Treatment FAQ

which of the below drugs are used in the treatment of dysmenorrhea

by Paolo Welch Published 3 years ago Updated 2 years ago
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Diclofenac, ibuprofen, ketoprofen, meclofenamate, mefenamic acid, and naproxen are the NSAIDs specifically approved by the US Food and Drug Administration (FDA) for treatment of dysmenorrhea.Nov 15, 2021

Medication

Part 2 Part 2 of 4: Trying Home Remedies and Over-the-Counter Treatments Download Article

  1. Use medications to diminish your pain. Although pain medications are not a "cure" for secondary dysmenorrhea, they can help to ease symptoms until your doctor is able to offer ...
  2. Try heat to diminish your pain. Heat may be just as effective as over-the-counter medications when it comes to easing painful periods.
  3. Do some light aerobic exercise. ...

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Procedures

If you're looking for some natural relief, read on for the teas you can count on to help reduce painful period cramps, according to doctors and research. Around menstruation specifically, a review published in Pain Medications examined the pain levels in ...

Self-care

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How to treat dysmenorrhea?

  • Ultrasound. This test uses sound waves to create an image of your uterus, cervix, fallopian tubes and ovaries.
  • Other imaging tests. A CT scan or MRI scan provides more detail than an ultrasound and can help your doctor diagnose underlying conditions. ...
  • Laparoscopy. ...

What is the best medicine for period pain?

What medicine works best for menstrual cramps?

How is dysmenorrhea treated?

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What is the best drug for dysmenorrhea?

Over-the-counter pain relievers, such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve), at regular doses starting the day before you expect your period to begin can help control the pain of cramps. Prescription nonsteroidal anti-inflammatory drugs also are available.

Which drug is used in treatment of dysmenorrhea & endometriosis?

The most common cause of secondary dysmenorrhea is endometriosis. Most adolescents who present with dysmenorrhea have primary dysmenorrhea and will respond well to empiric treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) or hormonal suppression, or both.

What is dysmenorrhea treatment?

Treatment to manage dysmenorrhea symptoms may include: Prostaglandin inhibitors, such as nonsteroidal anti-inflammatory medications, or NSAIDs, such as aspirin and ibuprofen (to reduce pain) Acetaminophen. Oral contraceptives (ovulation inhibitors)

What is the best treatment of secondary dysmenorrhea?

NSAIDs are the most common treatment for both primary and secondary dysmenorrhea. They decrease menstrual pain by decreasing intrauterine pressure and lowering prostaglandin F2α (PGF2α) levels in menstrual fluid....Nonsteroidal anti-inflammatory drugsDiclofenac.Ibuprofen.Ketoprofen.Meclofenamate.Mefenamic acid.Naproxen.

Why is ibuprofen used for dysmenorrhea?

The contractions help your body to shed the lining of your uterus. Ibuprofen slows down prostaglandin production. Less prostaglandin means less uterine shedding, leading to fewer cramps and less bleeding.

Is paracetamol good for dysmenorrhea?

For temporary pain relief, try over-the-counter pain relievers such as paracetamol, NSAIDs or aspirin. These have been shown to help relieve menstrual pain. Medicines combining 500 mg of paracetamol plus 65 mg of caffeine are more effective for menstrual pain than paracetamol alone.

What are the types of dysmenorrhea?

There are two types of dysmenorrhea: primary and secondary.

What treatment options for dysmenorrhoea are available from a pharmacy and on prescription?

NSAIDs: Simple analgesics (specifically NSAIDs) reduce primary dysmenorrhea pain via inhibition of PG synthesis and have been the mainstay of therapy for decades. Simple analgesics are most commonly used as self-treatment by adolescents, with acetaminophen, aspirin, ibuprofen, and naproxen being reported most often.

What is the meaning of dysmenorrhea?

Medical Definition of dysmenorrhea : painful menstruation — see spasmodic dysmenorrhea.

Is mefenamic good for dysmenorrhea?

Mefenamic acid is used to treat mild to moderate pain and dysmenorrhea (menstrual cramps). It's approved to treat pain in people who are least 14 years old for no longer than seven days. It's approved to treat menstrual cramps for no longer than two to three days.

Is buscopan used for dysmenorrhea?

Hyoscine-N-butylbromide + Paracetamol (Buscopan Venus) is an antispasmodic-analgesic combination used for the relief from the pain of stronger abdominal cramps including menstrual cramps and urinary tract spasm.

Is diclofenac good for dysmenorrhea?

A recommended daily dose of a readily available nonsteroidal anti-inflammatory drug, diclofenac potassium, is effective in relieving menstrual pain and restoring physical performance to levels achieved when the women were in the late-follicular (no menstruation, no pain) phase of the menstrual cycle.

What Causes Dysmenorrhea (Pain of Menstrual cramps)?

