Benefits and Drawbacks of Tablets vs Gels
Effective menstrual cramp management in women often involves two key forms of medication: oral remedies (such as tablets or capsules) and topical formulations (such as gels, sprays, or roll-ons).
Both aim to relieve pain but differ in key ways: oral treatments work throughout your body and take longer to act, while topical remedies act quickly on a specific area without affecting the whole body. Understanding these differences in onset, duration, and safety helps you select the best option.
A. Oral Remedies (Tablets and Capsules) :
Oral remedies are the most preferred cramp medicine. These include NSAIDs like Mefenamic acid, Ibuprofen, and Dicyclomine. They work systemically. Once swallowed, the medicine is absorbed into the bloodstream and inhibits prostaglandin synthesis, helping relax the uterine muscles and reducing pain intensity.
Benefits of Oral Remedies
- Systemic and Long-Lasting Relief: Oral tablets act throughout the body, making them effective for moderate to severe menstrual pain involving the lower abdomen, back, and thighs.
- Many oral medicines provide anti-inflammatory and antispasmodic benefits, delivering overall comfort during periods.
- Tablets are portable, easy to use, and give a reliable dose anytime.
- Reliable brands make tablets widely available, affordable, and consistent.
- Combination formulas, like Mefenamic acid with Dicyclomine, target both pain and cramps.
Drawbacks of Oral Remedies
- Gastrointestinal Irritation: NSAIDs may cause acidity, nausea, or discomfort if taken on an empty stomach or long-term.
- Systemic Side Effects: May lead to dizziness, headache, or drowsiness in some users.
Delayed Onset: Tablets take 30–60 minutes to work, so they aren’t for immediate relief. - Not for Everyone: Avoid in those with ulcers, kidney/liver issues, or NSAID allergies.
Drug Interactions: Systemic absorption can interact with other medicines.
B. Topical Remedies (Gels, Sprays, and Roll-Ons)
These are applied over the lower abdomen or back to provide targeted anti-inflammatory and soothing effects. Unlike tablets, they work at the site of pain without entering the bloodstream.
Benefits of Topical Remedies
- Quick Action: Provide noticeable relief within 5–10 minutes of application, making them ideal for sudden cramps.
- Localised Effect: Targeted therapy helps reduce muscle stiffness and surface pain efficiently.
- Reduced Side Effects: Minimal absorption means little stomach or organ impact.
Safe and Easy to Use: These may be especially reassuring if you wish to avoid oral medication and still want effective relief. - Additional Comfort: Ingredients like lavender or peppermint oil provide a calming aroma and gentle warming/cooling sensation.
Drawbacks of Topical Remedies
- Short Relief: Often requires reapplication every few hours.
- Limited Penetration: Not for deep cramps, since the effect is mostly on surface muscles.
- Skin Reactions: Some may get rashes or irritation from menthol or oils.
- Messy Use: Gels or oils can leave residue if not absorbed.
- Variable Absorption: Effectiveness depends on skin type and thickness.
C. Clinical Preference and Combination Use
In clinical practice, the choice between tablets and gels often depends on the intensity of your pain and your own comfort with different treatments.
- For severe internal menstrual pain, oral remedies like Mefenamic acid tablets may be preferred.
- For mild to moderate cramps or muscle stiffness, topical gels or roll-ons, such as Pee Safe Feminine Pain Relief Roll-On or Sirona Pain Relief Patch from Apollo Pharmacy, provide quick, safe comfort.
In some cases, using both an oral medication for whole-body relief and a topical gel for local comfort can offer more complete cramp relief. Always consult with a healthcare provider to find the safest and most effective approach for your needs.