When older adults need pain relief, choosing the right painkiller is important for safety and comfort. Many common pain medicines can cause side effects, especially as people get older. The safest options depend on the type of pain, overall health, and other medications being taken.
Acetaminophen, also known as paracetamol, is often a good first choice for older adults. It helps with pain and fever but does not cause stomach irritation like some other painkillers. Most people can take acetaminophen safely, but it is important not to take more than the recommended amount. Too much can harm the liver, especially if someone drinks alcohol or already has liver problems.
Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and naproxen are also available over the counter. These medicines help with pain and swelling, but they can cause stomach problems, kidney issues, and increase the risk of bleeding. For older adults, these risks are higher. If NSAIDs are needed, it is best to use the lowest dose for the shortest time possible and talk to a doctor first.
Some older adults may need stronger pain relief, such as medicines that combine acetaminophen with other drugs. These should only be used as directed by a healthcare provider. Opioid medicines are sometimes prescribed for severe pain, but they can cause drowsiness, confusion, and constipation. They should be used with caution and only for a short time.
For back pain or muscle strains, doctors often suggest starting with acetaminophen. If that does not help enough, a low dose of an NSAID may be considered. Muscle relaxants or other prescription medicines might be needed for more severe pain, but these should always be used under a doctor’s guidance.
It is important to read labels and avoid taking more than one medicine that contains the same active ingredient. Many cold and flu remedies include acetaminophen, so taking extra painkillers could lead to an overdose. Always check with a pharmacist or doctor before starting a new medicine, especially if there are other health conditions or medications involved.
Staying active and using gentle stretching can also help relieve pain and improve mobility. For ongoing pain, working with a healthcare provider to create a safe and effective plan is the best approach.
Sources
https://www.goodrx.com/naproxen/how-much-naproxen-safe
https://www.mayoclinic.org/drugs-supplements/oxycodone-and-ibuprofen-oral-route/description/drg-20062031
https://en.wikipedia.org/wiki/Paracetamol
https://www.mayoclinic.org/drugs-supplements/ibuprofen-and-acetaminophen-oral-route/description/drg-20526898
https://www.totalorthosportsmed.com/best-pain-reliever-for-back-strain/
https://www.franciscanhealth.org/community/blog/back-pain-relief-without-surgery
