Best treatments for pain
70 products may treat pain, spanning FDA drug classes such as cyclooxygenase inhibitor, nonsteroidal anti-inflammatory drug, partial opioid agonist. The current highest-rated option is acular. Ranked below by our independent recall-safety rating (rated where FDA data exists) — not medical advice; always consult a professional.
Quick answer: Of the 70 drugs we list for pain, 51 are available as lower-cost generics, spanning classes such as cyclooxygenase inhibitor, nonsteroidal anti-inflammatory drug, partial opioid agonist. They’re ranked by each drug’s FDA recall-safety record — not clinical effectiveness for pain — so confirm the right choice with your prescriber.
Understanding pain
"Pain" is the umbrella category, not a single diagnosis: it covers everything from a sprained ankle to nerve pain to pain with no findable cause. MedlinePlus (NLM) describes pain as "a signal in your nervous system that something may be wrong" — a prick, tingle, sting, burn, or ache. The line that organizes treatment is duration, not severity. The CDC's 2022 Clinical Practice Guideline for Prescribing Opioids for Pain defines acute pain as lasting under 1 month, subacute as 1–3 months, and chronic as more than 3 months; MedlinePlus puts it as pain lasting "longer than three months or the time in which you should have healed." StatPearls (NCBI Bookshelf) separates nociceptive pain, which "results from actual tissue injury," from neuropathic pain arising from the nerves themselves — peripheral types such as diabetic neuropathy and postherpetic neuralgia, central types such as pain after a stroke or in multiple sclerosis. That split matters because the medication lists differ: CDC's nonopioid options for chronic pain include antidepressant and anticonvulsant classes that no one would reach for to treat a bruise. The scale is large: the CDC guideline states that approximately one in five U.S. adults had chronic pain in 2019, and approximately one in 14 had "high-impact" chronic pain — defined as pain on most days or every day during the past 3 months that limited life or work activities. The point most people get wrong: StatPearls notes pain "is inherently subjective and cannot be objectively measured." No scan or blood test grades it. As MedlinePlus puts it, "you are the only one who knows how your pain feels" — your own description, where it is, how long it has lasted, what it stops you doing, is the measurement. This is general information, not medical advice; talk to a clinician about your own pain.
First-line treatment
CDC's guidance on nonopioid therapies for pain management states that "nonopioid therapies are at least as effective as opioids for many common types of acute pain," and says clinicians can consider them for low back or neck pain, dental pain, kidney stone pain, musculoskeletal injuries such as sprains, strains, tendonitis and bursitis, minor surgeries, and headaches including episodic migraine. The nonopioid medications CDC lists for acute pain are topical or oral NSAIDs, acetaminophen, and — for migraine — triptans, antiemetics, and dihydroergotamine. For subacute and chronic pain, CDC states that nonopioid therapies are preferred (Recommendation 2), listing topical and oral NSAIDs, acetaminophen, tricyclic and tetracyclic antidepressants, SNRI antidepressants, anticonvulsants such as pregabalin/gabapentin, and capsaicin and lidocaine patches, alongside nonpharmacologic care including exercise therapy, cognitive behavioral therapy, and mindfulness-based stress reduction. Note the scope: the 2022 guideline itself says its recommendations "do not apply to pain related to sickle cell disease or cancer or to patients receiving palliative or end-of-life care."
Top-rated picks for pain: 1. Acular · 2. Acular Ls · 3. Buprenorphine Hydrochloride
| # | Drug | Rating | Type | Form | Class | Generic? | Pharmacy pays | |
|---|---|---|---|---|---|---|---|---|
| 1 | 72/100 | Prescription | Drops | Nonsteroidal Anti-inflammatory Drug | No data | — | View → | |
| 2 | 72/100 | Prescription | Drops | Nonsteroidal Anti-inflammatory Drug | No data | — | View → | |
| 3 | 72/100 | Prescription | Injectable | Partial Opioid Agonist | Generic | $684 | View → | |
| 4 | 72/100 | Prescription | Injectable | Ester Local Anesthetic | No data | — | View → | |
| 5 | 72/100 | Prescription | Injectable | Central alpha-2 Adrenergic Agonist | No data | — | View → | |
| 6 | 72/100 | Prescription | Injectable | General Anesthetic | Generic | $1 | View → | |
| 7 | 72/100 | Prescription | Injectable | Amide Local Anesthetic | Generic | $0 | View → | |
| 8 | 72/100 | Prescription | Injectable | Muscle Relaxant | Generic | $1 | View → | |
| 9 | 72/100 | Prescription | Injectable | Opioid Agonist | Generic | $10 | View → | |
| 10 | 72/100 | Prescription | Injectable | Opioid Agonist | No data | — | View → |
Narrow by drug class
Explore the class hubs: opioid agonist · muscle relaxant · amide local anesthetic · tricyclic antidepressant · ester local anesthetic · partial opioid agonist · cyclooxygenase inhibitor · general anesthetic
Full ranking · 70 treatments
acular
PrescriptionFDA-sourced
Acular (Ketorolac Tromethamine) is a nonsteroidal anti-inflammatory drug used to treat Allergic Conjunctivitis, Inflammation, Pain, Photophobia.
