Migraines, muscle discomfort, menstrual and dental pain or catarrhal processes. When any of these symptoms visit us, the first thing that comes to mind is which drug to use. The arrival of vaccines and their side effects have further increased the daily use of the most common, such as ibuprofen, paracetamol and even Enantyum . The latter is an anti-inflammatory analgesic that is being used more and more to alleviate the effects that have traditionally been treated with other drugs. But, is its substitution adequate
What can be its contraindications
Being an analgesic with anti-inflammatory properties, its most common contemporary is usually ibuprofen. Both are used for similar conditions and there are even patients who combine their intake. However, as we are talking about different active ingredients in its composition, it is essential to take into account what the indications are for each of them.
First of all, it must be taken into account that both are pain inhibitors and act directly with an inflammatory response. However, we must not forget that ibuprofen is a very common medicine that until relatively few months ago could be purchased without a prescription, while EnantyumIt is a more controlled drug that acts with a lower dose, and greater care must be taken in its administration (which is why it may also take less time to take effect and is prescribed only in adults).

Speed ​​of effect

Studies have been done comparing the effect of Enantyum vs. Ibuprofen in cases of dental pain, osteoarthritis and dysmenorrhea, proving a greater analgesic effect in the case of Enantyum. This is because dexketoporfen (Enantyum) dissolves more quickly in the stomach , making it quicker to provide pain relief.
Furthermore, since Enantyum is in contact with the gastric mucosa , its gastrointestinal effects are generally less than in the case of ibuprofen. Thestudy compared a dose of 12.5 mg of dexketoprofen vs. 400 mg of ibuprofen, achieving that in one hour the pain almost completely disappeared, unlike ibuprofen, which required a longer time. Of course, the analgesic duration is longer in the case of ibuprofen (from 6 to 8 hours compared to 5 and a half hours).
Also, ibuprofen has a wider range of applications , especially in the case of migraines or the most common headaches, conditions for which Enantyum is not recommended.
Therefore, when we have cases of muscular inflammation, menstrual pain or arthritis, the Enantyum will be more effective. On the other hand, for flu-like states, mild headaches or fever, it is better to resort to aparacetamol as it has fewer side effects associated with being less concentrated. You should know, yes, that its prolonged use can damage the kidneys and the liver.

Care to be taken into account

As it is a more concentrated and intense medicine than ibuprofen, more precautions must be taken with Enantyum regarding the doses ingested as well as its possible contraindications. For example, Enantyum, unlike ibuprofen, is not recommended for people under 18 years of age.
However, Enantyum is much more specific and its effect is more powerful, so both for efficacy and as a precaution, it should be limited to the following actions :
Menstrual pain
Muscle pain due to contractures, lumbago, etc.
Pain derived from inflammation of the gums and problems with teeth and molars.
Postoperative pain.

Known side effects

On the one hand, if we start to analyze ibuprofen, we can see that its most common side effects are nausea, vomiting, tummy or stomach aches and constipation.
On the other hand, in the case of Enantyum, the most frequent adverse symptoms (which do not reach 10% of all cases) are similar since they include vomiting, nausea and digestive disorders such as diarrhea.
Your doctors should also assess alternatives other than enantyum if you suffer from high blood pressureor other cardiovascular risk factors – heart attack or angina pectoris, recent or past stroke, diabetes mellitus and/or dyslipidemia (high cholesterol) – bronchial asthma, ulcerative colitis or Crohn’s disease.

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