Who is the (pain)killer?

Aug 31, 2022

By Stephanie Simons,
Head Pharmacist,
Lindo’s Pharmacy in Devonshire

We all love a crime thriller – sifting through the clues, deciphering the killer. However, when it comes to your own pain, finding the best remedy for you shouldn’t be such a mystery.

We all experience pain, and yet it is different for everyone. Thanks to this paradox, there is still much the medical world do not understand – yet with the right knowledge, you can uncover the best painkiller quicker than any detective. Severe pain, trauma and/or long term conditions will be managed by your health care team – however, if you are struggling with the lesser aches and pains we all experience at some point, there are plenty of options to offer you some relief, whether that is through your local pharmacy or your GP.

Pharmacies and drug stores offer a variety of options for treating day-to-day issues, such as headaches, muscle strains or period pain. There are two key type of painkiller sold over the counter.

Acetaminophen – or Paracetamol – is thought to dull the receptors in the brain that receive pain signals. It can therefore be used to relieve a range of painful symptoms – headaches, In particular. As Acetaminophen also impacts the body’s regulation of temperature, you can also take it to ease a fever. Products like Tylenol or Panadol can deliver effective and efficient relief.

Most people can take acetaminophen safely and regularly as long as you do not exceed the recommended dosage – however those with severe kidney or liver disease, and those taking other medication containing acetaminophen should consult their GP first.

The other key painkillers available over the counter are nonsteroidal anti-inflammatory drugs (NSAIDs), the most common of which are aspirin and ibuprofen. They work by reducing the level of prostaglandins – a hormone-like chemical that irritate nerve ending causing feelings of pain. Some find NSAIDs work particularly well for relieving menstrual cramps, muscular pain and toothache, while others simply find they suit their bodies better than acetaminophen.

Try Bayer Aspirin, Advil or Cuprofen or ask your pharmacist for advice. Other pain relief products contain both acetaminophen and aspirin such as Excedrin, while products like Excedrin Migraine ad Excedrin Tension Headache also contain caffeine to better aid their efficacy. It is best to take NSAIDs after food, and the FDA warn against taking NSAIDs for more than ten days without seeking advice from your GP. Pregnant women should also avoid this type of product.

For muscular issues, topical pain relief is also an option. Creams, gels, sprays and patches like BenGay, Salonpas, Aspercreme or Voltaren (Voltarol) often contain NSAIDs and other medicines and be applied directly to the skin. Stronger versions may also be obtained from the pharmacist, though be sure to follow their instructions with care.

For those who would prefer not to take tablets or have been advised against it, exercise can also offer pain relief. Simple and gentle activities like walking and swimming can help to block pain signals to the brain and stretch stiff, tense muscles without causing or aggravating injury. Mindful breathing can also help. Pain often causes us to take shallow, rapid breaths – inducing anxiety, dizziness and further pain – however, by taking slow, deep breaths you will become more relaxed and feel more in control. Breathing and relaxation is also key in maintaining an effective sleep routine, which can in turn help relieve pain. Try Lavender essential oil or other relaxing essential oils to boost your relaxation with a little aromatherapy.

When we’re in pain, finding a remedy can feel like the most complex of mysteries, but it needn’t require a full investigation. If you are unsure what might work for you, speak to your GP or pharmacist at any time. We can advise on the best – and safest – solution and lessen your pain as soon as possible.

Stephanie Simons is the head pharmacist at Lindo’s Pharmacy in Devonshire. She earned her Bachelor of Science in Pharmacy at Massachusetts College of Pharmacy and has been practicing for over 20 years. She is a registered pharmacist with the Bermuda Pharmacy Council and is a member of the Bermuda Pharmaceutical Association.