Painkillers for pancreatitis: what drugs can you take? Painkillers for pancreatitis: what drugs can be - injections, pills, antispasmodics Pancreatitis pain relief during exacerbation.

Painkillers for pancreatitis have to be taken by all patients, but different forms of pathology are used. The doctor will help you choose the most suitable drug.

Medical therapy

The specialist selects the medicine depending on the intensity of the pain. The tolerance of the patient to a particular medication is also taken into account. For mild pain, doctors prescribe drugs in the form of tablets. If the patient's condition is severe, then the treatment is carried out in, where the pain is relieved with the help of injections and droppers.

Patients with chronic form pancreatitis for pain relief can be used. But this must be agreed with the doctor.

Pills

Painkillers may be prescribed for outpatient treatment of chronic pancreatitis medications in the form of tablets or capsules. Among them:

• antispasmodics:, etc.;
• analgesics: Pentalgin, etc.;
• non-steroidal anti-inflammatory drugs: Voltaren, Indomethacin, etc.

A number of drugs from the NSAID group are not recommended for pain relief in pancreatitis. This is Nise. This is due to the fact that these drugs have many side effects. The downside is that they do not relieve pain with a single use, a course of such drugs is required.

To get rid of pain, some patients are prescribed, which is available as a solution for oral administration. It has not only an analgesic effect, but also tonic and tonic.

injections

The same drugs can be prescribed in the form of injections if tablets and capsules do not help the patient. Treatment is carried out in a hospital. It can be added to the therapeutic course. Droppers with novocaine solution are placed in the form of blockades - pararenal, epidural, paravertebral, etc.

In addition, injections are prescribed with the following medications:

• Furosemide and other diuretics that help fight swelling;
• Somatostatin, and other drugs that lower the pressure in the ducts of the inflamed gland.

With severe pain in pancreatitis, the doctor may prescribe analgesics that affect the central nervous system such as Tramadol. If this does not help, then they resort to narcotic drugs (Promedol).

With severe pain, some patients are prescribed psychotropic drugs, for example, Imipramine.

Folk recipes for pain

elimination pain symptoms possible with recommendations traditional medicine. If the pain is mild, then a cold compress applied to the abdomen will relieve it.

The feet are the part of the human body where the active points, massaging which can relieve pain manifestations characteristic of inflammation of the pancreas.

Folk healers advise using yogurt whey, and mint, and juices. All these drinks normalize the processes of digestion. And this improves the condition of the inflamed organ.

Features of the use of painkillers for pancreatitis

Choice of Painkillers medicines depends on the form of pancreatitis and possible inflammation of other organs of the digestive system.

For acute form

The patient can be given a pill No-shpy, or Papaverine. If possible, it is better to inject with any of these drugs. Further treatment will be prescribed by the doctor.

In the chronic stage

In chronic pancreatitis, drugs are prescribed to provide rest to the diseased organ - Gordox, and other inhibitors of pancreatic secretion. To reduce the load on the gland, the patient is recommended to take pancreatic enzymes -,. Help get rid of pain and diuretics, as they relieve swelling of the pancreatic tissue.

With an exacerbation of the disease

With exacerbation of chronic pancreatitis, medication should be taken with caution: pain can be caused by other reasons. It is better to do exactly the same as in the acute form of the disease. But if a person is sure that the pain is caused, then he can take Baralgin or Paracetamol and wait for the doctors to arrive.

Cholecystopancreatitis

With simultaneous inflammation of the gallbladder and pancreas, antispasmodics and analgesics are used to relieve pain - No-shpa, Papaverine, Pentalgin. The doctor will help you choose the drug.

With pancreatitis and gastritis

If the patient suffers not only from pancreatitis, but also from gastritis, then the choice of painkillers should be approached carefully, since some drugs are allowed to be taken with inflammation of the pancreas, but are prohibited for stomach problems. For example, Ketorol. Under the action of this medicine, erosions and ulcers form in the stomach.

Only a doctor can prescribe the right therapy and. Do not self-medicate.

