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But different painkillers work better for different types of pain. For pain associated with inflammation, such as back pain or headaches, paracetamol and anti-inflammatory painkillers work best.If the pain is caused by sensitive or damaged nerves, as is the case with shingles or sciatica, it is usually treated with tablets that are also used for epilepsy and depression.ach of these tablets can also be used to treat pain caused by nerve sensitivity or nerve damage, such as shingles, diabetes nerve pain and sciatica. You donât have to have depression or epilepsy for these tablets to help your nerve pain. Amitriptyline and gabapentin both have to be prescribed by a GP.
Quick Answer. The strongest narcotic painkiller is fentanyl, which is approximately 70 to 100 times stronger than morphine when given intravenously, states RxList. This medication may be used for the treatment of severe pain associated with cancer, notes the National Institutes of Health's MedlinePlus. Continue Reading.