Menstrual cramps are caused by contractions (tightening) in the uterus (which is a muscle) by a chemical called prostaglandin. The uterus, where a...

How Does Secondary Dysmenorrhea Cause Menstrual Cramps?

Menstrual pain from secondary dysmenorrhea is caused by a disease in the woman's reproductive organs. Conditions that can cause secondary dysmenorr...

What Are The Symptoms of dysmenorrhea?

1. Aching pain in the abdomen (pain may be severe at times) 2. Feeling of pressure in the abdomen 3. Pain in the hips, lower back, and inner thighs...

What is the best medication for biliary colic?

Camylofin. Camylofin is used for the treatment of a migraine, pancreatitis (pancreas inflammation), dysmenorrhea (painful periods, or menstrual cramps), spasm pain, inflammation, biliary colic (when a gallstone temporarily blocks the bile duct) or renal colic (abdominal pain caused by kidney stones).

What is meclofenamate used for?

Meclofenamate is a non-steroidal anti-inflammatory drug (NSAID), prescribed for dysmenorrhea, pain, tenderness, inflammation, swelling and stiffness caused by certain types of arthritis.

What is the best medicine for arthritis?

Flurbiprofen. Flurbiprofen is a non-steroidal anti-inflammatory agent (NSAIA), prescribed for pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints) and rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), inflammation of eye, dysmenorrhea.

What is trolamine used for?

Trolamine Salicylate is a topical analgesia, used for the temporary relief of minor pain or inflammation in the muscles or joints associated with arthritis, simple backache, muscle strains, sprains and bruises.

What is nimesulide used for?

Nimesulide is a non-steroidal anti-inflammatory drug, prescribed for painful inflammatory conditions, back pain, dysmenorrhea, postoperative pain, osteoarthritis, and fever.

What test is needed for secondary dysmenorrhea?

If your provider thinks you may have secondary dysmenorrhea, you may need additional tests, such as an ultrasound or a laparoscopy. If those tests indicate a medical problem, your healthcare provider will discuss treatments.

What is the best pain reliever for cramps?

For the best relief, take ibuprofen as soon as bleeding or cramping starts. Ibuprofen belongs to a class of drugs called non-steroidal anti-inflammatory drugs (NSAIDs). They reduce the output of prostaglandins. If you can’t take NSAIDs, you can take another pain reliever like acetaminophen.

What is the term for a period that is painful?

Dysmenorrhea is the medical term for painful menstrual periods which are caused by uterine contractions. Primary dysmenorrhea refers to recurrent pain, while secondary dysmenorrhea results from reproductive system disorders. Both can be treated.

How long do menstrual cramps last?

If you have severe or unusual menstrual cramps or cramps that last for more than two or three days, contact your healthcare provider. Both primary and secondary menstrual cramps can be treated, so it's important to get checked. First, you will be asked to describe your symptoms and menstrual cycles.

How to prevent cramps from a sprained muscle?

To help prevent cramps, make exercise a part of your weekly routine. If these steps don’t relieve pain, your healthcare provider can order medications for you, including ibuprofen or another anti-inflammatory medication in a higher dose that is available over the counter.

Why does my period hurt?

Because these pieces of tissue bleed during your period, they can cause swelling, scarring and pain. Adenomyosis: A condition where the lining of the uterus grows into the muscle of the uterus. This condition can cause the uterus to get much bigger than it should be, along with abnormal bleeding and pain.

Does secondary dysmenorrhea cause nausea?

Pain from secondary dysmenorrhea usually begins earlier in the menstrual cycle and lasts longer than common menstrual cramps. You usually don’t have nausea, vomiting, fatigue or diarrhea. Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission.

What is the best treatment for dysmenorrhea?

Nonsteroidal anti-inflammatory drugs (NSAIDs) and combination oral contraceptives (OCs) are the most commonly used therapeutic modalities for the management of primary dysmenorrhea. Treatment of secondary dysmenorrhea involves correction of the underlying organic cause.

How effective are NSAIDs for dysmenorrhea?

NSAIDs are highly effective in treating dysmenorrhea, especially when they are started before the onset of menses and continued through day 2. They are readily available, relatively inexpensive, and have a low side effect profile when used cautiously and in those who have no contraindications.

How long does it take for diclofenac to be absorbed?

Because diclofenac can cause hepatotoxicity, liver enzymes should be monitored in the first 8 weeks of treatment. Diclofenac is rapidly absorbed; metabolism occurs in the liver via demethylation, deacetylation, and glucuronide conjugation.

What is ethynodiol diacetate?

Ethinyl estradiol and Ethynodiol diacetate (Kelnor, Zovia) View full drug information. This drug combination reduces secretion of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) from the pituitary by decreasing the amount of gonadotropin-releasing hormones.

What is the drug combination of norgestimate and ethyl estradiol?