Pain in acute inflammation of the pancreas torments the patient so much that the person loses his ability to work. Only special painkillers for pancreatitis can help remove these symptoms. Painful sensations do not go away on their own, no matter how a person tries to immerse the body in a state of rest.

The fact is that the real cause of the symptom is the blockage of the ducts and the accumulation of pancreatic juices in the body of the gland. Enzymes begin to perform their direct function and corrode the tissues of the organ that produced them. The pain is sometimes localized in one place, and in more severe cases even covers part of the spine.

In acute pancreatitis, the best and most correct decision would be to consult a doctor for qualified help. But often an attack happens in the country or there is no way to immediately go to the doctor's appointment, in which case the patient needs to remove the sensations on his own so that they do not suffer until they meet with specialists.

Painkillers are divided into several types, depending on the spectrum of action and patient tolerance. The removal of the syndrome is the first thing that is used in therapy and the following groups of drugs are used for this:

1. Antispasmodics. The name of this group speaks for itself, they relieve spasms that form in the tissues of the gland and cause unbearable sensations. These drugs include papaverine, no-shpu, meteospasmil, mebeverine.
2. Non-steroidal anti-inflammatory drugs. This group of medicines allows you to remove bad feeling and reduce swelling in the area of ​​​​inflammation. They relieve fever, remove weakness, which improves the patient's condition. Non-steroidal anti-inflammatory drugs can neutralize diseased areas by removing puffiness and blocking the gland. These medicines include paracetamol, voltaren, aspirin, movalis.
3. Analgesics. Analgesics only block pain syndromes, but do not affect the solution of the causes of hellish sensations. They should be taken with extreme caution, since a large dose can adversely affect the examination by a doctor and distort all the results of the examination. Analgesics are used only when you need to quickly get rid of the syndrome and get to the doctor. They have a short period of action - 2-3 hours. These medicines include pentalgin, baralgin, trigan-D.

In severe cases, when the body is not able to absorb even pills and vomiting does not stop, these drugs are administered using a dropper. Sometimes narcotic and psychotropic substances may be added to improve the patient's condition.

Self-removal of pain in pancreatitis

It is possible to anesthetize the pancreas at home, but each patient must perfectly understand all the possible consequences.

It is permissible to use the analgesic effect at home for chronic inflammation of the pancreas, when the strength of the attacks is low and simply causes slight discomfort to the patient. All drugs that the patient decided to take at home must be agreed with the attending physician without fail.

In the acute form of pancreatitis, self-medication can not only catastrophically aggravate the patient's well-being, but also lead to surgical intervention or death for a person with pancreatitis.

In this case, only a qualified attending physician should decide what to anesthetize after a complete and thorough examination of the patient's pancreas. It is important to know that the acute stage can occur due to various pancreatic pathologies, which require a separate proper treatment. And only the attending physician can draw up a plan for the patient's recovery.

It is categorically not advised to use medications to relieve pain in children. The child's body is different from adults and the baby may be allergic to many drugs, which parents simply may not know.

Any rash, redness, swelling respiratory tract or skin, scabies, runny nose, vomiting, fever may be caused by allergies to medications. It is urgent to stop self-treatment and without fail to show the child to specialists.

Folk painkillers for inflammation of the pancreas

Painkillers do not have to be associated with medication. For gastritis, colitis, chronic inflammation of the pancreas, the following herbs are taken as a temporary painkiller:

• Peppermint.
• St. John's wort.
• Yarrow.
• Wormwood.
• Chamomile flowers.
• Violet flowers.

Herbs, individually or in small proportions, are poured with boiling water for tincture of weak tea and they drink a third of a glass three times a day. These methods cannot be used as permanent painkillers, but will help to improve the patient's well-being at the time of exacerbation away from civilization and at home.

Also, when taking infusions, it is worth paying attention to the patient's feelings, whether the drink causes stomach irritation, temperature, or other allergic reactions.

An equally effective method is a cold compress on the affected area. Apply a compress from the back so as not to catch a cold internal organs. The main thing is not to overdo it with time, you need to keep it no more than 20-25 minutes. Cold slows down the work of the pancreas and partially helps to relieve swelling of the tissues.

