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Welcome to our Alex online pharmacy Pain Medication Section!

Welcome to our online pharmacy pain meds section in which we list the most common types of pain complaints and the strongest Pain Meds available on the market for effective pain relief. All products on our website are available to buy pain pills online without prescription.

Welcome to our Pain Pills and pain management section in which we summarise the most common types of pain experienced by patients, and which medication for pain management is best at providing pain relief in each case.

If you are suffering from back pain, knee pain or shoulder pain and an online search for ‘Pain Pills’, ‘buy pain meds online‘ or ‘pain management’ has led you to our online pharmacy then you are at the right place.

Best Selling Pain Relievers Tablets in USA

  • Tramadol 50 mg


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    Tramadol tablets can be taken orally along with food, usually after an interval of 4 to 6 hours as instructed by the doctor.

  • Eszopiclone 2 mg


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    Hydrocodone is a medicine which is a combination of an opioid pain reliever. A non-opioid pain killers medicine that is acetaminophen.

  • Fioricet 10 mg


    It is used to treat tension headaches that are caused by muscle contractions.

Pain & Pain killers

According to the International Association for the Study of Pain: "Pain is an unpleasant sensory and emotional experience that is associated with actual or potential tissue damage or described in such terms."

The cause of this "unpleasant sensation" is usually obvious like a bruise, a paper-cut, or a broken bone, but sometimes it is not so easy to discover the exact source.

Despite this unpleasantness our ability to feel pain is necessary. It acts like an early warning signal to alert us that something is wrong with our bodies, and if left untreated it can seriously limit our capability to follow a daily routine and live a normal life.

Starting at the nerve endings nearest the injury or source of pain, these warning signals are passed through our bodies via the central nervous system as they travel up the spinal cord and into the brain.

However, we all experience pain in different ways which can sometimes make it difficult to describe. This can become particularly frustrating when more than one type of pain is being felt at the same time.

Understanding the different kinds of pain is an important step towards deciding which painkiller treatment to use. Although this can be a complex issue, health professionals believe that most pain can be placed into these four categories:

  • Nociceptive pain - - is the most common type of pain and is caused by tissue damage such as; sprained or pulled muscles, burns, insect stings/bites, and bone fractures. Inflammation is often seen around the damaged tissue as part of the body's natural healing process.
  • Neuropathic pain - - is usually described as a shooting or burning pain. It is sometimes not caused by an event or injury, but the body just sends pain signals to the brain for no apparent reason.
  • Acute pain - is a medium term pain related to tissue damage. It can last between 3-6 months, but usually goes away once the initial injury has healed.
  • Chronic pain - is a more persistent pain lasting longer than acute pain, and continues even after the original injury has healed.

Because there are these different types of pain, there are different kinds of painkilling treatments. There are three main types of painkiller: non-steroidal anti-inflammatory drugs (NSAIDS), paracetamol and opioids, and each type works in a different way.

The vast majority of people need to only take Pain killers for no more than a few days or weeks, however some people need to take them for a longer period. While treatments like some NSAIDs, and paracetamol are available over the counter (OTC) from pharmacies, strong Pain killers are usually only available with a prescription.

What are Pain Pills?

When it comes to pain management, there are three main options: non-steroidal anti-inflammatory medications (NSAIDS), paracetamol and opioids. Because there are different types of pain and different causes, each of these three types work in different ways.

Most pain does not last long and sufferers do not need to take Pain Pills for more than a few days or weeks at most. However, in some cases people need to take them for extended periods.

While many NSAID Pain Pills such as ibruprofen, or general pain meds like paracetamol are available over the counter at most high street chemists. Opioid Pain Pills as codeine or tramadol are Strong Pain Pills, and usually prescribed for acute and chronic pain management.

Acute pain occurs abruptly and the cause is often specific. It. Acute pain is usually described a sharp or stabbing, but does not last longer than six months and ends when the original cause has been successfully treated.

Causes of acute pain include:

  • Surgery
  • Broken bones
  • Dental work
  • Burns or cuts

Chronic pain is constant and generally lasts longer than six months. People who suffer from chronic pain sometimes develop physical effects that become stressful on the body. These include tense muscles, limited ability to move around, a lack of energy, and appetite changes.

This type of pain can also cause mental problems that include depression, anger, anxiety, and fear of re-injury.

