#5 Anti-Inflammatory Analgesics Flashcards
BRAND NAME: aspirin, acetylsalicylic acid (ASA) (OTC)
Bayer Aspirin
COMMON STRENGTHS: aspirin, acetylsalicylic acid (ASA) (OTC)
81mg, 325mg, 500mg, 650mg
COMMON FREQUENCY: aspirin, acetylsalicylic acid (ASA) (OTC)
- q4-6h prn
- max: 4000mg/day for pain, fever, inflammation
INDICATIONS/USE: aspirin, acetylsalicylic acid (ASA) (OTC)
- mild to moderate pain
- fever
- inflammation (arthritis, sprains)
- heart attack and stroke prevention
COUNSELING TIPS: aspirin, acetylsalicylic acid (ASA) (OTC)
- stomach upset - possible bleed/ulceration
- take with food/milk
- take with water
- do not give to children < 18 y.o. due to risk of Reye’s Syndrome
- ringing in ears with high dose
BRAND NAME: ibuprofen (OTC)
- OTC: Advil, Motrin IB
- Rx: Motrin
COMMON STRENGTHS: ibuprofen (OTC)
- OTC: 200mg
- Rx: 400mg, 600mg, 800mg
COMMON FREQUENCY: ibuprofen (OTC)
- q4-6h prn
- OTC max: 1200mg/day
- Rx max: 3200mg/day
INDICATIONS/USE: ibuprofen (OTC)
- mild to moderate pain
- fever
- inflammation
COUNSELING TIPS: ibuprofen (OTC)
- stomach upset [possible bleed/ulceration]
- take with food or milk
- avoid if history of heart problems
BRAND NAME: naproxen sodium (OTC)
- OTC: Aleve
- Rx: Anaprox, Anaprox DS
COMMON STRENGTHS: naproxen sodium (OTC)
- OTC: 220mg
- Rx: 275mg, 550mg (DS)
COMMON FREQUENCY: naproxen sodium (OTC)
- q8-12h prn
- OTC max: 660mg/day
- Rx max: 1650mg/day
INDICATIONS/USE: naproxen sodium (OTC)
- mild to moderate pain
- fever
- inflammation
COUNSELING TIPS: naproxen sodium (OTC)
- stomach upset [possible bleed/ulceration]
- take with food or milk
- avoid if history of heart problems
BRAND NAME: meloxicam
Mobic
COMMON STRENGTHS: meloxicam
5mg, 7.5mg, 10mg, 15mg
COMMON FREQUENCY: meloxicam
- QD
- max: 15mg/day
INDICATIONS/USE: meloxicam
- moderate to severe pain in adults, typically adjunct therapy with other analgesics
- osteoarthritis
- rheumatoid arthritis
COUNSELING TIPS: meloxicam
- stomach upset [possible bleed/ulceration]
- take with food or milk
- avoid if history of heart problems
BRAND NAME: methylprednisolone
Medrol
COMMON STRENGTHS: methylprednisolone
2mg, 4mg, 8mg, 16mg, 32mg
COMMON FREQUENCY: methylprednisolone
- QD
- dose pack: 21 tablets taken over a course of 6 days
INDICATIONS/USE: methylprednisolone
- inflammation
- asthma exacerbations
- poison ivy
COUNSELING TIPS: methylprednisolone
- finish entire course
- take with food or milk to avoid stomach upset
- take earlier in the day to avoid insomnia
BRAND NAME: hydrocortisone (OTC)
Ala-Cort, Anucort-HC, Instacort 5
COMMON STRENGTHS: hydrocortisone (OTC)
0.1%, 0.2%, 0.5%, 1%, 2%, 2.5%
COMMON FREQUENCY: hydrocortisone (OTC)
QD, BID
INDICATIONS/USE: hydrocortisone (OTC)
- topical rash and itching (external)
- inflammation
- hemorrhoids (rectal)
COUNSELING TIPS: hydrocortisone (OTC)
localized burning
BRAND NAME: acetaminophen (APAP) (OTC)
Tylenol
COMMON STRENGTHS: acetaminophen (APAP) (OTC)
OTC: 325mg, 500mg
COMMON FREQUENCY: acetaminophen (APAP) (OTC)
- q4-6h prn
- max: 3000mg/day
INDICATIONS/USE: acetaminophen (APAP) (OTC)
- mild to moderate pain
- fever
COUNSELING TIPS: acetaminophen (APAP) (OTC)
- APAP in many OTC and Rx combo products
- do not treat hangovers with APAP due to liver toxicity
BRAND NAME: tramadol (C-IV)
Ultram
COMMON STRENGTHS: tramadol (C-IV)
50mg
COMMON FREQUENCY: tramadol (C-IV)
- q4-6h prn
- max: 400mg/day
INDICATIONS/USE: tramadol (C-IV)
moderate pain
COUNSELING TIPS: tramadol (C-IV)
- constipation
- drowsiness
- dizziness
BRAND NAME: hydrocodone/APAP (C-II)
Norco, Vicodin, Lortab
COMMON STRENGTHS: hydrocodone/APAP (C-II)
- Norco: 5mg/325mg, 7.5/325mg, 10mg/325mg
- Vicodin: 2.5mg/300mg, 5mg/300mg, 7.5mg/300mg, 10mg/300mg
COMMON FREQUENCY: hydrocodone/APAP (C-II)
- q4-6h prn
- max: 3000 mg APAP/day
INDICATIONS/USE: hydrocodone/APAP (C-II)
moderate to severe pain
COUNSELING TIPS: hydrocodone/APAP (C-II)
- stomach upset
- constipation
- drowsiness
- consider other APAP counseling tips
BRAND NAME: oxycodone (C-II)
Oxy IR, Oxycontin
COMMON STRENGTHS: oxycodone (C-II)
5mg, 10mg, 15mg, 20mg, 30mg, 40mg, 60mg, 80mg
COMMON FREQUENCY: oxycodone (C-II)
- BID PRN
- max: individualized
INDICATIONS: oxycodone (C-II)
severe pain
COUNSELING TIPS: oxycodone (C-II)
- stomach upset
- constipation
- drowsiness
- do not crush or chew CR tablets