Do not forget about nutrition during the deterioration of the patient's condition. Often the pain is caused by malnutrition, so you should immediately go on a diet and exclude fatty and high-calorie foods from your diet in order to allow the pancreas to restore its normal performance.

Pain is the most severe manifestation of inflammation of the pancreas. In the case of acute or severe exacerbation of chronic pancreatitis, the pain is so excruciating that the patient cannot even just lie in bed. He rushes about and tries to take a forced position (usually knee-elbow), which at least somehow helps to alleviate the condition. In other variants of chronic pancreatitis, the pains are less intense, but as long as most of the functioning pancreatic tissue is preserved, they significantly complicate the daily life of patients.

Causes of pain

In order to adequately and effectively deal with pain, it is necessary to imagine the mechanisms of their appearance. With pancreatitis, they may be due to:

• stretching of the pancreatic capsule of the swollen, and therefore enlarged pancreas;
• increased pressure in the pancreatic ducts;
• irritation of the peritoneum;
• involvement of the solar plexus;
• deterioration of the blood supply to the affected pancreas;
• complications.

Types of painkillers

The first and most important task of doctors dealing with the treatment of patients with pancreatitis should be the elimination of pain. The choice of drugs is often determined by the intensity of pain. In addition, doctors focus on the tolerability and safety of painkillers.

For mild pain, first-choice painkillers are:

• antispasmodics (mebeverine, no-shpa, papaverine, meteospasmil, buscopan, etc.);
• analgesics (baralgin, trigan-D, acetamiphene, pentalgin, etc.);
• non-steroidal anti-inflammatory drugs (voltaren, paracetamol, aspirin, movalis, relafen, indomethacin, etc.).

They are usually taken in tablet or capsule form. Therefore, in most cases, the listed drugs are recommended at the outpatient stage of chronic pancreatitis therapy.

With their ineffectiveness or in more serious cases, the drugs of these groups are administered as injections or droppers in a hospital setting. For such medicinal "cocktails" from analgesics, analgin and baralgin are often used, from antispasmodics - papaverine, noshpa, atropine, metacin, fenikaberan, platifillin. In addition to them, treatment can add:

• novocaine (as part of droppers or in the form of various novocaine blockades: paravertebral, pararenal, sacrospinal, epidural, solar plexus, etc.);
• antihistamines (pipolphen, diphenhydramine, peritol, suprastin, etc.) or sodium thiosulfate;
• diuretics (furosemide, etc.) to relieve swelling;
• eufillin, which has an antispasmodic effect;
• somatostatin analogs (sandostatin, octreotide) to lower pressure in the ducts of the affected pancreas.

With severe pancreatic pain syndrome doctors try to deal with it using:

• analgesics that affect the central nervous system (buprenorphine, pentazocine, tramadol, etc.);
• narcotic painkillers (promedol, fentanyl), which are prescribed only in the absence of effect from painkillers of other drug groups.

In addition, psychotropic drugs (imipramine, etc.) can help some patients at any stage of the fight against pain.

Pancreatitis in most cases begins with severe pain. In this regard, the treatment of pathology includes the use of painkillers. Various drugs can be used, among which Baralgin, Analgin and Mebeverin are the most common. At the same time, the first and the last have different properties due to differences in the mechanism of action. Accordingly, it is necessary to carefully approach the issue of choosing funds.

Inflammation of the pancreas is accompanied by acute pain, for the removal of which painkillers are required

Essential pain relievers

In order for the pain reliever to have the desired effect, it is important to determine the cause of the discomfort. With pancreatitis, pain is most often provoked by spasm of the ducts. Also, discomfort can be associated with swelling of the tissues of the gland, with a pronounced inflammatory process, as well as with irritation of the nerve centers with cysts and other formations.

In the acute period, several factors can cause pain at once. The choice of drugs in this case depends on the predominant cause, but sometimes two drugs with different effects can be used at once.

