5 secrets of Baralgin, which will help with toothache

March 21, 2019

In our age, when dental treatment is completely painless, many people still delay until the last minute and are in no hurry to see dentists, preferring to drown out the discomfort and pain with the help of medications. So, often, due to its fairly good effectiveness and over-the-counter availability from pharmacies, some people prefer to buy Baralgin, which saves them from toothache. And the editors of the UltraSmile.ru portal, as always, stand guard over your health and offer material for reading that will help you take into account all the possible “secrets,” disadvantages and advantages of this drug, as well as a sober approach to its choice.

"Baralgin" and its structural analogues are banned in many countries around the world

"Baralgin" is a non-narcotic drug belonging to the group of pyrazolones. It really helps with toothache and many other types of pain. It also allows you to temporarily get rid of spasmodic pain and reduces fever, because... is an antispasmodic and antipyretic (translated from Latin antipyretic means “against heat”). The desired effect can be achieved through the presence of a component such as metamizole sodium or a more well-known substance in Russia called “analgin” (synonyms: dipirone, ronalgin). Some analogues also contain pitofenone hydrochloride and fenpiverinium bromide, which enhance the positive and negative effects of metamizole. Analgin or dipyrone itself was first discovered back in 1922 by representatives of the German company Hoechst.

Baralgin really helps with toothache

In Russia, Belarus and Tajikistan, “Baralgin” itself, “Baralgin M” and any double drugs or combination drugs that contain analgin are very popular (“Spazgan”, “Spazmalgin” and “Spazmalgon”, “Maxigan”, “ Metamizole sodium", "Tempalgin", "Pentalgin" and others). However, in Europe, America, Japan, Greece, Mexico (more than 44% of such drugs), Saudi Arabia, and the Philippines, drugs of the pyrazolone group are prohibited. Despite the fact that pharmaceutical companies and pharmacies at one time suffered large material losses associated with such a restriction.

What were the reasons for such bans? Researchers have found that drugs of this group, when used uncontrolled and over-the-counter, increase the risk of bone marrow damage by 24 times, contribute to severe failure of the immune system, the appearance of blood diseases (negatively affects leukocytes, destroying white blood cells) and acute allergic reactions, as well as other toxic effects leading to death. In different countries, studies confirming this fact were carried out in different years:

• in 1973, scientists from the United States sounded the alarm: in 1977, drugs based on dipirone (analgin) were withdrawn from the market. In 1978, it was found that more than 7,000 people worldwide suffer from it every year1 (i.e., people experience severe agranulocytosis and, as a result, death),
• In 1986, doctors from Germany conducted their research and found that after taking the drugs, death occurred in 94 cases (of which 39 cases were due to anaphylactic shock2): by 1990, dipyrone drugs completely disappeared from the market.

Studies in many countries have revealed negative consequences of taking the drug.
Further, similar studies were carried out in other countries, and dipirone, and especially combination drugs based on it, were banned in Canada, Italy, Austria, and so on. If you can find them there, then only strictly according to the recipe. However, in Russia, drugs based on it are successfully sold without a prescription and are still used today (according to some data, up to 500 tons of drugs based on analgin are produced per year). "Baralgin" is no exception. In addition, its price seems quite reasonable to many and is approximately 250 rubles for a package of twenty tablets (and the shelf life is good - 4 years).

Analogs and replacement methods

Drugs similar to Baralgin are divided into 2 types:

• Similar in composition (Optalgin, Analgin, Spazdolzin, Sodium Metamizole);
• Having the same therapeutic effect (these drugs are not used to treat toothache).

Spazdolzin analogue of Baralgin for children

Spazdolzin is a drug similar in composition to Baralgin, which is available for children from 2 to 5 years old in the form of rectal suppositories, and for older children and adolescents - in the form of tablets. Although in some cases it is permissible to give tablets to children in a minimal dose.

Suppositories are used in the form of 1 dose according to the following scheme:

• 0-1 years – 100 mg
• 1-3 years – 200 mg
• 3-7 years – 400 mg
• 7-14 years – 600 mg

No more than 4 suppositories are allowed per day. Before inserting the suppository, the child should take a horizontal position.

