Cramping and pain around the time of your menstruation is fairly common. More than half the menstruators report experiencing period pain for about one to two days in a month. Usually, these cramps occur at the beginning of your period. Other symptoms such as bloating, headache and fatigue are also common.
We asked an expert to weigh our options to alleviate period pain.
Can menstrual cramps be treated with OTC medications?
Dr Jagriti Varshney, a gynaecologist and obstetrician says that the OTC medications available for period cramps and pain are called nonsteroidal anti-inflammatory drugs (NSAID) which contain ibuprofen and mefenamic acid. However, since they are available so readily it is always good to consult your doctor before taking them because there could be another pathology behind the severe pain.
NSAIDs like ibuprofen help block the production of prostaglandins which are responsible for the menstrual cramps. But there is a specific dosage that should be taken into consideration. “The dosage for ibuprofen is 200 mg and that for mefenamic acid is 250 mg, and only one to two tablets should be taken in an interval of eight hours,” said Dr Varshney.
She also mentioned that these drugs should be taken after a meal and never on an empty stomach as they can cause gastric issues.
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What are the side-effects of excessive usage of OTC medications?
OTC medications should only be taken under the prescribed dosage as they may cause several side-effects.
“Excessive dosage can cause gastrointestinal issues, nausea and vomiting which might be worsened as these symptoms are already present for those suffering from premenstrual syndrome,” said Dr Varshney.
They also have side-effects such as stomach pain, constipation, heartburn and high blood pressure. More serious risks are higher chances of heart attacks, stomach ulcers or bleeding, and kidney damage.
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Alternatives to OTC medications
Dr Varshney said that there are other remedies available that can effectively replace OTC medications. Here are some of these natural alternatives:
- Avoid certain foods which cause bloating and water retention such as caffeine, alcohol and salted foods.
- Applying heat to the abdomen or lower back can relieve pain. Hot water bottles and heating pads can be used for this purpose.
- Massage therapy on the affected area for 10 to 20 minutes can help.
- Having an exercise regimen can aid in preventing menstrual cramps and releasing stress.
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