In the presence of signs of obstruction in pancreatitis, it is important to use several methods of pain management at once. Pain relief is achieved by promptly ensuring the free passage of the ducts and the parallel administration of analgesics and antispasmodics. In some cases, intraductal lithotripsy is prescribed. Accordingly, all the same Baralgin, Analgin and Mebeverin will be appropriate.

Antispasmodics in the form of Baralgin with Mebeverine will help relieve a pain attack

Autoimmune pancreatitis is eliminated by other means. Preparations must contain ursodeoxycholic acid. Corticosteroids also have an excellent effect. Of the surgical interventions, stenting may be prescribed.

Biliary pancreatitis in the acute period can also occur with pronounced pain. You can remove it with the help of pancreatic enzymes. Also, preparations containing ursodeoxycholic acid will be appropriate. To improve the functioning of the organ and eliminate spasm, antispasmodics are prescribed.

Although chronic pancreatitis, as a rule, proceeds with a less vivid clinic, with this form periodic pains can also occur, especially after nutritional errors. In this regard, antispasmodics and enzymes are prescribed, the latter being used in a standard dosage determined based on the menu used. Neurolysis is also sometimes prescribed.

One of the most common drugs for pain attacks is Analgin.

All drugs for pain relief have their own properties. They are taken only according to indications and under medical supervision.

Features of analgesics

Pain in acute pancreatitis can be relieved with analgesics. It is especially important to choose funds from this large group. For example, nonsteroidal analgesics rarely used for pathologies of the digestive system, as they can have a negative impact on their work. If there is no other way out, then such drugs are combined with polyenzymatic agents.

Most often, pain in pancreatitis occurs due to a pronounced spasm of the sphincter of Oddi. This leads to disruption of the intestines. Accordingly, in such a situation, analgesics should be combined with antispasmodics, or a drug with analgesic and antispasmodic properties should be chosen.

Pain in pancreatitis due to spasms of the sphincter of Oddi

They have the following requirements:

• high efficiency of the product;
• duration of action;
• minimal risk of side effects;
• lack of hepatotoxic action;
• minimal list of contraindications.

Quite often, Baralgin is used for pancreatitis. An important advantage of the drug is the provision of both analgesic and antispasmodic action. In addition, in the acute period, it helps to reduce body temperature. The mechanism of action is explained by the fact that Baralgin promotes relaxation of smooth muscles.

Baralgin can be used both in the form of injections and in the form of tablets. The first option is especially appropriate for severe pain in the acute period. With an exacerbation chronic disease can be limited to oral administration. The maximum effect of the remedy is observed after 1.5 hours. Active components are completely absorbed in the gastrointestinal tract and excreted by the kidneys.

Tablet forms of drugs are used if the symptoms are not pronounced

Baralgin easily crosses the placental barrier and into breast milk, and therefore is not used during pregnancy and lactation.

The drug easily copes with spasm in pancreatitis and can be used for other pathologies accompanied by severe pain. Similar properties are possessed by Analgin, belonging to the same group as Baralgin.

Antispasmodics and their features

Taking antispasmodics for pancreatitis is also justified by the fact that pain is provoked by a pronounced spasm of the ducts and sphincter. The most effective are myotropic agents. They easily eliminate spasm, regardless of its location. All antispasmodics are divided into two large groups:

• Myotropic drugs, in particular, Duspatalin. As a result of its use, it is possible to relieve spasm and reduce the degree of cell permeability to sodium. In addition, the drug helps to inhibit the excretion of potassium from the tissues. The effect of the application is observed after 30 minutes and persists for half a day.
• Anticholinergic antispasmodics, such as atropine. Perfectly copes with spasms caused by diseases of the gastrointestinal tract. It is used both in the form of tablets and in the form of drops.

To eliminate pain in pancreatitis, various groups of antispasmodics can be used.

Basic drugs

From the foregoing, we can easily conclude that the choice of a drug for relieving pain in pancreatitis is quite wide. Of course, you need to start with the safest, gradually, in the absence of effect, move on to the most powerful. For this reason, analgesics such as Aspirin and Acetaminophen are prescribed in the early days. To prevent irritation of the mucosa, it is recommended to drink tablets before meals. Paracetamol is often used. It perfectly relieves pain, but it is important to take into account its pronounced hepatotoxic effect. In this regard, it is forbidden to use tablets on their own.

