Despite its name, it does not work directly on muscles. Your provider may prescribe a medicine called a muscle relaxant. When taking narcotics, do not drink alcohol, drive, or operate heavy machinery. Possible side effects of these drugs include: When used carefully and under a provider's direct care, they can be effective in reducing pain. They have been associated with accidental overdose and death. These drugs can be abused and are habit-forming. Narcotics work by binding to receptors in the brain, which blocks the feeling of pain.
Do not use them for more than 3 to 4 weeks unless instructed by your provider to do so. Narcotics, also called opioid pain relievers, are used only for pain that is severe and is not helped by other types of painkillers. You may need to be watched for side effects. If you are taking pain relievers for more than a week, tell your provider. If side effects occur, stop taking the drug right away and tell your provider. Side effects include stomach pain, ulcers or bleeding, and kidney or liver damage. NSAIDs and acetaminophen in high doses, or if taken for a long time, can cause serious side effects. NSAIDs help reduce the swelling around the swollen disk or arthritis in the back. You can buy some NSAIDs, such as ibuprofen and naproxen, without a prescription. If your pain continues, your provider may suggest nonsteroidal anti-inflammatory drugs (NSAIDs). If you already have liver disease, ask your doctor if acetaminophen is OK for you to take. Overdosing on acetaminophen can cause severe damage to your liver. Do not take more than 3 grams (3,000 mg) on any one day, or over 24 hours. Most health care providers recommend acetaminophen (such as Tylenol) first because it has fewer side effects than other drugs.
Over-the-counter means you can buy them without a prescription. Medicines can also help with your back pain. It may not go away completely or it may get more painful at times. Acute back pain often goes away on its own over several weeks.
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