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Las infiltraciones pueden reducir el dolor durante meses o mГЎs tiempo. Sin embargo, se trata de una soluciГіn que no tiene la misma efectividad en todos los pacientes. Por lo general no se administran mГЎs de 2-3 inyecciones en un aГ±o, por sus potenciales efectos secundarios. AdemГЎs, tambiГ©n pueden ayudar a incrementar la producciГіn de endorfinas, que son, por decirlo de alguna manera, los calmantes naturales del dolor que produce nuestro cuerpo. Otro beneficio aГ±adido, en especial para quienes sufren de dolor crГіnico, es que los antidepresivos pueden ayudar a dormir mejor. OpiГЎceos. Este tipo de medicaciГіn estupefaciente para el dolor, tal como derivados de la morfina, se emplea para dar alivio a los dolores mГЎs intensos y solo se usa en los casos de dolor mГЎs extremo. Debes ser consciente de que muchos pacientes desarrollan una tolerancia a los opiГЎceos, es decir que cada vez requieren dosis mГЎs altas para sentir alivio. Esta medicaciГіn para el dolor puede ser, ademГЎs, muy adictiva, por lo que solo se vende con un tipo especial de receta y bajo estricta supervisiГіn tanto mГ©dica como farmacГ©utica. En este tipo de medicamentos no se debe suspender el tratamiento antes de lo indicado por el mГ©dico ni de forma brusca. La reducciГіn de la dosis deberГ­a y la suspensiГіn del tratamiento siempre deberГЎ de hacerse de forma progresiva. Medicamentos Anti Inflamatorios No Esteroideos (AINEs). Los AINEs alivian el dolor y ademГЎs reducen la inflamaciГіn, que es su diferencia principal con el paracetamol. Algunos de los ejemplos mГЎs conocidos de AINEs son el ГЎcido acetil salicГ­lico (Aspirina ) , el ibuprofeno (Nurofen) o el naproxeno . La dexametasona ( Fortecortin) o la metilprednisolona (Urbason) son ejemplos de estos esteroides. La toma de estos medicamentos debe estar siempre bajo supervisiГіn mГ©dica ya que su dosificaciГіn se debe hacer de forma escalonada, de lo contrario se pueden ocasionar efectos secundarios importantes. Paracetamol. El paracetamol (Gelocatil) es un medicamente analgГ©sico , es decir que calma el dolor y suele ser una buena primera lГ­nea de defensa. Este tipo de medicina, a pesar de ser un buen calmante, no reduce la inflamaciГіn. Medicamentos Anti Inflamatorios No Esteroideos (AINEs) de prescripciГіn mГ©dica. Los AINEs de venta bajo prescripciГіn mГ©dica suelen ser mГЎs potentes que los de venta sin receta. Un ejemplo comГєn de este tipo de medicaciГіn es un inhibidor COX 2, como por ejemplo el Celebrex. Relajantes musculares. A menudo las hernias discales provocan contracturas en los mГєsculos de la espalda. En estos casos, un relajante muscular puede aliviar la intensidad de la contractura y el dolor asociado. Un buen ejemplo de un relajante muscular es el o Myolastan, aunque tambiГ©n se usa el Diazepam (Valium) ya que tiene, a parte de su efecto ansiolГ­tico, un potente efecto relajante muscular. Antidepresivos. Para sorpresa de la mayorГ­a de las personas que no conocen de medicina o farmacia, los antidepresivos pueden ser unos medicamentos bastante efectivos para tratar el dolor. La razГіn de su eficacia es que bloquean los mensajes de dolor y evitan que lleguen al cerebro. MedicaciГіn de venta libre o sin receta. Las inyecciones epidurales de esteroides contienen corticosteroides que son potentes agentes antiinflamatorios que alivian rГЎpidamente el dolor causado por nervios comprimidos. Cuando son inyectados cerca de los nervios espinales, la medicaciГіn puede ofrecer una reducciГіn significativa del dolor con la primer dosis, pero puede tomar un par de dГ­as en hacer su efecto. Los medicamentos suelen provocar efectos secundarios que debes tener en cuenta antes de empezar a tomarlos. Por ello consulta con tu mГ©dico antes de tomar ningГєn medicamento, incluso si se trata de los que no requieren prescripciГіn mГ©dica y que no representan en apariencia ningГєn riesgo. Algunos AINEs no son recomendables para personas con antecedentes de problemas cardГ­acos o Гєlceras estomacales. Por otra parte, pueden interaccionar con otros medicamentos, provocando alteraciones en sus efectos o bien dar lugar a alteraciones en el cuerpo. En todo caso, tu especialista mГ©dico decidirГЎ cuГЎles son los mГЎs apropiados en funciГіn de tu historial mГ©dico. En caso de duda consulta con tu mГ©dico o farmacГ©utico.

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