Differences between over-the-counter painkillers
Non-prescription analgesics fall into four main categories: Ibuprofen, Aspirin, Paracetamol, and Naproxen. Each of these medications has distinct characteristics. For example, Ibuprofen and Naproxen belong to the class of nonsteroidal anti-inflammatory drugs (NSAIDs) and are effective at reducing inflammation, while Paracetamol tends to have a lower risk of side effects and is ideal for children and during pregnancy. Keep in mind that many manufacturers use brand names, so always check the ingredients listed on the packaging. For a personalized recommendation, have a look at our interactive quiz.
Effectiveness and indications
Paracetamol | Ibuprofen | Naproxen | Aspirin | |
---|---|---|---|---|
Fever | High | High | Moderate | Moderate |
Headache | High | Moderate | Moderate | High |
Menstrual cramps | Low | High | High | Low |
Inflammation | Low | High | High | Moderate |
Back pain | Moderate | High | High | Moderate |
Chronic pain | Moderate | Moderate | High | Low |
Contraindications and side effects
Paracetamol | Ibuprofen | Naproxen | Aspirin | |
---|---|---|---|---|
Children < 15 years | Safe | Safe | Caution | High risk |
Pregnancy (3rd trimester) | Safe | High risk | High risk | High risk |
Gastric irritation/ulcers | Safe | Caution | Caution | High risk |
Kidney disease | Caution | High risk | High risk | High risk |
Cardiovascular events | Safe | High risk | High risk | Caution |
Liver disease | Caution | Caution | Caution | Caution |
Bleeding risk | Safe | Caution | Caution | High risk |
Consequences of overdose | High risk | Caution | Caution | High risk |