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What are the specific effective medications for lumbar disc herniation?

Sep 18, 2025 Source: Cainiu Health
Dr. Chen Jian
Introduction
Lumbar disc herniation, also known as lumbar intervertebral disc herniation, does not have so-called "specific drugs." Symptomatic medications should be selected according to symptoms to relieve discomfort. Commonly used medications include celecoxib capsules, mecobalamin tablets, eperisone hydrochloride tablets, diclofenac sodium sustained-release tablets, and Huoxue Zhitong capsules. If you have any concerns, it is recommended to seek medical advice promptly.

Lumbar disc herniation, also known as lumbar intervertebral disc protrusion, does not have so-called "miracle drugs." Medications should be selected based on symptoms to relieve discomfort. Commonly used medications include celecoxib capsules, mecobalamin tablets, eperisone hydrochloride tablets, diclofenac sodium sustained-release tablets, and Huoxue Zhitong capsules. If in doubt, it is recommended to seek medical advice promptly. Detailed analysis is as follows:

1. Celecoxib Capsules: A non-steroidal anti-inflammatory drug (NSAID) that inhibits inflammatory responses and effectively relieves back pain and radicular pain caused by lumbar disc herniation. It should be taken according to the prescribed dosage under medical guidance, avoiding long-term use.

2. Mecobalamin Tablets: An endogenous coenzyme B12 that nourishes damaged nerve tissues and improves nerve conduction function. It is suitable for symptoms such as limb numbness and sensory abnormalities caused by nerve compression due to lumbar disc herniation. Usage should follow the instructions provided.

3. Eperisone Hydrochloride Tablets: A centrally acting muscle relaxant that helps relieve spasm of the lower back muscles, reduces muscular tension on the intervertebral discs, and improves lumbar mobility. The duration of use should be determined under a doctor's supervision.

4. Diclofenac Sodium Sustained-Release Tablets: Possessing potent anti-inflammatory and analgesic effects, this medication can rapidly alleviate acute pain caused by lumbar disc herniation. The sustained-release formulation prolongs the duration of action, requiring only once-daily dosing. Strict adherence to medical instructions is essential.

5. Huoxue Zhitong Capsules: Composed of ingredients such as Angelica sinensis, Panax notoginseng, and frankincense, these capsules promote blood circulation, resolve blood stasis, reduce swelling, and relieve pain. They are suitable for patients with lumbar disc herniation attributed to the pattern of blood stasis obstructing the channels. They help improve local blood circulation and reduce pain, and should be taken for the full prescribed course.

Medications should be chosen according to individual conditions and differences, and should not be combined arbitrarily without medical advice. Bed rest is recommended during treatment, along with avoidance of prolonged standing, sitting, or heavy lifting involving bending. If symptoms do not improve after one week of medication, or if weakness in limbs, abnormal urination or defecation occurs, immediate medical evaluation is necessary, and treatment plans may need adjustment.

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