Price varies
acular ls
PrescriptionFDA-sourced
Acular Ls (Ketorolac Tromethamine) is a nonsteroidal anti-inflammatory drug used to treat Allergic Conjunctivitis, Inflammation, Pain, Photophobia.
Price varies
buprenorphine hydrochloride
PrescriptionFDA-sourced
Buprenorphine Hydrochloride is a partial opioid agonist used to treat Heroin Dependence, Pain.
Pharmacy pays
From ~$8.15/30· 7 formschloroprocaine hydrochloride
PrescriptionFDA-sourced
Chloroprocaine Hydrochloride is an ester local anesthetic used to treat Pain.
Price varies
dexmedetomidine hydrochloride
PrescriptionFDA-sourced
Dexmedetomidine Hydrochloride is a central alpha-2 adrenergic agonist used to treat Pain, Psychomotor Agitation.
Price varies
ketamine hydrochloride
PrescriptionFDA-sourced
Ketamine Hydrochloride is a general anesthetic used to treat Burns, Pain.
Pharmacy pays
From ~$0.53· 2 forms Save up to 83% in class- Lidocaine Hydrochloride Preservative Free
- Robaxin
- Sublimaze Preservative Free
- Sufenta Preservative Free
- Akten
- Anafranil
- Eprontia
- Iheezo
- Imipramine Hydrochloride
- Infants' Feverall
- Metaxalone
- Promethegan
- Topamax
- Tylenol
- Ultane
- Ultiva
- Acetaminophen
- Amitriptyline Hydrochloride
- Fentanyl Citrate
- Nesacaine
- Nesacaine-Mpf
- Zonalon
- Butorphanol Tartrate
- Diprivan
- Demerol
- Precedex
- Amrix
- Atmeksi
- Belbuca
- Bondlido
- Brixadi
- Carisoprodol
- Conzip
- Effexor XR
- Fentanyl-100
- Fentanyl-12
- Fentanyl-25
- Fentanyl-37
- Fentanyl-50
- Fentanyl-62
- Fentanyl-75
- Fentanyl-87
- Goprelto
- Igalmi
- Ketalar
- Ketorolac Tromethamine
- Lidoderm
- Methocarbamol
- Nucynta ER
- Numbrino
- Promethazine Plain
- Remifentanil Hydrochloride
- Sevoflurane
- Soma
- Sprix
- Sublocade
- Suprane
- Tapentadol Hydrochloride
- Tonmya
- Tramadol Hydrochloride
- Vazalore
- Venlafaxine Hydrochloride
- Zingo
- Ztlido
Frequently asked
- What treats pain?
- Our catalog lists 70 products that may treat pain, based on NIH RxClass (MED-RT “may treat”) drug-classification data — not the verbatim FDA label. They're rated where FDA recall-safety data exists; the current top-rated option is acular.
- What is the best-rated treatment for pain?
- By our independent recall-safety rating — not an efficacy measure — acular ranks highest among the products we list for pain. Always consult a professional.
- How are these treatments ranked?
- By our independent score, currently based on FDA regulatory recall-safety data (the methodology blends additional sources as they come online). See the How we rate page.
- What types of drugs treat pain?
- Treatments for pain span FDA drug classes including cyclooxygenase inhibitor, nonsteroidal anti-inflammatory drug, partial opioid agonist, ester local anesthetic, central alpha-2 adrenergic agonist. Compare every option side by side, ranked by independent rating, above.
Treatment associations are derived from NIH RxClass (MED-RT “may treat”) drug-classification data — not the verbatim FDA label. This is general reference, not medical advice — always consult a licensed professional.
Sources
The clinical overview above is written from these authoritative public-health and medical-society sources, independently reviewed against each.