Some causes of chronic pain are:

  • Headache
  • Arthritis
  • Cancer
  • Nerve pain
  • Back pain
  • Fibromyalgia pain

Because the causes of acute pain are easier to diagnose the pain is also much easier to treat, but some people have been known to suffer chronic pain even when there is no history of injury or noticeable damage to the body.

A recent study by Imperial College London estimated that a staggering 43% of Europe adults are experiencing some form of chronic pain. As worrying as this studies results are, it is perhaps more concerning to think that many of these sufferers, particularly those with nerve and back pain, are struggling on in silence and their pain is not receiving effective treatment.

How do Pain killers Work

How do Painkillers Work

How people feel pain is a complicated issue and is a combination of not only the nerves in your body and brain, but also our emotions. Each individual experiences pain in a personal and unique way, and even our surroundings and mood can affect how much pain is felt.

Added to this complexity each of the three different kinds of Pain Pills work in a different way, so experts often recommend that we should start to treat pain with the mildest medication and increase the strength if the pain persists.

Despite having a long history dating back to the 19th. Century and being used in almost every home in the USA, we are still not exactly sure how paracetamol works. Scientists believe that it works mainly in the bodies central nervous system (the brain and the spine).

It is thought to decrease the strength and number of pain signals going to the brain, it may also work in a similar way to NSAIDs by blocking the release of a hormone called prostaglandins.

Non-steroidal anti-inflammatory works by blocking special hormones called prostaglandins. The body uses these hormones as part of the healing process, but part of that process causes pain and swelling.

Although opioids are the strongest group of Pain Medication, they can be separated into two smaller groups of weaker (codeine and dihydrcodeine) and stronger (tramadol). These analgesic medications work by triggering opioid receptors on nerve cells.

These receptors are part of a family of proteins known as G protein-coupled receptors (GPCRs) and block the brain’s sensation of pain.

Because Pain Meds work in different ways, there are some products available that contain more than one type of Pain Pills. For example, co-codamol is a combination of paracetamol and codeine.

Opioids have been used for thousands of years for the treatment of pain, and are the most widely used and effective analgesics for the treatment of pain and related disorders.

If you are taking several Pain Pills, read the patient information leaflets to make sure you do not accidentally take too much, or if you are still unsure ask a pharmacist for advice.

As previously stated, different pain treatments work in different ways. Most people treat pain by taking pills, but some pain relievers are also available as creams, ointments, sprays, or patches.

In order to explain how each type of pain treatment works, we have selected some of the most commonly used and well-known examples of each.


Although paracetamol has been used to treat mild pain such as headaches since the 1800's, no-one really knows exactly how this analgesic medicine works. Scientists generally agree that it is processed through the liver and seems to work by blocking chemical messengers (prostaglandins)in the spinal cord and brain that tell us we have pain.

Paracetamol is also used to reduce fevers by affecting the chemical messengers in an area of the brain that regulates body temperature.


When we are injured or have an infection, our bodies make hormones called prostaglandins. These hormones cause swelling and sometimes fever and send pain signals to the brain. This is all part of our body's natural response to injury.

Ibuprofen is a type of medicine called a non-steroidal anti-inflammatory drug (NSAID). It works in a very similar way to paracetamol by reducing the production of prostaglandin hormones that cause pain. Where NSAIDs are different to paracetamol is that they are processed through the kidneys and reduce pain and swelling by targeting the nerves at site of the pain.


Codeine is probably the best known and most widely used opioid. Opioid medications are strong Pain killers and work by attaching themselves to proteins called G protein-coupled receptors (GPCRs) that are opioid receptors on nerve cells in the brain, and spinal cord. When this happens, the opioids block pain messages sent from the body through the spinal cord to the brain.

Patients should always follow the directions about how to correctly take a painkilling drug.

Mistakes may lead to health problems, addiction, dependency, or fatalities.
Care is needed to avoid mistakes such as:

  • Taking the drug incorrectly, can result with too much of the drug in your system, or too little.
  • Taking drugs with other drugs, can cause drug conflicts or contraindications.
  • Taking the drug with food, or not can make the patient sick, depending on the directions.
  • Taking the next dose before it is due, can mean you overdose, and doing this often can lead to dependence and/or addiction.
  • Using a second pain reliever may lead to toxic levels and increase the risk of unwanted side effects.
  • Waiting too long between doses may allow pain to breakthrough, or you may have withdrawal symptoms.
  • Drinking alcohol or consuming grapefruit may interfere with pain medications, and can be highly dangerous when mixed with many pain relief medicine.
  • Abruptly stopping an opiate drug can cause withdrawal symptoms like an increased heart rate, profuse sweating or anxiety.

