Who is the drug allowed or prohibited?
Indomethacin suppositories are intended for short-term treatment of acute or chronic pain syndrome that occurs against the background of inflammatory, degenerative processes in the musculoskeletal region:
- for osteoarthritis;
- bursitis;
- tendinitis;
- gouty or rheumatoid arthritis;
- ankylosing spondylitis.
The medicine is contraindicated in patients:
- with individual intolerance to the component composition;
- allergies to acetylsalicylic acid;
- ulcer or perforation of the gastrointestinal tract;
- bleeding in the digestive tract;
- failure of the liver, kidneys, heart;
- nasal polyps;
- proctitis, hemorrhoids.
Indomethacin suppositories are not prescribed to minors under 14 years of age, in the 3rd trimester of gestation and during breastfeeding.
Causes of back pain
The condition of your back directly depends on your lifestyle. “Sedentary” work or, on the contrary, intense physical activity can provoke the appearance of spinal diseases - osteochondrosis, spondyloarthrosis, scoliosis, etc. However, the presence of pain does not always indicate pathologies of the spinal column. According to statistics, in 80% of cases pain is episodic.
They may occur for the following reasons:
- muscle strain resulting from excessive physical activity;
- staying in an uncomfortable position for a long time;
- relapses of previous diseases;
- hypothermia (long stay in a draft, in a cold place, under air conditioning);
- stagnation of joints and muscles while working at the computer, while sleeping, etc. (when the position of the body does not change for a long time).
Pain syndrome may also indicate the presence of serious chronic pathologies.:
- diseases of internal organs, in which pain radiates to the back (gynecological diseases, neoplasms of various etiologies, pyelonephritis, pancreatitis);
- scoliosis – displacement of the spine relative to its axis;
- osteochondrosis – the result of tissue degeneration of the spinal disc;
- spondylolisthesis – displacement of vertebral structures;
- myalgia – tissue inflammation;
- Bechterew's disease (spondylitis) – inflammation of joints and ligaments;
- intervertebral hernia - disc protrusion;
- traumatic injuries;
- fractures;
- vertebral infections (syphilis, osteomyelitis, tuberculosis).
Spinal diseases that most often cause back pain
If you have persistent back pain, you should consult a doctor.
Video: “Causes of back pain”
Overdose symptoms
The abstract indicates that the rectal use of suppositories causes the appearance of non-standard symptoms in exceptional cases. Intoxication manifests itself:
- severe cephalalgia;
- dyspeptic disorders;
- disturbances of orientation in space and memory;
- loss of sensitivity;
- convulsive syndrome.
Help with overdose consists of supportive and restorative procedures. Hemodialysis is not performed.
How to use correctly
Dosages for indomethacin suppositories are set individually for each patient. During therapy, the minimum effective doses are used and the consumption of alcoholic beverages is prohibited.
The instructions recommend the following treatment regimen:
- patients over 14 years old - one suppository of 50 mg up to 3 times a day or one suppository of 100 mg up to 2 times a day;
- for night pain and morning stiffness - 100 mg of the drug in the evening;
- the maximum daily dosage is 200 mg;
- the duration of the procedures should not exceed a calendar week;
- in old age, the smallest dosages are prescribed with constant monitoring of the body’s condition.
Before using indomethacin suppositories, the patient must cleanse the intestines (naturally or artificially) and inject the medication 3 cm deep into the rectum. After the process is completed, the patient remains in bed for 20-30 minutes. If immediately after the procedure (less than 10 minutes) a bowel movement occurs, then an additional suppository must be used.
Using suppositories for back pain
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One of the most popular and effective forms of medications used for back pain are suppositories or, more simply, suppositories . The active ingredients of suppositories quickly enter the bloodstream and improve the patient’s condition. Today, suppositories provide worthy competition to other forms of medicines - tablets, ointments and gels.
