The RCGP - Clinical and Special Projects, Clinical Guidelines, Acute Low Back Pain. Contents, Index page


Chapter 2

Evidence Review

Drug Therapy

Paracetamol, paracetamol-weak opioid compounds, NSAIDs

Muscle relaxants

Strong opioids

Antidepressant Medications

Bed Rest

Advice on Staying Active


Strong opioids

Strong opioids appear to be no more effective in relieving low back symptoms than safer analgesics such as paracetamol, aspirin or other NSAIDs. (C)

Strong opioids have significant adverse effects such as decreased reaction time, clouded judgement, drowsiness and potential physical dependence. (C)



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