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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.

Rated against independent regulatory sources·Last updated August 22, 2026·How we rate

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

Top-rated treatments for pain, ranked by pharmaranks score
#DrugRatingPharmacy pays
172/100View →
272/100View →
372/100$684View →
472/100View →
572/100View →
672/100$1View →
772/100$0View →
872/100$1View →
972/100$10View →
1072/100View →

Full ranking · 70 treatments

ABBVIE logo
#1 of 3 in Cyclooxygenase Inhibitor

acular

PrescriptionFDA-sourced

72/100

Acular (Ketorolac Tromethamine) is a nonsteroidal anti-inflammatory drug used to treat Allergic Conjunctivitis, Inflammation, Pain, Photophobia.

(6 data points)
cyclooxygenase inhibitornonsteroidal anti-inflammatory drugconjunctivitis, allergic

Price varies

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ABBVIE logo
#1 of 3 in Cyclooxygenase Inhibitor

acular ls

PrescriptionFDA-sourced

72/100

Acular Ls (Ketorolac Tromethamine) is a nonsteroidal anti-inflammatory drug used to treat Allergic Conjunctivitis, Inflammation, Pain, Photophobia.

(6 data points)
cyclooxygenase inhibitornonsteroidal anti-inflammatory drugconjunctivitis, allergic

Price varies

View details →

buprenorphine hydrochloride

PrescriptionFDA-sourced

72/100

Buprenorphine Hydrochloride is a partial opioid agonist used to treat Heroin Dependence, Pain.

(10 data points)
partial opioid agonistheroin dependencepain

Pharmacy pays

From ~$8.15/30· 7 forms
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#1 of 5 in Ester Local Anesthetic

chloroprocaine hydrochloride

PrescriptionFDA-sourced

72/100

Chloroprocaine Hydrochloride is an ester local anesthetic used to treat Pain.

(10 data points)
ester local anestheticpain

Price varies

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#1 of 10 in Central alpha-2 Adrenergic Agonist

dexmedetomidine hydrochloride

PrescriptionFDA-sourced

72/100

Dexmedetomidine Hydrochloride is a central alpha-2 adrenergic agonist used to treat Pain, Psychomotor Agitation.

(4 data points)
central alpha-2 adrenergic agonistpainpsychomotor agitation

Price varies

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#1 of 3 in General Anesthetic

ketamine hydrochloride

PrescriptionFDA-sourced

72/100

Ketamine Hydrochloride is a general anesthetic used to treat Burns, Pain.

(10 data points)
general anestheticburnspain

Pharmacy pays

From ~$0.53· 2 forms Save up to 83% in class
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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.