Pay attention to articles describing the use of painkillers for a specific disease:
- To find out what injectable medications are prescribed for sciatica, follow the link
- How and where injections are given for osteochondrosis of the thoracic region can be found here
- Injections for cervical osteochondrosis
- A list of medications in the form of ointments for sciatica is here
- The most common ointments for osteochondrosis of the thoracic region are listed on the page
- Tablet medications for osteochondrosis of the cervical spine
Advantages and disadvantages of this form of medication
The frequent use of suppositories for back pain is due to their benefits.:
- instantly enter the bloodstream and act directly;
- quickly deliver the medicine to the affected area of the back;
- allow you to avoid the development of side effects from the gastrointestinal tract;
- do not require compliance with special conditions of use (unlike the same injections);
- have a minimal number of side effects.
Medicines in the form of rectal suppositories relieve pain much more effectively and quickly than tablets . Suppositories help with back and joint pain, eliminate pathologies of the genitourinary system (prostatitis, peritonitis), intestines, as well as gynecological diseases (salpingoophoritis).
Pharmaceutical companies produce the same drugs in different dosage forms, which allows patients to choose between tablets (injections) and suppositories with the same effect and active substance.
The disadvantages of rectal suppositories include a large list of contraindications and side effects . However, tablets and injections also have contraindications, so this is not a significant drawback.
Please note the contraindications to the use of rectal suppositoriesRectal suppositories are not suitable for all categories of patients.
Candles should not be used for:
- individual intolerance to the components of the drug;
- presence of bleeding in the rectum;
- individual diseases that make it impossible to administer suppositories;
- peptic ulcer;
- stool disorders (diarrhea);
- mental illnesses, neurological symptoms.
You cannot exceed the dosage specified in the instructions : this is fraught with the development of side effects and overdose. The same can happen when suppositories are combined with other medications containing the same active ingredient. The most common side effects that occur when using rectal suppositories include irritation of the mucous membranes of the intestines and stomach (can lead to the development of peptic ulcers).
Video: “All about back pain”
Groups of suppositories that are used for back pain
Most often, the following groups of rectal suppositories are prescribed for back pain: analgesics and non-steroidal anti-inflammatory drugs.
Analgesics help quickly relieve pain at home. The mucous membrane of the large intestine reacts to the intake of medicinal components, the active substances are absorbed into the blood, and the nervous system blocks pain impulses.
Non-steroidal anti-inflammatory drugs are also widely used in clinical practice , most of which are sold without a prescription. The popularity of these drugs for back pain is explained by their anti-inflammatory, antipyretic and analgesic properties.
The use of NSAIDs brings relief to patients with corresponding symptoms (fever, pain, inflammation), which are observed in diseases of the spinal column and some other pathologies.
Today, the most effective are suppositories such as Voltaren, Diclofenac, Narofen, Ketanol, Piroxicam, Analgin and others. They relieve back and lower back pain, eliminate inflammation, reduce increased muscle tone and, ultimately, significantly improve the patient’s well-being.
Adverse reactions
Therapeutic manipulations with indomethacin suppositories sometimes provoke the development of non-standard responses of the body. During treatment the following are observed:
- allergies with obsessive itching, skin rashes, nettle fever;
- erythema multiforme, Lyell's or Stevens-Johnson syndrome;
- swelling of the lung tissue, shortness of breath, anaphylactic shock;
- depression, indifference and constant fatigue with drowsiness;
- disturbances in clarity of consciousness, sleep problems;
- cephalgia with dizziness, convulsive syndrome, coma;
- severe muscle weakness, involuntary movements;
- epilepsy attacks, decreased visual acuity;
- changes in the structure of the retina, pain in the eyes;
- deposits on the corneal tissue, hearing problems, partial deafness;
- tissue swelling, heart failure, increased heart rate;
- chest discomfort, tachycardia.
Uncontrolled use of indomethacin suppositories can become a factor in the development of stroke and heart attack.
The list of additional side effects includes:
- increase and decrease in blood pressure;
- dyspeptic disorders, pain in the epigastric region;
- anorexia, stomatitis, gastrointestinal bleeding;
- gastritis, flatulence, hepatitis, jaundice;
- erythema of the skin of the neck and face of a transient type;
- insufficient kidney function, proteinuria, nephrotic syndrome;
- inflammatory processes in the mammary glands, bleeding from the vagina.
Less commonly, adverse reactions include partial baldness, proctitis, rectal itching or bleeding. When carrying out laboratory diagnostics, an increase in the amount of glucose and potassium in the blood is recorded.
