Eight pain medications fall short in ecological testing, revealing potential environmental concerns.
In the latest issue of Öko-Test (8/25), 20 pain-relieving ointments and gels were put to the test, with the magazine providing valuable insights into their key attributes, concerns, and effectiveness.
Top-Rated Pain-Relieving Ointments
Öko-Test found that natural ointments, such as those containing arnica and harpagophytum, are often the top-rated choices for joint pain. These ointments provide soothing and relaxing effects on joints and muscles without harmful substances. Five of these ointments received the top rating of "very good." One of these five contains the active ingredient Felbinac.
Potential Risks in Pain Ointments
However, not all pain ointments are created equal. Öko-Test found insufficient evidence that camphor helps with pain and inflammation. Moreover, the Federal Environment Agency states that Diclofenac can enter waterways via wastewater, potentially harming aquatic life.
The expert is not convinced of the effectiveness of salicylic acid in pain ointments, and eight pain ointments fail the Öko-Test. Six of these failed ointments use the active ingredient camphor, while one contains salicylic acid, and five contain aromatic mineral oil hydrocarbons (MOAH). Three of these five ointments contain the active ingredient Ibuprofen, and one contains Piroxicam.
Mineral Oil Hydrocarbons (MOAH) and Health Risks
MOAH, found in some pain ointments, may pose health risks. Some MOAH components are classified as potentially carcinogenic or harmful substances that can accumulate in the body and permeate the skin barrier. Five of the bottom-ranked ointments contain MOAH, which may include carcinogenic and genotoxic substances.
Diclofenac and its Risks
Diclofenac, a synthetic anti-inflammatory drug, is effective for joint pain but may cause side effects such as skin irritation or systemic risks if overused. After using ointments containing Diclofenac, users should wipe off the ointment residue with a paper towel before washing hands, and the towel should be disposed of in the regular trash, not flushed down the toilet. Four ointments containing Diclofenac received a satisfactory rating at best in the Öko-Test.
NSAIDs and their Effectiveness
All five active ingredients belong to a group known as NSAIDs (Non-Steroidal Anti-Inflammatory Drugs). NSAIDs are said to significantly reduce pain in acute conditions such as sprains, strains, or overuse injuries. The active ingredient Diclofenac has a well-documented pain-relieving and anti-inflammatory effect. Side effects are rarely expected with these ointments, and even less so than with pain tablets containing the same active ingredients.
In summary, Öko-Test favors natural, certified ointments and warns about risks from mineral oil hydrocarbons and synthetic agents such as Diclofenac in topical joint pain treatments. The magazine's tests provide valuable insights for consumers looking for effective and safe pain-relieving ointments.
Science indicates that natural ointments containing arnica and harpagophytum, often rated highly for joint pain, offer soothing effects without harmful substances. Meanwhile, health-and-wellness concerns should be taken into account when considering pain ointments with potential risks such as camphor, salicylic acid, and mineral oil hydrocarbons (MOAH), which may pose health risks or be ineffective.