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Overdosing on paracetamol can cause serious side effects, however, so do not be tempted to increase the dose if your pain is severe. Non-steroidal anti-inflammatory drugs NSAIDs, such as ibuprofen, diclofenac and naproxen, seem to work better when there's clear evidence of an inflammatory cause, such as arthritis or an injury. If you take them for long periods, there's an increased risk of stomach upset, including bleeding, and kidney and heart problems. Do not take more than the recommended dose, as this will increase the risk of serious side effects.

Pregnant women should not take ibuprofen unless a doctor recommends and prescribes it. Paracetamol is the recommended alternative in pregnancy. It produces the same kind of side effects as other NSAIDs, but is not as effective as a painkiller, which means it's not usually prescribed for pain. There's a possible link between aspirin and Reye's syndrome in children.

It works better when combined with paracetamol in a single pill. This could then make it difficult for you to stop taking them. Too much salt can raise your blood pressure, which puts you at increased risk of health problems like heart disease and stroke. Amitriptyline is a drug for depression and gabapentin is a drug for epilepsy. Each of these medicines can also be used to treat pain caused by nerve sensitivity or nerve damage, such as shingles, diabetes, nerve pain and sciatica.

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During the physical exam, a health care provider will feel along your breastbone for tenderness or swelling. The provider might also move your rib cage or your buys tramadol cod in certain ways to try to trigger symptoms. The pain of costochondritis can be similar to the pain associated with heart disease, lung disease, gastrointestinal problems and osteoarthritis.

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