor.

Diclofenac

This drug belongs to the group of anti-inflammatory non-steroid drugs. It has a pronounced anti-inflammatory and antipyretic effect. In the treatment of rheumatic diseases significantly reduces pain. Apply pills from pain to the back with rheumatoid arthritis, rheumatism, gout, arthrosis, postoperative syndrome, bursitis.

The agent is administered intramuscularly 75 mg 1-2 times a day. The course of treatment should not be more than 5 days. If the therapy is done with pills, then 1-2 tablets 2-3 times a day are sufficient. Dosage is appointed by the attending physician.

It can cause side effects. They appear in the form of disorders from the gastrointestinal tract. These include nausea, vomiting, abdominal pain, constipation. Often there are: dizziness, allergic reactions, drowsiness irritability. Use of tablets is highly not recommended for stomach ulcers and duodenal ulcers, as well as liver and kidney diseases. During pregnancy, especially the last trimester, admission is strictly prohibited.

trusted-source[23], [24], [25], [26], [27], [28], [29], [30]

Dosing and Administration

Apply funds on an individual scheme. It varies depending on the medication itself. If it's a pill of back pain, then apply them 1-2 times 2-3 times a day. It is advisable to do this during meals or after. The dose should be prescribed by a specialist, starting from the symptomatology.

Consider this issue is for a certain drug, because all drugs have different methods of admission. In this case we are talking about Diclofenac. It is administered in the form of intramuscular injections. You can not use them 2 times in a row. If necessary, the treatment continues with tablets. The maximum daily dose of the drug should not exceed 150 mg. Everything depends on the person's condition and acuity of pain.

The duration of therapy is also calculated individually. After all, back pain is an elongated concept. It may include pain syndrome as a result of a strong reboot of the vertebrae or be the result of a serious inflammatory process. That is why the treatment regimen is appointed by the doctor, depending on the reason for the pain.

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Using tablets against back pain during pregnancy

Use of funds during pregnancy is risky. Applying pills from back pain during pregnancy is necessary with extreme caution. Not all drugs can be used. Therefore, self-medication in this case can cause irreparable harm. Particular care should be exercised in the first and third trimester of pregnancy. This period is characterized by a high risk of inflicting harm to the baby, including pathologies. Early termination of pregnancy is not excluded.

The safety of tablets depends entirely on their composition. So, Diclofenac in any case should not be used during pregnancy. A similar requirement is advanced to Movalis. But Nyz, you can use it. He is not capable to harm the kid, moreover, he does not get into milk of mother that allows to apply it even during breast-feeding. To exclude the possibility of harm to the health of the baby, you can not take the medication yourself. Even if they are among the permitted medications.

Contraindications to the use of tablets against back pain

The main factor, due to which one or another drug can not be used, is hypersensitivity to the main component that is included in its composition. Many tablets from back pain should not be used in the presence of peptic ulcer of the stomach and duodenum. A similar requirement is advanced to erosive and ulcerative lesions.

Naturally, pregnancy and the period of breastfeeding do not presume the use of any medications. The funds are used only if the positive effect is much higher than the possible negative impact on the fetus. As for other contraindications, they need to be studied individually. So, Diclofenac should not be taken in the presence of bronchial asthma, polyposis of the nose and paranasal sinuses. Use the drug is not worth it with intolerance of acetylsalicylic acid and preparations of pyrazolone series.

trusted-source[5], [6], [7], [8], [9], [10], [11], [12], [13], [14], [15]

Side effects of tablets against back pain

Remedies that relieve pain syndrome often cause side effects. This is due to intolerance of the body. Quite often the gastrointestinal tract begins to manifest itself. It is characterized by the appearance of pain in the epigastric region, nausea, vomiting, diarrhea and bloating. Get rid of the problems simply, just change the dosage or stop taking a pill from back pain.

The central nervous system can negatively respond to the use of the drug. It is characterized by headache, drowsiness and a sensitivity disorder. The last symptom is extremely rare. Perhaps the emergence of anxiety, nightmares and psychotic reactions. From the senses there is a noise in the ears, hearing loss.

There are also allergic reactions. Sometimes a skin rash, extremely rarely hives and eczema. On the part of the kidneys: puffiness, renal failure, a change in the urine sediment. Liver: hepatitis. From the side of the cardiovascular system, tachycardia may occur.