In some cases, doctors prescribe drugs that do not have an acid-resistant shell. Due to this, they have an antispasmodic and analgesic effect not only in the intestines, but also in the stomach. This allows you to eliminate pain, provoked by a spasm of other sphincters, and relax the muscles of the stomach and intestines.

After removal acute symptom with the help of injections, the pain may still persist for some period. In this regard, tablet preparations are prescribed:

• antispasmodics, namely, Mebeverine and Buscopan;
• analgesics - Acetaminophen, Baralgin and Analgin;
• non-steroidal drugs in the form of Voltaren and Indomethacin.

It is not recommended to use pain relievers on your own.

Regardless of the number of contraindications and the absence of side effects, all of the listed drugs should be taken as directed by a doctor.

In the acute period, these drugs may be ineffective. Then injectable forms of drugs such as Pentazocine or Buprenorphine are prescribed. Thanks to them, it is possible to remove even the most severe pain. Eufillin, which is a novocaine blocker, is also sometimes used. In the presence of signs of necrosis and other complications, there may be a need for the use of narcotic painkillers. The strongest of them is Promedol. Fentanyl may also be prescribed. Such drugs are used only in a hospital with certain indications.

The video will focus on pain in pancreatitis and their elimination:

A characteristic symptom of inflammation of the pancreas is pain, which is especially intense during exacerbations. A patient with pancreatitis is unable to cope with acute pain, so they come to the rescue medications. What painkillers for pancreatitis will be more effective? What causes acute pain? You will find answers to these questions in our article.

Reasons for the development of pancreatitis

In fact, there is no specific reason why pancreatitis occurs. The development of the disease can be influenced by many factors, for example, malnutrition, abuse alcoholic drinks or non-compliance healthy lifestyle life. As a result of these factors, there is a violation of the normal functioning of the pancreas. Consider several main reasons that affect the development of pancreatitis:

In addition to the main reasons, an important role is played by genetic predisposition. Incorrect work of the pancreas can be from birth. Aggravating the situation with malnutrition, pancreatitis develops.

Causes of pain in pancreatitis

Pain in pancreatitis can be of a different nature: stabbing, sharp, cutting, aching. If the patient cannot determine the location, most likely we are talking about inflammation of the organ completely. If the patient points to a certain point, it means that only part of the pancreas is affected. Some complain of back pain, this is due to the fact that the pancreas degrades in full abdominal cavity, so the pain becomes blurred and gives to the back. Please note that unbearable pain in pancreatitis is typical only with exacerbations of the pancreas or an acute form of pancreatitis. In the chronic stage, pain sensations are observed much less frequently.

Painkillers

During an exacerbation of pancreatitis, the first step is to stop the attack acute pain. There are several types of painkillers, consider them in more detail:

Antispasmodics

As a rule, pain in pancreatitis occurs due to spasm of smooth muscles. Antispasmodics can effectively anesthetize this ailment. Usually, in addition to antispasmodics, the doctor prescribes other medications.

Analgesics

With the help of analgesics, you can get rid of pain of almost any nature, including pancreatitis. Only if necessary, the doctor prescribes painkillers of another group, for example, in case of acute inflammation of an organ.

Anti-inflammatory drugs

For acute pain during pancreatitis, in addition to taking painkillers, it is important to follow the following rules:

1. Do not use cold application as an anesthetic, this can aggravate the situation and increase vasospasm.
2. During acute pain, it is not recommended to eat food. It is allowed to drink boiled water in small quantities.
3. Breathing exercises will help reduce the intensity of pain. You need to hold your breath for a short time alternating with shallow breathing.
4. Take a sitting position, aiming chest forward.
5. Provide physical and moral peace to the patient.
6. If necessary, call an ambulance.

In no case should you self-medicate pancreatitis. To avoid frequent exacerbations, you need to seek help from a doctor who will prescribe the right treatment. If the treatment is followed, the patient achieves a long-term remission.