Take an Online Anxiety Test

If you suspect that you are struggling with anxiety, but are unsure if you have an actual anxiety problem, there are several actions you can take before making an appointment with your doctor or starting a course of anxiety meds online.

  • It is important to try to speak to someone about your anxiety. It could be a trusted friend, a member of your family or a specialist helpline, but talking to someone is always better than suffering in silence.
  • Some form of physical activity such walking, running, and swimming are great for clearing the mind of problems, and can help to relax.
  • Improve sleep hygiene to improve the quality and length of sleep
  • Large projects or tasks are less stressful when broken into smaller more manageable pieces
  • Relaxation and mindfulness apps are becoming popular ways to slow down thought processes and reduce stress

However, if you looking for a more immediate assessment to help decide if anxiety treatment is needed, there are some simple online tests that can be completed in minutes that will guide you towards dealing with your problem.

Many people could be suffering from the early stages these mental problem without being aware. If left untreated they may develop into more serious issues.

If you experience any of the symptoms listed above, take the Mood Self-Assessment Quiz to help you better understand your mental health and determine if you have anxiety, stress or depression.

This tests are meant to be a general guide only and are not replacement for a full psychological assessment by a qualified doctor.

If you are at all worried about your results or symptoms we would always urge you to speak with a doctor or pharmacist.

Opioid Pain Meds

Opioids, sometimes called narcotics, are medications prescribed by doctors to treat acute and chronic pain. They are used by people with chronic headaches (migraines), back pain, and by patients recovering from surgery or experiencing severe pain associated with cancer.

When used correctly, these strong Pain killers are also effective for treating sport injuries or for those who have been seriously injured in falls, and traffic accidents.

Because opioids are such strong Pain killers, there can be some side effects including:

  • Constipation
  • Nausea
  • Vomiting
  • Drowsiness
  • It may be more become difficult to think clearly
  • flushing, sweating, itching,
  • difficulty passing urine

Not everyone will get these side-effects and often they will settle with time. Side-effects may be more noticeable at the start of treatment or when the dose is increased. If side effects persist or become a concern, we advise you contact your doctor as soon as possible.

Anti-Inflammatory Pain Meds

Although ibuprofen is probably the most commonly use NSAID, there are many others including; high dose aspirin, naproxen, and diclofenac.

All of these pain relieving medicines are used to treat mild to severe pain symptoms like; muscle strain, headaches, joint pain, and reduce swelling. Many are available over the counter under different brand names, and a short course of an anti-inflammatory medicine is often recommended to ease brief bouts of painful conditions.

However, NSAID medications can have side effects for some patients such as:

In rare cases, problems with your liver, kidneys or heart and circulation, such as heart failure, heart attacks and strokes

Depending on the type of pain, it is often worth trying paracetamol before taking an anti-inflammatory. Paracetamol is a good painkiller, and is less likely to cause side-effects

Pain Meds for Nerve Pain

Nerve pain is also described as neuropathic pain and can develop when nerves in the extremities of the body, like the hands, feet and arms, are damaged.

These nerves form the peripheral nervous system, and the symptoms depend on which of these three nerves types are affected.

  • sensory nerves - transmitting sensations, such as pain and touch
  • motor nerves - controlling muscles
  • autonomic nerves - regulate automatic functions of the body, such as blood pressure and bladder function

Over-the-counter pain medications, such as nonsteroidal anti-inflammatory drugs, can relieve mild symptoms. When patients have more-severe symptoms, doctor might prescribe opioid Pain killers, anti-seizure medications such as pregabalin (Lyrica), or gabapentin (Neurontin).

These strong Pain killers have an excellent safety profile and are unlikely to cause adverse reactions. Side effects are usually mild and go away by themselves and include:

  • Sleepiness - this side effect tends to wear off within one or two weeks.
  • Nausea - taking this medication after a meal can help prevent nausea.
  • Headache - to reduce the likelihood of headaches, patients need good quality sleep, and stay well hydrated.
  • diarrhea

If any side effects persist and become a problem, keep taking the medicine but contact your doctor.