This drug combination reduces secretion of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) from the pituitary by decreasing the amount of gonadotropin-releasing hormones.

Does mefenamic acid cause diarrhea?

Compared with other NSAIDs, it is associated with a higher incidence of diarrhea. Mefenamic acid (Ponstel) View full drug information. Mefenamic acid inhibits inflammatory reactions and pain by decreasing the activity of cyclooxygenase, thereby decreasing prostaglandin synthesis.

Can OCs prevent dysmenorrhea?

In some patients, OCs can prevent dysmenorrhea altogether, though these agents are not approved by the FDA for this indication. OCs may be an appropriate treatment choice in patients who do not wish to conceive. Use of OCs in a manner that reduces the number of menstrual cycles may be beneficial for some patients.

What is the best treatment for dysmenorrhea pain?

Nonsteroidal anti-inflammatory drugs and combined oral contraceptives represent first-line therapy for dysmenorrhea pain, but several dietary and herbal supplements also show promise. When possible, pharmacists should educate patients regarding proper drug selection and dosing in order to optimize patient outcomes.

What is the first line of treatment for dysmenorrhea?

First-line therapies for primary dysmenorrhea generally involve nonsteroidal anti-inflammatory drugs (NSAIDs) or hormonal contraception. No studies have directly compared the two methods; thus, no conclusions may be reached regarding preferential selection between these two options based on efficacy alone.

What is the therapeutic objective of primary dysmenorrhea?

The therapeutic objective for treating primary dysmenorrhea is reduction of pain so that the patient can participate in usual activities of daily living without limitation. Common nonpharmacologic strategies include hot baths, heating pads, and exercise. 8 Unfortunately, data supporting these methods are lacking, and drug therapy is often necessary. 11-13 Drug treatments generally target inhibition of PG synthesis or reduction in the number of endometrial cells present at the time of menstruation.

What is the pain of dysmenorrhea?

Dysmenorrhea typically presents as crampy pain along the midline of the lower abdomen. 3,4 Pain may be accompanied by complaints of diarrhea, nausea, vomiting, fatigue, dizziness, headache, and backache. 3,4 Primary dysmenorrhea symptoms first present just after a stable menstrual cycle has been established; accordingly, any patient experiencing pain prior to or within the first 6 months of menarche should be referred for further evaluation. The same is true for patients presenting with first-time pain after several years of asymptomatic cycles. 3

How do hormonal contraceptives treat dysmenorrhea?

Hormonal contraceptives treat primary dysmenorrhea by causing regression of the endometrium, shortening the time of endometrial proliferation, and limiting the secretory activity of endometrial glands. The most commonly studied hormonal contraceptive method for this indication is the combined oral contraceptive (COC) pill, but other methods, ...

Is dysmenorrhea a self-treatment?

ABSTRACT: Primary dysmenorrhea is the most common menstrual complaint, and it is frequently self-treated by patients of all ages. Teenagers are especially prone to experiencing dysmenorrhea symptoms and selecting OTC therapies without adult supervision. Nonsteroidal anti-inflammatory drugs and combined oral contraceptives represent first-line ...

Does acupuncture help with dysmenorrhea?

Various acupuncture methods have also been studied as a remedy for primary dysmenorrhea. Acupuncture is known to increase levels of endorphins, serotonin, and acetylcholine in the central nervous system.

What is the best treatment for dysmenorrhea?

We discuss the approaches in the order below. Exercise — The body of evidence supports a role for exercise in the treatment of dysmenorrhea. However, the optimal type, duration, and frequency of exercise to relieve symptoms is not known.

What is the goal of dysmenorrhea treatment?

● The goal of treatment is to provide adequate relief of pain. At a minimum, pain relief should be sufficient to allow women to perform most, if not all, of their usual activities. Treatment of primary dysmenorrhea can be initiated empirically. (See 'Our approach' above.)

What is the term for crampy lower abdominal pain?

For clinical purposes, dysmenorrhea is divided into two broad categories, primary and secondary: ● Primary dysmenorrhea refers to the presence of recurrent, crampy, lower abdominal pain that occurs during menses in the absence of demonstrable disease that could account for these symptoms. The diagnosis of primary dysmenorrhea, ...

What is the difference between primary and secondary dysmenorrhea?

Primary dysmenorrhea refers to the presence of recurrent, crampy, lower abdominal pain occurring during menses and the absence of demonstrable disease. Secondary dysmenorrhea is the occurrence of the same symptoms in response to underlying pathology , such as endometriosis or adenomyosis. Treatment approaches must address the pain and, ...

Is dysmenorrhea a secondary condition?

The diagnosis of primary dysmenorrhea, which is one of exclusion, is made more often in adolescents and young women. ● Secondary dysmenorrhea has the same pain symptoms but occurs in women with a disorder that could account for their symptoms, such as endometriosis , adenomyosis, or uterine fibroids.

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