Over the counter painkillers | Which Painkiller? | Bupa UK (2024)

Taking over-the-counter painkillers

You can buy over-the-counter (OTC) painkillers in several different forms, including:

  • tablets, caplets (coated and rounded tablets) or capsules that you swallow
  • a powder or tablet to dissolve in water
  • a liquid or syrup
  • suppositories – soft, shaped tablets that you put into your back passage
  • gels or creams that you rub into your skin
  • patches that you put on your skin

You can buy OTC painkillers from a pharmacy, supermarket or other shops without a prescription from a doctor. You can only buy packs of 16 tablets of paracetamol or ibuprofen from a shop or supermarket. You can get packs of up to 32 tablets or capsules if you buy them from a pharmacist. Shops and pharmacies legally aren’t allowed to sell you more than two packs at a time. This is to prevent people accidentally or intentionally taking too many.

How much to take

Read the patient information leaflet that comes with your OTC painkillers carefully. This will give you information about the dose – including exactly how much to take and how frequently you can take it. This may also be displayed on the product packaging. You can usually take most over-the-counter painkillers every four to six hours.

Some other types of medicine – for example, cold and flu products – also contain painkillers such as paracetamol. So, if you need to take a painkiller, check the labels carefully on other medicines you’re taking. Ask your pharmacist for advice if you’re unsure.

Only take painkillers containing codeine for a maximum of three days. If you’re still have pain after this time, see your GP.

Taking too much

Any medicine can be dangerous if you take too much of it. If you take too much paracetamol, it can cause serious liver damage, which can be life-threatening. Sometimes, there are no symptoms until a day or so afterwards.

Taking too many NSAIDs can make you feel or be sick and can also cause hearing problems such as tinnitus. Taking too much aspirin can make you hyperventilate (breathe faster than normal). It can also cause hearing problems and make you sweat a lot.

If you think you’ve taken too much of any medicine, get medical advice as soon as you can.

Over the counter painkillers | Which Painkiller? | Bupa UK (2024)

FAQs

What is the best over the counter painkiller combination? ›

The researchers conclude that the most effective pain relief with the fewest side effects comes from a combination of 400 milligrams of ibuprofen (Advil and other brands) with 1,000 milligrams of acetaminophen (Tylenol). No opioid or opioid-containing medicine or any other combination of drugs was more effective.

What are the most common over the counter painkillers? ›

The most common types of OTC pain medicines are acetaminophen, aspirin, and nonsteroidal anti-inflammatory drugs (NSAIDs).

What painkillers are good for unbearable pain? ›

Opioids such as oxycodone, morphine, and codeine can be used to relieve moderate to severe short-term (acute) pain, such as after surgery or an accident, as well as chronic pain in people with cancer.

What is the most popular painkiller in the UK? ›

What painkillers can I buy? Paracetamol is the most common analgesic (painkiller) you can buy. It is recommended for the treatment of mild pain and comes in tablet, capsule, syrup and soluble forms. Another option is a non-steroidal anti-inflammatory (NSAID) preparation, such as ibuprofen.

What is the best all-round painkiller? ›

Naproxen. Naproxen (Aleve) is the most powerful anti-inflammatory pain reliever available without a prescription. It is especially effective for sprains, sunburns and arthritis and other conditions. Similar doses of Naproxen tend to last longer than other non-prescription pain relievers.

Can I take 2 Tylenol and 1 ibuprofen together? ›

Yes, it is safe to take ibuprofen (Advil) and acetaminophen (Tylenol) together if you need to for extra pain relief, such as for a dental extraction. Taking ibuprofen and acetaminophen together works better to relieve pain than taking ibuprofen and acetaminophen separately.

What is the no. 1 for pain relief? ›

Acetaminophen. Acetaminophen is usually recommended as a first line treatment for mild to moderate pain. It might be taken for pain due to a skin injury, headache, or conditions that affect the muscles and bones. Acetaminophen is often prescribed to help manage osteoarthritis and back pain.

Which OTC painkiller is safest? ›

Acetaminophen is considered the safest OTC painkiller for long-term use because it's thought to have fewer side effects than the other options.

What is the strongest natural painkiller? ›

Endorphins are the body's natural painkillers. Released by the hypothalamus and pituitary gland in response to pain or stress, this group of peptide hormones both relieves pain and creates a general feeling of well-being. The name of these hormones comes from the term "endogenous morphine."

What can I take for excruciating pain? ›

Medicines to Treat Pain
  • Acetaminophen may help all types of pain, especially mild to moderate pain. ...
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) include aspirin, naproxen, and ibuprofen. ...
  • Narcotics (also called opioids) are used for moderate to severe pain and require a doctor's prescription.
Apr 10, 2020

What is the best non-narcotic pain medication? ›

What are some alternatives to opioids? There are many non-opioid pain medications that are available over the counter or by prescription, such as ibuprofen (Motrin), acetaminophen (Tylenol), aspirin (Bayer), and steroids, and some patients find that these are all they need.

Which painkiller works the fastest? ›

Best for Quick Action. Ibuprofen is a short-acting NSAID that starts working faster than naproxen. 11 This may be better for acute pain, like a new injury. The downside is that ibuprofen has to be taken more often than naproxen.

What is the strongest NSAID over-the-counter? ›

Naproxen (Aleve) is the strongest NSAID available without a prescription. Pain relief lasts longer, so you do not have to take it as often as ibuprofen (Advil).

What is the strongest over-the-counter painkiller for back pain? ›

Like most NSAIDs, naproxen is mainly recommended for acute back pain. It may be a good option if you're searching for all-day pain relief, as it can provide between 8 and 12 hours of benefit. In a 2015 study , naproxen was shown to be as effective as an opioid combined with acetaminophen for acute low back pain.

What is the strongest over-the-counter painkiller for toothache? ›

Over-the-Counter Painkillers for Toothache

Ibuprofen and Paracetamol can be taken together as they work differently but ibuprofen 600mg is usually the best painkiller for toothache.

What is the best combination of Tylenol and ibuprofen to stop pain? ›

Take one first and then four to six hours later take the other. For example, if you wake up around 8 a.m., start off by taking 400 milligrams of ibuprofen and then around noon, take 500 milligrams of acetaminophen. “You can alternate like that every three to four hours throughout the day,” instructs Dr. Horwitz.

What is the safest pain reliever for seniors? ›

Acetaminophen (Tylenol) is usually safer for older adults than other pain medicines. Topical pain medicines (also called topical analgesics) can also help. When common pain medicines don't work to manage pain, your healthcare provider may suggest other medicines, such as antidepressants or anticonvulsants.

Can Tylenol and Aleve be taken together? ›

The medical community considers it generally safe to take Tylenol and Aleve at the same time. However, alternating doses of Aleve and Tylenol can extend the relief from pain. A person can take one as the other starts to wear off. A person should only take the recommended doses of these medications.

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