For those who suffer from back pain, patches are a dosage form that is easy to use, affordable, effective and safe. He could not cure the disease or eliminate the cause of the discomfort, because. these are just important links in the treatment complex. The effect of the patch is aimed at eliminating or reducing the symptoms of painful diseases, improving the quality of life at home, without resorting to the help of medical professionals, taking pills that are harmful to the lining of the gastrointestinal tract or painful. injections that have many side effects and contraindications. Without negatively affecting other systems and organs, patches for back pain deliver the drug substance to the right place, providing a sufficient concentration for the development of therapeutic effect and point effect directly on the source of pain.
Properties and types of plaster
Patches are a relatively new form of medicine associated with the transdermal therapy system.
A distinctive feature is the unique structure that has several advantages:
- ease of use, ease of application - invisible to others, preservation of freedom of movement, comfort of treatment (depending on the type of product and the expected effect, the patch can be on the skin from 1 hour to 2-3 days);
- the active element rapidly penetrates the superficial blood vessels through the upper layers of the skin, begins to act deliberately, and more rapidly than in form for oral administration;
- when applied to the skin, systemic effects are given, but the substances are absorbed into the inferior or superior venous system, bypass the liver and gastrointestinal tract and do not undergo biochemical transformation complexes (major hepatic and gastric metabolism), in which the drug substance is broken down and usuallyloss of its pharmacological activity;
- the ability to release the active substance slowly on the surface of the dermis, which provides a longer exposure period. This occurs due to the constant supply of the drug to the body at a rate that creates a constant level of therapeutic concentration and close to the minimum of the drug in the bloodstream;
- absence of withdrawal syndrome with a sharp tip on application;
- the ability to combine with other medications, physiotherapy procedures and treatment methods;
- release control and prolonged action of the patch relieving back pain allows for a reduction in the frequency of prescribed medication administration. This, in turn, minimizes the characteristics of systemic and local side effects for long -term repeated use, the presence and magnitude of cumulative effects, and avoids the possible impairment of pharmacological effects.
Due to its benefits, transdermal therapy is quickly gaining popularity. Officially, several dozen medical adhesive tapes with various active ingredients are registered in the world. All existing patches for the treatment of back pain, based on the composition and principle of exposure, can be divided into groups. This division is conditional, because it mostly acts through several mechanisms and produces complex effects, when the influence of one active component is complemented by the work of another. In the pharmaceutical market, spots of domestic and foreign manufacturers are presented.
In pharmacies, you can find products of the following brands specializing in the production of dosing drugs, ready for full use intended for external use in the form of patches:
- annoying actions;
- with heat reflective coating, dry heat;
- with non-steroids or other anti-inflammatory agents;
- with the addition of herbs and medicinal oils;
- based on chondroprotective action substances;
- painkillers with local anesthetics;
- nano technology.
An overview of the most popular back patches
The development and implementation of transdermal therapeutic systems has transformed the idea of patches as a simple damage protective adhesive. The presence of drug reservoirs has made patches an important element in the symptomatic treatment of low back pain and an alternative to parenteral and oral administration. There are many reasons that can cause pain and heaviness in the back. This may be due to problems with the musculoskeletal system, diseases of internal organs, physical exertion, hypothermia, pinched nerves, chronic infections, back injuries, stress, age -related changes.
In order not to aggravate the situation, the pain should not be ignored, it rarely goes away on its own. Treatment should be timely and efficient - an integrated approach is needed. Depending on the type and severity of pain, the possible cause of their occurrence, the physiological characteristics of the body, the doctor may prescribe one or the other drug.
Only a specialist, after a thorough survey and examination, can determine a better medical sticker, because. they differ in principles of action and duty. A brief description and characteristics of the most common pain relief patches prescribed for back treatment:
- Pepper - the most popular, well -proven. Cheap and efficient. The liquid-gel patch is transparent, hypoallergenic, securely installed. The heat surge when using the gel film is felt after 2 minutes. Capsaicin -based adhesives (extracts made from hot capsicum) improve blood flow, metabolic processes in the affected area, reduce muscle tension, have an irritating, warming, antispasmodic and local solution effect. They relieve pain due to the disturbing effect, while the pain is replaced by a slight burning sensation and tingling. Aggressive, may irritate skin. Indicated for radiculitis, rheumatic diseases, arthralgic syndrome, posterior neuralgia, lumbago, spinal muscle myalgia.
- The category of thermal plaster contains a set of materials (turf sand, coke, salt, activated carbon, iron powder and minerals, and the like), capable of heating up to 40-58 degrees in just 20 minutes in contact with air and maintaining optimum temperature for 7-12hours. This subgroup has a high cost and a relatively long list of contraindications. Disposable adhesives anesthetize, provide uniform warming, improve blood circulation, relax the ever -tense deep muscle fibers that run along the spinal column. Warming patches help with rheumatism, osteochondrosis, lumbar myositis or other back muscles, chronic osteoarthritis, sciatica.
- The patch mass with the inclusion of Diclofenac is representative of the group of non-steroidal anti-inflammatory drugs. They act quickly without irritating the skin. They are characterized by significant anti-inflammatory and analgesic properties. The effect is long lasting. Eliminate the pain associated with the inflammatory process of swelling. The synthetic composition of the non -steroidal structure causes the possibility of undesirable side effects (risk increases with prolonged treatment with patches). Usually they bring relief in the acute period of the disease: with inflammation, degenerative changes in the spine, lumboischialgia. Also indicated for the back and joints as a means of providing quick recovery from too much energy, injuries, sprains.
