Acute toothache can take you by surprise, ruining all your plans and depriving you of a night's sleep. If there are several days or hours left before therapeutic intervention, you need to take care of the contents of your first aid kit in advance. It’s great when the patient has a minimal set of analgesics. Typically, pharmacists recommend triple-action nonsteroidal anti-inflammatory drugs to relieve various types of pain. One of them is Ibuprofen. The remedy was developed hundreds of years ago to help patients with rheumatoid arthritis. Will Ibuprofen help with toothache? And how safe is this medicine?
Description of the drug
The non-steroidal analgesic Ibuprofen has a complex effect on the human body: it relieves pain, stops inflammation and lowers body temperature. Therefore, dentists often prescribe it to relieve toothache, which implies some kind of inflammatory process in the depths of the suffering tooth. Ibuprofen is a hard, light pink tablet with a white filling.
Ibuprofen is a NSAID (NSAID), a derivative of propionic acid, which has a targeted effect against pain, fever and inflammation by inhibiting the synthesis of prostaglandins - mediators of pain and inflammation.
This is not the only form of release of the drug; it is also produced in the form of effervescent tablets, suppositories, gel, ointment and syrup. Ibuprofen is available in pharmacies without a prescription. The medicine is used both in complex treatment and in individual one-time situations. It is also popular because it can be used by patients of different ages: from very young to elderly. The drug received its name from its main active ingredient – ibuprofen, which makes up the main part of the tablet. In addition to it, each solid unit of the medicine contains a number of food additives (vanillin, potato starch, gelatin and others). When the dental nerve is exposed to irritants, it signals pain. The more acute the pain, the stronger and more dangerous the situation inside the tooth. Often the patient's temperature rises and his cheek swells. Ibuprofen will prove to be a reliable assistant in this trouble. Within 15-20 minutes, the tablet taken will begin to act on the source of pain, and the patient will feel much better. Problems that the drug Ibuprofen solves: 1. Reducing the production of enzymes responsible for pain. 2. Reduction of soft tissue swelling, relaxation of vascular networks and nerve endings, which reduces pain symptoms. 3. Relief of the inflammatory process.
Attention! Ibuprofen helps the body produce endogenous interferon, which improves immunity. Therefore, in addition to getting rid of debilitating pain, the patient also receives a small bonus to health.
Types of tablets for toothache
There are a lot of medications for teeth. They differ from each other in:
- active substance;
- dosages;
- pharmacological action;
- side effects;
- contraindications.
Each class fights its own “enemy”. Most often, patients in dental clinics are prescribed analgesics. Penetrating into the systemic bloodstream, they minimize stimulation of nerve fibers and prevent the passage of intense pain impulses.
As for antispasmodics, they cannot be called an effective dental pain reliever. Drugs in this group are more suitable for conditions caused by spasm of smooth muscles. They affect the sympathetic nervous system. Relieves discomfort due to disorders of the kidneys, gastrointestinal tract, gynecological pathologies, and migraines. However, with mild pain they can also help.
Many dental clinic clients are prescribed non-steroidal anti-inflammatory drugs (NSAIDs). These are drugs that have antipyretic and anti-inflammatory effects. They quickly stop the spread of inflammatory processes, including in the oral cavity.
Features of application
Ibuprofen is taken when it is not possible to immediately go to the dentist's office. As a rule, the visit should take place within 1-2 days. Uncontrolled self-medication will not only aggravate the situation with a bad tooth, but will also lead to complications associated with long-term use of the medicine without medical consultation.
Toothache is a symptom of destruction of hard dental tissues. Severe toothache not only negatively affects well-being, but also reduces performance and disrupts sleep and eating patterns.
The dosage takes into account a standard 200 mg tablet. Adults and children over 13 years of age are allowed to take no more than 600-800 mg of Ibuprofen per day (1 tablet 3-4 times a day). If the situation requires quickly achieving a therapeutic effect, the dose can be increased to 1200 mg per day (2 tablets 3 times a day). As soon as the effect is achieved, the daily dose is reduced to 600-800 mg. Children under 12 years of age (and especially preschoolers) should only be prescribed Ibuprofen by a doctor. As a rule, this is 1 tablet no more than 3-4 times a day. In this case, the child must weigh more than 20 kg, and the interval between tablets must exceed 5.5 hours. If treatment will last several days, then the first dose of Ibuprofen per day should be started in the morning before meals. The tablet should not remain in the esophagus for a long time, so as not to cause damage (ulcer). Therefore, the amount of water when taking should be large. The remaining tablets are taken throughout the day after meals. The intervals between doses should not be less than 4 hours. It should be remembered that each organism is individual, so the speed of reduction of toothache is different for all patients.