Overdose

Any, even the safest means can lead to an overdose. Call such a state may incorrectly selected dose (which occurs very rarely) or an independent increase in dosage. Most often people take pills from back pain uncontrollably. I want to quickly get rid of the pain syndrome, so the dose is self-corrected. Unfortunately, this is not good for itself. Due to the high concentration of the drug in the body, unpleasant symptoms occur.

Most often the gastrointestinal tract begins to suffer. There is nausea, an upset stomach and vomiting. Accompany all this can headache, dizziness, noise in the ears and respiratory depression. Often there are violations of the liver and kidneys.

Eliminate the symptoms simply, enough to rinse the stomach and call an ambulance. After removing the drug from the body, specialists will prescribe symptomatic therapy.

Interactions with other drugs

Means that have the same effect "mix" with each other is not recommended. This can lead to a high concentration of active components of the drugs in the blood, which will lead to an overdose. If we consider this issue regarding Diclofenac, then it should not be used together with diuretics. The simultaneous use of these medicines can lead to an increase in serum potassium levels. Therefore, the pills from back pain, apply only on the advice of a doctor.

There is a risk of bleeding when using anticoagulants and Diclofenac at the same time. Therefore, their combination should occur under the strict supervision of a physician. Patients undergoing treatment under this scheme are constantly under observation.

  • Antidiabetic drugs. Accepting funds together is allowed, their effectiveness will not be reduced. True, there were cases of development in the patient of hypoglycemia. Therefore, care must be taken.

Be careful when taking Methotrexate and Diclofenac. Between the use of these drugs should take at least 24 hours. This will reduce the toxic effect of Methotrexate on the body.

  • Cyclosporine. Simultaneous use with non-steroidal anti-inflammatory drugs may lead to increased nephrotoxicity of Ciclosporin. With regard to antibacterial agents - were recorded individual cases of the appearance of seizures in people.

Storage conditions

To ensure that the drug has served the prescribed period, it needs to ensure proper storage. It is very important to comply with the temperature regime. Tablets from back pain should be stored at a temperature not exceeding 25 degrees Celsius. Suppositories should be sent to the refrigerator, because they can quickly melt.

It is desirable to store the drug in a place inaccessible to children. This will avoid damage to the medication itself, and harm the child. After all, until the age of 18, the use of this remedy is strictly prohibited. For storage, a warm, dry place, without sunlight, is suitable. Under the influence of dampness and light, the drug is able to deteriorate.

It is necessary to follow the appearance of the tablets. When you change the color and smell, it is not recommended to use them. Most likely, the technology of storage was violated, as a result of which the means became unfit. Observe the storage conditions is very important, this depends on the duration of the "service" of medicines.

Shelf life

The drug can be used for 5 years after the date of manufacture. This is a long time, so you should observe certain storage conditions. Negative effects on tablets from back pain are sunlight. This leads to overheating of the preparation and its spoilage. Therefore, it is desirable to store the medication in the medicine cabinet or in a dark, dry place. Naturally, the child should not have access to the drug.

Do not use the product after the expiration date. In this case, there are two outcomes of the situation. The agent can either harm or not produce any result due to a lack of pharmacological properties (in time they may disappear).

As mentioned repeatedly, even if all the conditions are met, it is worth paying attention to the appearance of the tablets. For many reasons, they are able to change the smell, color and consistency. Do not take this remedy in any case. Most often this is due to damage to the blister in which the tablets are located.

Good pills for back pain

Finding quality pills is pretty simple. The modern pharmaceutical market is simply full of all sorts of medicines. So, the pills for back pain include more than 40 titles. Will become acquainted, stands with the most in demand.

  • Naproxen. This is a non-steroidal anti-inflammatory drug belonging to the group of propionic acid derivatives. It has a pronounced analgesic and antipyretic effect. It is often used in the treatment of diseases of the musculoskeletal system.
  • Ketoprofen. By its structure and pharmacological action, it is similar to Ibuprofen. Use it for rheumatoid arthritis. Ketorolac is a drug that belongs to the group of acetic acid derivatives. The product has a pronounced analgesic effect. Finally, Diclofenac, it is used most often. And at present it is widely used in dentistry, oncology, urology, gynecology and ophthalmology. A detailed description of the preparations was presented above.

Attention!

To simplify the perception of information, this instruction for use of the drug "Effective tablets against back pain" translated and presented in a special form on the basis of the official instructions for medical use of the drug. Before use read the annotation that came directly to medicines.

Description provided for informational purposes and is not a guide to self-healing. The need for this drug, the purpose of the treatment regimen, methods and dose of the drug is determined solely by the attending physician. Self-medication is dangerous for your health.

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