If you suffer from back pain the one thing you want as quick as possible is pain relief. The level of pain felt will vary between persons, it all depends on the pain tolerance a person has but also on what the cause of the back pain is. Most often you can treat the pain with medication like naproxen or ibuprofen. These are so called non-steriodal anti-inflammatory drugs. One of the biggest problems with these NSAIDs is that you can get potential side effects like increased risk of heart attack or stroke and/or gastrointestinal bleeding.
When you're looking for medication witch don't have these side effects maybe COX-2 inhibitors are an option. At this moment they haven't shown any negative side effects on the gastrointestinal system. Testing, however, is still continuing because the long term safety still has to be determined. Long term usage of non-sterodial anti-inflammatory drugs can have the increasing potential of gastrointestinal and/or kidney damage. The verdict on COX-2 is still out until the research on long term use is done and the effects are known to us.
Although most of the over the counter drugs don't have the same strength as NAIDs, Acetaminophen has shown some successes as pain medication when it comes to reducing the discomfort of having a back pain, and this all without having the many side effects NIADs have. When muscle spasm is the main cause of the pain there are only a few options in pain medications that can reduce the pain.
Drowsiness is the cause of pain medication
The most prescribed drugs, which are part of a persons back pain medication, are muscle relaxers. About 30% of those users have reported that they become extremely drowse when they take them. Muscle relaxers also have not proved to be very effective against muscle spasms even when they are used together with NAIDs no there was no real benefit shown. Muscle relaxers may be more effective then a placebo but the effects physicians have seen they have on alertness makes them very reluctant to prescribe them.
When a person has acute back pain, in some cases, an opiate medication may be prescribed only they have certain side effects you will have to take in to account. These side effects are sedation, clouded judgement, nausea and not in the least the high potential for addiction. Therefor you will never be allowed to take this type of medication for more then a few days. Constipation is one of the most heard of complaint. All though opiate medication or narcotics as pain medication is very effective for pain relieve they will not help to reduce any of the healing time.
No benefit has been shown of oral steroids being a good medication for back pain and there is also no benefit if taken as an injection in the back or as epidural. When used on sciatica they have been successful but without sciatica it's not known to give any relief as a back pain medication.