Attention! If within 2 hours Ibuprofen has no effect on the aching tooth, there is a reason to drop everything and try to get an appointment out of turn. Under no circumstances should you increase the dosage or immediately take another analgesic! Mixing drugs can lead to extremely dangerous conditions for the body.
Many patients “borrow” tricks against toothache from each other. One such trick is to squeeze the analgesic tablet between your jaws, pressing it against the painful tooth. Or break off a piece and place it in the carious hole. For some it actually helps. But in most cases, tooth tissue is destroyed (the substances in analgesics are very active), and the pain only intensifies its empire.
The most popular painkillers for toothache
The list of pharmaceutical developments that effectively cope with negative dental symptoms can include those that contain:
- nimesulide;
- ketoprofen;
- ketorolac;
- dexketoprofen;
- flupirtine;
- mebeverine;
- ibuprofen;
- paracetamol.
Medicines based on nimesulide
This substance belongs to the class of NSAIDs and is recognized as a high-quality analgesic. But it should be used with caution for dental problems, as disturbances in the gastrointestinal tract, allergic and anaphylactoid reactions, swelling, urinary retention, shortness of breath, bronchospasm, and decreased visual acuity are possible.
Nimesulide is prohibited for treatment by children under twelve years of age, persons with bronchial asthma, stomach ulcers, Crohn's disease, and severe renal failure. It is also not suitable for pregnant and lactating women, alcohol and drug addicts.
Products with ketoprofen
Representative of the NSAID group. Shows anti-inflammatory properties. It is produced in the form of tablets, capsules, suppositories, solution for intramuscular and intravenous administration. The compound copes well with acute pain caused by deep caries and pulpitis. But patients with DU, kidney and liver pathologies, and blood clotting disorders should avoid using it.
The age limit for using ketoprofen is 18 years. It is also contraindicated for expectant and nursing mothers.
Drugs whose active substance is ketorolac
They perfectly relieve pain symptoms in diseases of the oral cavity and have a moderate antipyretic effect. The list of contraindications for use includes:
- hypovolemia;
- erosive and ulcerative lesions of the gastrointestinal tract during exacerbation;
- inflammatory bowel pathologies;
- severe kidney failure;
- hypocoagulation;
- kidney diseases.
Patients under 16 years of age cannot be treated with ketorolac.
Medicines including dexketoprofen
Dispensed strictly according to a doctor's prescription. Contraindicated for pregnant women, lactating women, people with diseases of the stomach and intestines, and a tendency to bleeding.
Most often dexketoprofen is well tolerated by patients, but sometimes causes arterial hypertension, skin rashes, bronchospasm, and erosive and ulcerative lesions of the gastrointestinal tract.
Medicines containing flupirtine
These are strong painkillers that fall into the category of centrally acting non-opioid analgesics. They help quickly cope with moderate discomfort in adults. Effective for negative symptoms caused by:
- voluminous carious cavity;
- inflammation of the neurovascular bundle;
- gingivitis;
- stomatitis;
- periodontitis.
Contraindicated for liver disease, alcoholism, elevated levels of liver enzymes, ringing in the ears, and under the age of eighteen. You should not take medications with flupirtine for a long time, as they put a lot of stress on the liver.
Products containing mebeverine
Mebeverine is a myotropic antispasmodic . It prevents the contraction of muscle fibers and eliminates painful spasms. Not suitable for children under 12 years of age.
The product should not be used if you are hypersensitive to any of its components. In general, it has a high safety profile and can even be used by pregnant women (in cases where the expected benefit to the mother outweighs the potential risk to the fetus).
Medicines containing ibuprofen
This active substance can be found in the formulations of Nurofen, MIG, etc. It belongs to the non-steroidal anti-inflammatory drugs. Available in pharmacies without a prescription.
Ibuprofen is very often used for dental pathologies . This is due to the fact that it can be found in everyone’s home medicine cabinet (it is kept there as an antipyretic). The product copes well with pain symptoms of moderate severity. The analgesic effect it provides lasts about seven hours. Effectively relieves inflammation.
But ibuprofen should not be taken if you have stomach problems. It greatly irritates the mucous membranes of the organ, which can aggravate the course of gastric pathology.
Products containing paracetamol
These are the most accessible analgesics and antipyretics. They fight well with moderate painful symptoms. If we compare paracetamol with more popular analogues, it has much fewer side effects. Therefore, it is permissible to use it in the treatment of young children. It can also be taken by nursing and pregnant women.
Contraindications
Before taking any medicine, reading the instructions is a must!
