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- Menstrual cramps, medically known as dysmenorrhea, are a common experience for many women during their menstruation cycle.
- According to the study in BMC Complementary Medicine and Therapies in 2017, It usually comes with a wide range of physical symptoms such as headaches, dizziness, fatigue, diarrhea, cramps, and sweating.
- According to the study published in JBRA Assisted Reproduction in 2019, the pain caused by dysmenorrhea begins a few days before menstruation and persists for 48 to 72 hours. Cramping pain often reaches the thighs.
- For many, pain during menstruation can range from mild discomfort to extreme period pain that disrupts daily life.
- To overcome this discomfort, it’s typical to reach for painkillers to relief from cramps during periods .
- But while these medications provide quick period pain relief, it’s crucial to understand their potential side effects, especially when used frequently or over long periods.
Common Painkillers Used for Menstrual Pain
- When menstruation pain hits, over-the-counter (OTC) painkillers are often the first line of defense for pain during menstruation.
- These medications can be very effective in reducing discomfort from painful cramps during period, but it’s crucial to understand what you’re taking for period health.
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) for Menstrual Cramps
- NSAIDs like ibuprofen (e.g., Nurofen) and naproxen (e.g., Aleve) are popular choices for menstrual menstrual pain relief.
- A study in 2019 in Cochrane Database of Systematic Review published that NSAIDS work by reducing the production of prostaglandins, hormone-like substances that cause inflammation and painful cramps during period by stimulating uterine contractility .
- A study in American Journal of obstetrics and gynecology in 2017, found that NSAIDs were effective in reducing menstrual pain and were generally well-tolerated.
- They’re generally safe when used as directed for period pain relief, but it’s important to be aware of potential side effects, especially with long-term use.
- A study published in Journal of Clinical Gastroenterology in 2018 found that NSAIDs can sometimes irritate the stomach lining, leading to stomach pain during periods. This is why it’s often recommended to take them with food or milk.
- A study in BMJ Open in 2024 found that NSAIDs are linked to a three to five times higher risk of gastrointestinal (GI) side effects caused by medication.

Paracetamol (Acetaminophen) for Period Pain
- Paracetamol (e.g., Panadol) is another common painkiller used for period pain.
- It works differently than NSAIDs, primarily by reducing pain signals in the brain during your women period cycle.
- According to the warning by MHRA ,While paracetamol is generally considered safe, it’s important to stick to the recommended dosage, as exceeding it can cause delayed , serious liver damage .
- Remember, painkillers for period cramps and painkillers for period pain should always be taken responsibly.
Short-Term Side Effects of Painkillers for Menstruation
- Gastrointestinal issues: NSAIDs are notorious for causing stomach pain during periods, ulcers, and even bleeding, especially when taken on an empty stomach. A 2023 study in Cureus found that NSAID users experienced some form of gastrointestinal discomfort.
- Dizziness or drowsiness: A study in BMJ Open in 2024 found that Some painkillers for period pain, particularly NSAIDS can cause dizziness or drowsiness, making it unsafe to drive or operate machinery.
- Allergic reactions: Though rare, some individuals may experience severe allergic reactions, such as rashes or swelling, as highlighted in a 2025 case report in International Medical Case Reports Journal .

Long-Term Side Effects and Risks of Painkillers for Menstruation
- Kidney or liver damage: According to the study in
Expert Opinion on Drug Metabolism & Toxicology in 2023 published that Overuse of painkillers for menstrual cramps, especially paracetamol, can lead to liver damage, while NSAIDs may harm kidney function over time, according to a 2023 study in StatPearls. - Hormonal imbalances: A research in Journal of the Endocrine Society in 2022 suggests that frequent use of NSAIDs may interfere with hormone regulation, potentially affecting the menstrual cycle.
- Dependency or overuse: Regular reliance on period pain tablets can lead to medication-overuse headaches, creating a vicious cycle of pain and relief .A study in American Journal of obstetrics and gynecology in 2017 found that NSAIDs can ease period pain, roughly 1 in 5 women with dysmenorrhea don’t find them effective due to drug resistance .

