The rationale for the choice of any drug are contraindications and concomitant effects. Based on these characteristics, the right decision is made. The use of Midokalm is justified in case of a moderate pain syndrome that occurs with muscle spasm and is not burdened by the inflammatory process.
It works well with the threat of abortion due to increased uterine tone. Tolperisone relieves pain with intercostal neuralgia, gallstone disease, renal colic. It weakens pain during exacerbation of hemorrhoids.
Aertal is more suitable for the relief of severe pain resulting from inflammation. Recommended for sprains, dislocations, bruises. Used for toothache and headache. Most often, the drug is prescribed for the treatment of pathologies of the musculoskeletal system to eliminate the symptoms of joint inflammation.
Moreover, the joint use of Midokalm and Aertal enhances the therapeutic effect and reduces the amount of NSAIDs. The severity of concomitant phenomena is reduced, analgesia remains at a high level, and the duration of treatment is reduced. Therefore, it is better not to compare the drugs, but to prescribe in complex therapy.
Violation of the normal functioning of the body is usually accompanied by pain. Before finding out the cause of the ailments, it is necessary to remove the pain syndrome. Among the most common complaints of patients are neuralgia, trauma and vertebral pain, in the treatment of which preliminary anesthesia is important. It must be complete and safe. These characteristics are fundamental when choosing drugs.
Severe analgesia is given by non-steroidal anti-inflammatory drugs ( NSAIDs ). However, their use is associated with a risk of side effects. Muscle relaxants also cope with pain by relieving muscle spasm. The combination of drugs increases the effectiveness of treatment.
Midokalm
The drug is a group of muscle relaxants. It is created on the basis of the chemical compound tolperisone hydrochloride. It is used to eliminate pain that occurs with muscle spasm. Affects the central nervous system, reducing muscle tension. At the same time, the impulses necessary for basic motor reactions are not suppressed. Tolperisone is well tolerated and has minor side effects.
It is used in the treatment of various diseases accompanied by increased muscle tension:
- Organic damage to the central nervous system (multiple sclerosis, stroke).
- Cerebral palsy and other types of encephalopathy, accompanied by muscular dystonia.
- Postoperative recovery.
The drug has proven itself in the treatment of motion organs:
- Arthrosis of large joints.
- Spondylosis.
- Lumbago.
- Protrusion and hernia of the intervertebral disc.
Problems with the musculoskeletal system are accompanied by muscle strain, causing pain and limited mobility. A muscle spasm pinches the nerve ending, and the pain signal goes to the brain constantly. It can be interrupted by relaxing the muscles. For this, muscle relaxants are used, in particular, Medocalm. In addition, he is capable of:
- Provide indirect analgesic effect.
- Dilate blood vessels.
- Improve blood circulation.
These properties allow the use of Midokalm in the treatment of pain in case of damage to the musculoskeletal and nervous systems along with anti-inflammatory drugs.
Aertal
Representative of a wide range of NSAIDs. These funds do not eliminate the cause of the disease, but are able to relieve concomitant symptoms: pain, inflammation and swelling. The active substance is aceclofenac.
The drug can be used for various types of pain, recommended for problems with joints and spine. It relieves the symptoms of lumbago, arthritis, osteoarthritis.
Aceclofenac has a special place in the family of anti-inflammatory drugs. In terms of anesthesia, it is closer to the drugs of the old generation with a powerful analgesic effect.
By the strength of adverse events, Aertal is comparable to a new generation of NSAIDs that act selectively with a lower risk for the gastrointestinal mucosa.
Studies have established the ability of the drug to stimulate the synthesis of glucosamine and hyaluronic acid in the cartilage of patients with arthrosis. It can penetrate into the joint fluid, eliminate inflammation and slow down the process of cartilage destruction.
For this reason, aceclofenac is preferred in the treatment of pain in the spine and joints. Compared with previous anti-inflammatory drugs (diclofenac), Aertal shows better tolerance and safety.
When prescribing the drug, one should still be guided by the general principles:
- Use the minimum dose.
- Take no more than 10 days.
- Do not use with other anti-inflammatory drugs.
- Stop taking after pain disappears.
General characteristics
Midokalm and Aertal differ in many ways, so they are difficult to compare. Nevertheless, some points can be traced. Both drugs have a certain similarity:
- Relieve pain.
- They do not eliminate the main problem, but relieve symptoms by stopping the pain.
- Widely used in the treatment of spine and joints, complementing each other.
- Possible side effects are represented by nausea, vomiting, headache.
- Have a comparable price.
Common features end there. The differences between the drugs are much greater.
Features
Both remedies are used in medical practice, sometimes for the same diseases. This does not prevent them from remaining representatives of different drug groups. Drugs differ in several ways.
According to the mechanism of action
The weakening of pain occurs in various ways:
- Midokalm (tolperisone) refers to muscle relaxants: pain is relieved by relaxation of the muscle clamp.
- Aertal is a representative of the NSAID class. The active substance is aceclofenac, the mechanism of which is aimed at inhibiting the inflammatory process, lowering the temperature.
By appointment
In addition to the mentioned diseases of the joints and spine, the remaining indications are different:
- Tolperisone is used for a pathological increase in muscle tone: paralysis, limb contracture, etc.
- Aceclofenac is used for headache, toothache, postoperative and traumatic pain.
According to contraindications and side effects
On this point, the discrepancies are vast and serious.
Midokalm has a short list of contraindications and related problems:
- Individual intolerance.
- Arterial hypotension.
- Myasthenia gravis
Tolperisone can cause a drop in pressure and muscle weakness, which are corrected by a decrease in dose.
Aertal treatment should be approached more carefully. The list of related problems is impressive. The drug is prohibited for use in the following conditions:
- Gastrointestinal diseases in the acute phase.
- Intolerance to acetylsalicylic acid.
- Hepatic or renal failure.
- Coronary artery disease.
- Violation of blood formation.
The use of aceclofenac can often have undesirable consequences:
- Gastritis, stomach ulcer, abdominal pain, dyspepsia and other gastrointestinal problems.
- Rise in blood pressure, heart failure.
- Allergic reactions.
- Increased liver enzymes.
- Dizziness.
- Depression and insomnia.
The difference in properties gives reason for the preference of a particular drug.