Ibuprofen during pregnancy is acceptable, but it should be taken only in the first and second trimester, and better yet, only in the second. Taking this medication in the third trimester may cause kidney pathologies in the fetus.
There are several reasons not to take Ibuprofen for toothache:
- preschool age of the patient;
- pregnancy and lactation;
- intestinal disorders and inflammation;
- acute gastrointestinal diseases;
- disturbances in the functions of the liver and kidneys;
- individual intolerance to Ibuprofen;
- hypersensitivity to aspirin;
- poor blood clotting;
- recent surgery on the heart or blood vessels;
- quite advanced age of the patient;
- diabetes.
If a person tried to relieve a toothache by drinking alcohol, Ibuprofen should absolutely not be taken. You need to wait until alcohol is completely removed from your body. Alcohol blocks the drug effect, causing the patient to increase the dosage. In addition, when there is alcohol in the blood, the liver is not protected, and any toxic substances (and there are especially many of them in medications) poison its cells.
Overdose and side effects
The risk of complications is minimal if you take Ibuprofen strictly as directed. Otherwise, you can get the following states:
Migraine is a neurological disease, the most common and characteristic symptom of which is episodic or regular severe and painful attacks of headache in one (rarely in both) half of the head.
- depression of the functions of the respiratory system, bronchospasms;
- digestive system disorder (diarrhea, poor appetite, taste perversion, nausea, pancreatitis);
- migraine;
- deterioration of auditory perception;
- blurred vision;
- allergic reactions;
- sleep disorder;
- urinary ailments;
- increased sweating;
- internal bleeding.
Attention! Any of the listed symptoms is worthy of an emergency response and a visit to a doctor. In this case, it is necessary to inform the doctor that the patient was taking Ibuprofen for toothache, tell about the duration of use and dosage.
If the dose is exceeded, the situation can be critically life-threatening, causing heart rhythm disturbances, seizures or coma. In this case, an ambulance should be called immediately. If possible, the patient should try to drink a large amount of water and take a pack of activated charcoal.
Reviews about the treatment of toothache with Ibuprofen
It is best to use general painkillers before you get to the dentist; there are many of them in pharmacies now and they are much safer than analgin. This is ibuprofen in different forms of release, Ketanov, etc. And pregnant women shouldn’t wait at all, as soon as they feel it, run to the doctor. Usually, the pain does not immediately begin so strong that it is impossible to endure, therefore, before it grows, you need to go to the dentist, it’s good that now everywhere, even in paid clinics with pain without a queue.
Marina
I took ibuprofen effervescent tablets for a very severe toothache. Ibuprofen is compatible with breastfeeding. It helped, maybe it will help you too.
JONNY
As far as I remember, when a dentist prescribes ibuprofen, for example, during a tooth extraction, a larger dose than usual is given (up to 800 mcg, it seems, that is, the equivalent of 4 regular tablets). If you know the required dose (check with your doctor), then the same effect can be achieved using regular tablets from a pharmacy without a prescription, following, of course, the total dose during the day (indicated on the packaging of regular tablets). Ibuprofen works very well for toothache and also relieves inflammation.
Bun
I took off the ibuprofen for an hour, then the pain began to hurt even more, I took nimesil, the pain dulled a little, but the tooth ached and half my head ached, my ear was not mine, the rate increased, after the tablets it became 37.1.
Natalie
Review of painkillers
Table 1. Painkillers
Drug name | Appearance | Characteristics and action |
Nimesil | Available in the form of tablets, granules, suspensions. Recommended for mild to moderate toothache. | |
Nise | Available in various forms. Suitable for mild to moderate pain. | |
Ketorol | Available in the form of tablets and capsules for injection. Will help relieve moderate to severe pain. Maximum dose per day – 3 tablets | |
Ibuklin | Available in tablet form. Recommended for mild to moderate pain. | |
Tempalgin | Has anti-inflammatory and antipyretic effects. Does not irritate the gastric mucosa. | |
Nurofen | Available in the form of tablets, suspension and gel (for external use). | |
Took | Available in tablet form. Helps relieve moderate toothache. | |
Analgin | Available in various forms. The maximum dose per day is 4 tablets. |
“Remember that the pill is a temporary way to relieve pain.
The effect of the drug will wear off, and the pain may return because the cause itself has not been eliminated. If after the first “bells” you do not go to the dentist, the disease will continue to progress. Each time the pain will get stronger and stronger" Irina Vinogradova, Dentist-therapist, endodontist, head of the department of therapy and periodontology, member of the medical council of the network of clinics "STOMPRAKTIKA.RF"