Tablets are given to the child according to the following instructions:

• 2-3 years – 50-100 mg
• 4-5 years – 150 mg
• 6-7 years – 200 mg
• 8-10 years – 250 mg
• 10-14 years – 300 mg

A child should take no more than 3 tablets per day!

In addition to Spazdolzin, there is an effective children's drug - Kamistal baby gel, which is often used even by adults to relieve toothache.

The gel contains lidocaine, which freezes the inflamed areas, and, thanks to this, the pain subsides. The drug can be used during the period of growth and replacement of teeth in children. Gel analogues: Metrogyl Denta and Dentol.

Baralgin is contraindicated for pregnant women

Pregnant women can risk replacing Baralgin only with the No-shpa tablet, which is relatively harmless. Or rinse your mouth with herbal tinctures. As a rule, every woman should approach pregnancy planning wisely and cure all her teeth before the fetus settles inside, which needs to be cherished and protected.

The medicine effectively relieves moderate pain

"Baralgin" is quite effective against toothache, which is of medium and low intensity. For example, it will help cope with the pain of caries, help survive the post-surgical stage of tooth extraction, implantation, osteoplastic surgery or vestibuloplasty.

The drug is quickly absorbed into the blood and helps reduce discomfort after 20 minutes. It is valid for the next four hours. However, you can use it no more than 3-5 days in a row, and certainly not on an ongoing basis. Therefore, if you are worried about toothache, then the most reasonable thing to do would be to take a one-time tablet and make an appointment with a dentist as soon as possible, who will provide symptomatic treatment. You can take a dose not exceeding 6 tablets per day (one tablet contains 500 milligrams of metamizole sodium, i.e. analgin or dipyrone). If there is no effect or you are in no hurry to treat your teeth, then stop taking Baralgin, because it can seriously harm your health.

The drug helps cope with moderate and mild pain

Possible causes of toothache

Let's figure out why teeth sometimes hurt a lot. The main reason is damage to the teeth themselves and the tissues surrounding them. Most often, such pain occurs with the following dental pathologies2:

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Tablets can cause stomach pathologies

The instructions for Baralgin say what it helps with. The sphere of its influence is not only toothache, but also pain of various origins, including stomach pain and intestinal colic. However, the drug will cause additional problems if you use it incorrectly. It will cause damage to the gastrointestinal tract, affect the mucous membrane, and lead to peptic ulcers.

So, to eliminate such problems, let's consider a few rules on how to take medicine:

• take the tablets only with meals or immediately after meals,
• take the tablets with plenty of liquid,
• Do not chew the tablets, because They are very bitter and in some people with sensitive mucous membranes, their taste can even cause a gag reflex.

When taking the medicine, the urine may turn red, as stated in the instructions for the drug. You shouldn’t be afraid of this phenomenon, because... it has no clinical significance and disappears without a trace after stopping the pills.

The tablet must be taken with plenty of water.

Nature of toothache

The most common reason why a tooth starts to hurt is caries3. At an early stage, painful sensations from sweet, sour, hot or cold foods may appear. Discomfort disappears immediately after the cessation of the stimulus2. The deeper the caries, the stronger and longer the pain is felt3.

Gradually, the carious process progresses, the tooth pulp becomes inflamed and pulpitis develops. This disease is characterized by severe, spontaneous, throbbing pain, radiating to adjacent teeth, temple, ear and even eyes, and worsening in the evenings and at night3.

Advanced pulpitis leads to the development of a more serious disease—periodontitis. A pronounced aching pain appears, which increases when biting or pressing on the tooth3. Patients often complain about the “feeling of a grown tooth”3.

Trauma is the second most common cause of damage to the integrity of tooth tissue after caries4. Symptoms depend on the degree of damage and can manifest as short-term pain when touching a tooth, or sharp pain from mechanical and temperature stimuli4.

Another reason why people go to the dentist is pain during the eruption of wisdom teeth. This process is characterized by the following symptoms: aching pain in the tooth area, pain when opening the mouth and swallowing, fever, swelling of the mucous membrane and soft tissues of the face5.

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Do not take the drug with other analgesics

Have you taken Baralgin, but your toothache still won’t go away? In this case, some people try to increase the effect of the medicine and believe that if they take another analgesic, they will be able to avoid complications. However, this opinion is erroneous; the instructions for the drug indicate that with such a combination the toxic effect of the drug, and in particular the toxicity of analgin, can increase significantly. Also take into account the fact that the tablets also enhance the toxic effect of alcohol, which can result in severe liver damage, so exclude the possibility of taking these two components at the same time.