Pain Management

Dealing with any amount of pain can bring a person’s day to a grinding halt. This makes it important to prepare yourself by ordering Pain Pills that are sure to leave you free from your form of physical discomfort.

The wide variety of medications used to relieve people of their pains can be overwhelming to try and decipher for yourself, but very few have the painkilling power needed to provide you with the results that you have been in search of to get the swiftest possible relief.

The most sought-after medications that licensed medical professionals commonly recommend would include generic variants of codeine, pregabalin, dihydrocodeine, tramadol and co-codamol.

These treatments are regularly prescribed to patients who are in pain as they are widely renowned for being some of the most powerful pain killers currently available on the global market.

While medications as powerful as the ones mentioned above are often sold at exorbitant prices, their generic alternatives help you side step these prices while still providing you with an effective and unmatched sense of relief from the pain that has been inhibiting you from living a happy life.

Which Pain Pills is Best?

It is important to understand how each medication works to determine which Pain Pills is best suited for your condition.

To treat mild discomfort that is caused by muscle tension and headaches, co-codamol tablets may be your best bet. These tablets are made up of two separate active components. These ingredients include 30 mg of codeine phosphate paired with 500 mg of paracetamol within each tablet.

Another effective pain remedy includes pregabalin, which allows its users to get swift relief from nerve pain. Specifically, pregabalin helps its users overcome the pain that may be caused by diabetic neuropathy, post-herpetic neuralgia, as well any discomfort caused by a spinal cord injury. When combined with other medications, pregabalin can aid those who suffer from partial onset seizures too.

If you are looking for a medication that is able to keep you free of moderate to severe pain around the clock, then tramadol may prove most useful to you. When taken at regular intervals, tramadol is able to provide you with a constant sense of relief from your discomfort that is guaranteed to take effect within an hour of taking your first dosage.

Then there is codeine, an opioid Pain Pills that is able to treat much more than just your average headache. While still incredibly useful against other mild instances of pain, codeine can also be used by those seeking relief from coughing and diarrhea too.

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Benzodiazepine anxiety treatments are also known as tranquillisers, and are the most widely prescribed type of meds for anxiety. Drugs such as Xanax (Alprazolam), Klonopin (Clonazepam), Valium (Diazepam), and Ativan (Lorazepam) work quickly, and usually bring relief within 30 minutes to an hour.

That makes these anti anxiety meds very effective when taken during a panic attack or another overwhelming bout of anxiety. However, they can be physically addictive and are generally not prescribed for long-term treatment.

Benzodiazepine anxiety treatments work by boosting the effect of the neurotransmitter gamma-aminobutyric acid (GABA). This results in a sedative, hypnotic (sleep inducing) effect, and slows down the central nervous system. They also have muscle relaxing qualities, so the overall effect helps patients relax both physically and mentally.

As with all pharmaceuticals, anxiety treatments can sometimes be unwanted side effects. The higher the dose, the more intense these side effects can be.

Common side effects of benzodiazepines include:

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Faq About Pain Pills / Pain Medication

Are There Different Types of Pain Pills?

Yes, there are different types of Pain Pills that treat a multitude of conditions. Based on the level of pain that you experience Pain Pills vary from mild Pain Pills (paracetamol and aspirin) to Pain Pills that treat moderate to severe pain (Codeine and Tramadol).

What is the Strongest Pain Pills?

Tramadol is widely regarded as the strongest pain killer available on the market. Treating moderate to severe pain Tramadol directly targets the pain receptors in the brain and central nervous system providing relief from the severest of pain.

Which Pain Pills is Best?

The best Pain Pills are what your Doctor recommends to treat your condition. There is no substitute for professional medical advice and both the type of medication and dosage instructions should be followed closely for the best results.

Is Codeine Stronger than Tramadol?

Codeine and Tramadol belong to the Opioid analgesic family of medications and are both regarded as strong Pain Pills. It is however recognised that Tramadol is the stronger medication.

What Pain Pills Can I Buy Online?

A wide variety of Pain Pills are available online including Codeine, Tramadol, Pregabalin & Carisoprodol. Established online pharmacies also offer safe and secure payment options, quick and discreet delivery as well as around the clock customer service.