Pain-relieving suppositories for children
Most suppositories with an analgesic effect are intended for adults over 18 years of age. To relieve pain in children and adolescents without harming the growing body, you can use the following medications:
Cefekon . These are paracetamol suppositories that can be used by children from 3 months of age. They cost from 60 rubles.
Nurofen . Good analgesic suppositories that reduce fever and relieve inflammation. Suppositories cost from 100 rubles.
Efferalgan . These pain-relieving products contain paracetamol. Costs from 100 rubles.
Photos of Efferalgan candles
Movalis . Cannot be used for stomach ulcers. The cost of suppositories is from 100 rubles.
Ibuprofen . Used in the treatment of back and joint diseases. Costs from 100 rubles.
Viburkol . These are pain-relieving suppositories for teething or colds. Cost from 400 rub.
Before using pain-relieving suppositories for children, consultation with a specialist is necessary.
Analogs
If non-standard symptoms develop during therapeutic procedures, it is recommended to replace the drug. A list of popular analogues of suppositories with indomethacin is presented:
- Adolor;
- Airtalom;
- Bioran;
- Voltaren;
- Diklakom;
- Dicloran;
- Diclofenac;
- Ibuprofen;
- Ketalgin;
- Ketanov;
- Ketorol;
- Nise;
- Naklofen;
- Ortofen;
- Piroxicam;
- Rapten.
These drugs are available in different forms, but all have a similar spectrum of action and belong to the NSAID subgroup. The replacement of the main medication is carried out by the attending physician, based on diagnostic data and the reasons for the forced discontinuation of suppositories with indomethacin.
List of the most effective suppositories for back pain
The most effective suppositories for back pain are listed below.
Voltaren
Voltaren is a non-steroidal anti-inflammatory drug
It is a non-steroidal anti-inflammatory drug produced by the Swiss company Novartis. Prescribed to patients with injuries, neurological symptoms, gynecological and urological diseases. It is used to treat rheumatism, gout, ENT diseases, as well as to relieve pain after surgery. The drug eliminates pain, reduces body temperature and eliminates inflammation.
Diclofenac
Diclofenac has anti-inflammatory and analgesic properties
Has anti-inflammatory and analgesic properties . The dosage form of this drug (rectal suppositories) allows it to quickly deliver the active substance to the affected area of the spine (bypassing the gastrointestinal tract), reducing the risk of adverse reactions. The drug allows you to get rid of acute and chronic pain, reduce the strength of spasms, and eliminate inflammatory processes.
Nurofen
Nurofen stops the inflammatory process, eliminates pain, reduces fever
Belongs to the group of non-steroidal anti-inflammatory drugs. Stops the inflammatory process, eliminates pain, reduces fever . Sold in most pharmacies, dispensed without a doctor's prescription. Suppositories have a wide spectrum of action. They are used to treat pain of various etiologies, ligament injuries, infectious diseases, migraines, influenza and ARVI.
Piroxicam
The drug is effective within 42 hours from the moment of administration
It is a non-steroidal anti-inflammatory drug and has an antipyretic effect . The drug is effective within 42 hours from the moment of administration. It eliminates pain, relieves swelling of joints and improves their mobility. To achieve visible results, Piroxicam must be taken for a week.
Ketonal
The medicine is used to treat neuralgia, arthritis, radiculitis, osteoarthritis, migraine
Ketonal suppositories are a non-steroidal drug intended for the treatment of pain of various etiologies. The medicine is used to treat neuralgia, arthritis, radiculitis, osteoarthritis, and migraine. Candles help eliminate pain after injuries and operations, as well as rheumatism and cancer.
Analgin
Is an analgesic-antipyretic
It is an analgesic-antipyretic . Relieves fever, eliminates inflammation. It is used to relieve pain in myositis, radiculitis, neuralgia, and migraines. Reduces temperature and alleviates the condition of patients with fever. Affects the central nervous system and can be used to treat children. The effect of the drug lasts for 6 hours after taking it.
Akamol-Teva
It is an analgesic drug . Relieves fever, eliminates inflammation in muscles, joints and tissues. It is used to relieve pain of various origins (neuralgia, myalgia, post-traumatic pain). Improves well-being during fever.