You should take Baralgin with great caution, which helps with toothache in the presence of low blood pressure (sharply lowers blood pressure), with sensitivity and intolerance to analgin (there is a high probability of Quincke's edema and anaphylactic shock). The tablets should not be taken by pregnant women, children under 15 years of age, people with glaucoma, or nursing women (if you take the medication, you will be able to return to feeding your baby with breast milk no earlier than 48 hours later).

How to use?

The drug can be taken by persons over 15 years of age. The maximum single dosage is two tablets, but it is better to drink one. It is permissible to take up to six tablets per day. They are consumed whole, without crushing or chewing, and washed down with plenty of water. The duration of treatment is regulated by the doctor. Without its control, it is possible to eliminate painful sensations within a maximum of three days. If you experience severe toothache, you should visit your dentist as soon as possible to avoid complications.

The medicine is dangerous for children

As we have already found out, tablets are prohibited for children under 15 years of age due to their toxicity, even in single dosages. But narcologists in some areas are sounding the alarm. Thus, in Kyrgyzstan (Kerben), narcologists notice that local youth actively use the painkiller "Baralgin", deliberately causing themselves to be in a cheerful state, because. the medication causes sensations similar to mild intoxication. Of course, for such a condition to occur, you need to eat almost a handful of tablets, but doctors urge parents to be vigilant, because with 10-20 tablets, intoxication of the body is already achieved. And it would be fine if the side effects for children ended only with the appearance of addiction, mental and deviant deviations. But for a child’s body, such a load can end much worse, causing a stroke.

For children with this problem, it is better to choose another drug

It is interesting that regarding contraindications in children, there is quite contradictory information in the advertising of the drug “Baralgin”. For example, tablets cannot be used until the age of 15, but injections (the second form of the drug) can be given after reaching 6 years. However, many experts, in principle, suggest considering the drug as the very last resort not only for children, but also for adults, regardless of the type of pain that occurs.

Finally, we will give you a statement from specialists who are members of the medication commission of the German Medical Association. They argue that analgin-based drugs like Baralgin should be used only in truly severe and life-threatening conditions, for example, after surgery. And the same headache or toothache, intestinal colic are not mortally dangerous if a person seeks to eliminate not only the symptom, but the root cause of their appearance, i.e. undergoing treatment. The editors of the portal UltraSmile.ru agree with this sensible argument, therefore, before taking any medicine, we advise you to think about it and first evaluate the possible benefits and harms. You should also refrain from systematically using any medications without consulting a doctor.

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1. Dukes, 1987, op cit, p9126
2. BUKO Pharma Kampagne, Hoechst, A Cause of Illness? The Pharmabusiness in the Third World, Germany, May 1986, p19.

Comments

I am terribly afraid of dentists, so for a long time I took Baralgin on a regular basis for toothache, because... helped a lot. I read your article and was really scared of the consequences. How to get rid of your fears and doubts and still decide to go to the doctor?

Alesya (03/23/2019 at 10:03 am) Reply to comment

Dear Alesya! Realize the fact that today dental treatment is completely painless with the help of the latest and safe anesthetics, and to delay means causing inevitable harm to the entire body as a whole. And to cope with your fears, be sure to read our article on the topic “5 tips on how to stop being afraid of dentists.”

Editorial staff of the portal UltraSmile.ru (03/26/2019 at 09:37) Reply to comment

I read in an article that baralgin causes agranulocytosis. What is this and what are its symptoms?

Valeeva_N (04/03/2019 at 12:56 pm) Reply to comment

Agranulocytosis is a dangerous pathological disease that suppresses the production of white blood cells (sharply reduces the level of leukocytes in the blood) and affects their function, as a result of which a person’s immune status is impaired, the process of hematopoiesis, and the susceptibility to any infectious or viral disease or bacterial infections increases sharply . In 80% of all cases, the pathology is characterized by death. Main symptoms: shortness of breath, fear of light, rapid heartbeat, sweating, the appearance of ulcers on the body mucosa, fever, general weakness and fatigue.

Editorial staff of the portal UltraSmile.ru (03/06/2019 at 09:16) Reply to comment

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