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NUROMOL QUIZ 15
                                                                                           HEALTHCARE  15



                  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
                  UK pharmacists provide OTC pain management advice to an average of 40 patients a week. *
                                                                                                   2
                  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
                                                                             3
                                                                                4
                                                                                    5
                                                                 0
                                                                     1
                                                                         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)
                                                     12
                                                 11
                                             10
                  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
                                                                                   6
                  COMBINATIONS ARE COMMON HCP RECOMMENDATIONS BUT IS THIS THE BEST
                  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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