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34  HEALTHCARE
                34  NUROMOL QUIZ



                      ARE YOU RECOMMENDING

                      THE MOST EFFECTIVE

                      PAIN RELIEF FOR YOUR


                      PATIENTS?





                      57% of people with body pains have difficulty finding an analgesic that works
                      for them. 1
                                                                                                      2
                      UK pharmacists provide OTC pain management advice to an average of 40 patients a week. *
                      Your recommendation could help ensure many get the relief they struggle to find.

                      ONE TABLET OF                               5
                      NUROMOL PROVIDES                            4
                      MORE EFFECTIVE                              3

                      PAIN RELIEF THAN                         Sum of pain intensity difference   and the pain relief score  1 x Ibuprofen 200 mg/paracetamol 500 mg tablet (n=173)
                      A PRESCRIPTION                              2                                                        2 x Paracetamol 500 mg/codeine 15 mg tablets (n=113)
                                                                                                                           Placebo (n=55)
          5 4         COMBINATION OF                              1
       Sum of pain intensity difference   and the pain relief score  3 2  AND CODEINE 3 †  1 x Ibuprofen 200 mg/paracetamol 500 mg tablet (n=173)   7  8  9  10  11  12
                      PARACETAMOL
                                                                                        5
                                                                                    4
                                                                        1
                                                                    0
                                                                                3
                                                                            2
                                                                                            6
                                                                                        Time (hours)
                                                                 2 x Paracetamol 500 mg/codeine 15 mg tablets (n=113)
                                                                 Placebo (n=55)
          1
            0   1  2   3   4  5   6   7   8  9                                                Graph adapted from Daniels, et al. 2011 3
                      THE MOST COMMON TYPES OF PAIN EXPERIENCED BY PATIENTS ARE HEADACHES
                              Time (hours)
                                                    11
                                                 10
                                                        12
                      AND BACK PAIN.    1
                                     50% of UK adults                                49% of UK adults
                                     experience back pain.   1                       experience headaches.    1
                                     NICE guidelines do not support                  NICE guidelines do not support
                                     the use of paracetamol alone in                 the use of opioids in the acute
                                     back pain and suggest using an oral             treatment of tension-type
                                     NSAID first line. 4                             headaches. 5
                      IN BOTH BACK PAIN AND HEADACHES, PARACETAMOL AND CODEINE
                      COMBINATIONS ARE COMMON HCP RECOMMENDATIONS BUT IS THIS THE BEST
                                                                                      6
                      CHOICE FOR YOUR PATIENTS?


                                     Many patients cannot tolerate,                  A recent placebo-controlled study
                                     or prefer not to take, fixed-dose               has reported that opioids are no
                                     codeine products  and addiction                 more effective than placebo at
                                                    3,8
                                     concerns have been raised                       relieving lower back pain. 7
                                     about them. 8




                                                                             9
                      Nuromol is not known to cause addiction  and could help patients
                      achieve superior pain relief to paracetamol and codeine combinations.                      3
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