- Highly targeted adhesive tapes containing glucosamine, chondroitin sulfate and neurotropic vitamin B1. The complex of active ingredients involved in the synthesis of connective tissue increases the production of cartilage matrix, protects cartilage from damaging factors, helps restore the hyaline layer, and stimulates tissue regeneration. The drug is derived from natural, expensive, supplies nutrients and anti-inflammatory substances. Its actions are aimed at eliminating the cause of the pain syndrome. This type of patch is recommended for deformity, degenerative-dystrophic of the spine.
- Local anesthetic with lidocaine, which is a combination of 2 anesthetics. A strong painkiller, providing dermal anesthesia, the effect lasts for another 120 minutes after removing the treatment strip from the skin. Used for neuropathic back pain, before injections or superficial surgery.
- New items produced using special technology. It includes bioactive materials with the smallest size deposited on a polymer base, which can easily penetrate into the epidermal layer, reach sore spots, produce radiation in the infrared region of the spectrum, and create a continuous magnetic field. The results of the combined effects of nanoparticles are an increase in local blood flow, an increase in lymphatic drainage, pain relief, inflammatory response, removal of edema, muscle relaxation, and functional restoration. Patches are indicated for violations of sensitivity, pain in the cervix, lumbar region against the background of pinched nerves, sciatica, spondylarthrosis, osteochondrosis, and other pathologies of the spine.
- Medicinal plant -based adhesives - it's also called Chinese patches. It is not an official drug, it is registered as a product that belongs to the category of sanitary and hygiene products as well as cosmetics. Manufacturers emphasize the effectiveness and safety of herbal patches, which are due to the large number of useful natural ingredients that form the basis of medical plates. There are many variations of adhesive tapes and reviews from them are mostly positive. Among its shortcomings, frequent allergic reactions and a large number of fakes were observed. The range of applications is wide, including osteochondrosis of any part of the spine, sciatica.
How to use
All back pain spots are for external use only. They are not subject to reuse, after being removed from the skin they must be disposed of. After removing the protective strip, the product is applied to the dry skin surface that has been thoroughly cleaned on the irritated area and left to act for a period specified by the manufacturer.
The instructions state that:
- Pepper plaster can be on the skin, giving a therapeutic effect, for 2 days. May irritate skin and cause severe burns. Re -application can only be done after a short break. The gel patch is applied to the problem area with a thin layer, without rubbing, waiting for complete drying. The formed film is released in a day.
- Thermal spots are rarely attached directly to the naked body, as the perceived temperature can reach high values, so manufacturers recommend pairing them on relatively compact underwear. After opening the packing bag and removing the patch, remove the protective film from it. It must be used immediately and in its entirety - it is forbidden to cut! The maximum duration of use is 10-12 hours a day.
- Patches with NSAIDs are allowed to stick for only 24 hours. The maximum allowable daily dose is 30 mg. The duration of the course of treatment should not exceed 21 days.
- Anesthetic patches are applied to the skin in the area of maximum pain. They can be cut, glued at the same time 3 pieces on different parts of the body. Application time - 1-5 hours, then the effect becomes weaker. The interval between repeated applications is at least 12 hours. It is necessary to evaluate the effectiveness of such treatment - if after 2-4 weeks of regular use a positive result is not observed, then the course of treatment should be completed.
- Patches with chondroprotectors require prolonged use. Recommended regimen: the first week - daily use all the time (when re -applying, it is advisable to slightly remove the patch so as not to obstruct skin respiration unnecessarily), the second week and then - every day. The manufacturer's instructions promise that visible changes will appear after 3 months of treatment, and to consolidate the achieved effect, it is necessary to continue therapy for at least another 3 months.
- Nanotechnology plasters are used in short courses: acute pain - 3-9 days, the degree of exacerbation of chronic diseases - 9-15 days. After a week's rest, you can repeat the treatment. The duration of continuous stay of the adhesive tape on the skin is limited to 12 hours, after which the skin must rest for at least 6 hours The therapeutic effect is often accompanied by a slight burning sensation and heat spray.
Contraindications for use
If we compare different types of patches, using treatment safety as a criterion, then the development of high -quality modern is the most preferred. The list of contraindications for its use is limited to the presence of open wounds, warts, large moles at the site of plate fixation, skin diseases and pregnancy (due to lack of sufficient clinical data confirming safety for fetal development). The next safest patch is the GS Nano Patch, which is prohibited for treatment by pregnant and lactating women, children and adolescents aged 0-18 years and individuals with individual intolerance to the constituent components. Heat spots should also not be used on patients with diabetes mellitus or who have undergone heart surgery.
The list is closed with patches with NSAIDs, which have the following contraindications:
- hypersensitivity to non -steroidal substances, additional elements of the drug;
- aspirin triad;
- kidney, liver dysfunction;
- chronic course of cardiac dysfunction;
- erosions, gastrointestinal ulcers;
- exacerbation of porphyrin disease;
- old age or children-0-15 years;
- 3rd trimester of pregnancy or lactation.
Analogies
Above is a complete list of patches on the pharmaceutical market, they have no analogues in this dosage form. Other drugs for skin use, ointments and gels, sprays, including the same active ingredient, have the closest effect.
Back pain is a reason to immediately see a doctor, self-medication in any way can lead to the development of serious pathology.