Risks of Overusing Painkillers
Overusing painkillers for period cramps can lead to several risks, including rebound headaches, reduced effectiveness over time, and even disruptions to your menstruation cycle. A 2024 study in Australian Journal of General Practice found that women who frequently used NSAIDs for menstrual cramps were more likely to experience irregular cycles, possibly due to the drugs’ impact on prostaglandin levels.
Alternatives to Painkillers for Menstrual Pain
Luckily, there are many ways to manage extreme period pain without relying solely on painkillers. Let’s explore some options for menstrual relief.
- Heat therapy: Applying a heating pad to your lower abdomen can relax uterine muscles and reduce cramps during period, as supported by a 2018 study in Scientific Reports .
- Exercise and stretching: a study inBMC Women’s Health in 2024 found that Gentle yoga or stretching can improve blood flow and reduce painful period cramps .
- Herbal remedies: A study found in Journal of Herbal Medicine in 2024 that Ginger and chamomile tea have anti-inflammatory properties that may help ease menstrual cramps .
- Hormonal treatments: A study in Cochrane in 2023 found out that Birth control pills can regulate hormones and reduce the severity of severe period cramps .
Conclusion
Understanding the side effects of taking painkillers during menstruation is essential for making informed decisions about your period health. While these medications can provide quick period pain relief, they come with risks, especially when overused. By exploring safer alternatives and consulting your healthcare provider, you can manage menstrual cramps effectively without compromising your well-being.
Frequently Asked Questions (FAQ) :
Can I take painkillers on an empty stomach during my period?
It’s generally recommended to take NSAIDs with food to reduce the risk of stomach irritation. Taking them on an empty stomach can increase the likelihood of gastrointestinal side effects.
Are there any long-term effects of using painkillers for menstrual cramps?
Occasional use of painkillers for menstrual cramps is generally considered safe. However, long-term or excessive use can lead to kidney or liver issues, especially with NSAIDs and acetaminophen. It’s important to use the lowest effective dose and consult with a healthcare provider if you find yourself relying on painkillers regularly.
Can painkillers affect fertility?
Some studies suggest that NSAIDs may interfere with hormone production, potentially affecting ovulation
What is the safest painkiller for menstrual cramps?
Paracetamol is generally considered safer for short-term use, but always consult your doctor for personalized advice.
Can painkillers affect my menstrual cycle?
Yes, frequent use of NSAIDs may interfere with hormone regulation, potentially causing irregular cycles.

Imran is a dedicated pharmacist with over 15 years of experience in both community and industrial pharmacy. His expertise spans various fields, including pharmaceutical research and development, formulation development, and controlled drug delivery systems. He has a strong background in pharmaceutics, focusing on the creation of effective drug formulations and delivery methods.
Throughout his career, Imran has contributed significantly to the pharmaceutical field. He is a co-author of the article titled “Biological Screening of the Plant Medicago denticulata for Cytotoxic, Phytotoxic, Antimicrobial and Antifungal Effects,” published in the International Journal of Innovative Pharmaceutical Sciences and Research. This research highlights his commitment to exploring natural products for their therapeutic potential.
Additionally, he co-authored “Formulation and Permeation Kinetic Studies of Flurbiprofen Gel,” showcasing his skills in developing topical formulations that enhance drug delivery. Furthermore, he is the author of “Controlled-release low density effervescent floating matrix tablets of risperidone: Development, optimization, in vitro-in vivo evaluation in healthy human volunteers and determination of dissolution equivalency.” This work underscores his focus on innovative drug delivery systems that improve patient compliance and therapeutic outcomes.
Imran actively engages with the pharmaceutical community through social media, sharing insights and knowledge on platforms like Facebook and Twitter. His passion for pharmacy drives him to stay updated with the latest advancements in pharmaceutical technology and to contribute to the education of future pharmacists.
With a comprehensive understanding of both community needs and industrial advancements, Imran is well-equipped to navigate the complexities of modern pharmacy. His dedication to improving patient care through effective medication management continues to inspire those around him.
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