List 5 Anti-Inflammatories, Analgesics, and Muscle Relaxants Flashcards
Aspirin (acetylsalicylic acid, ASA) strengths and dosage form
81, 325, 500, and 650mg tablets
Aspirin (acetylsalicylic acid, ASA) usual strength and frequency for mild to moderate pain, fever, or inflammation
325-650mg every 4 to 6 hours prn
Aspirin (acetylsalicylic acid, ASA) usual strength and frequency for MI and stroke prevention
81-325mg per day
Aspirin (acetylsalicylic acid, ASA) indications
Mild to moderate pain, fever, inflammation, heart attack and stroke prevention
Aspirin (acetylsalicylic acid, ASA) counseling tips
Stomach upset, take with food/milk and water, do not give to children, tinnitus with high doses
Advil and Motrin IB are OTC forms of…
Ibuprofen
What is the Rx only brand of ibuprofen?
Motrin
Advil/Motrin IB (ibuprofen) usual dosage form, strength, and frequency
1 or 2 200mg tablets by mouth every 4 to 6 hours prn
MAX 1200mg/day
Motrin (ibuprofen) usual dosage form and strength
400, 600, or 800mg tablet
MAX 3200mg/day
Ibuprofen indications
Mild to moderate pain, fever, inflammation
Ibuprofen counseling tips
Stomach upset, take with food/milk, avoid if history of heart provlems
Naproxen OTC brand name? Rx brand name?
OTC: Aleve
Rx: Anaprox
Aleve (naproxen sodium) usual dosage form, strength, and frequency
One or two 220mg tablets initially, then one 220mg tablet every 8 to 12 hours prn
MAX 660mg/day
Anaprox (naproxen) usual dosage form and strengths
275mg or 550mg tablet
Celebrex (celecoxib) usual dosage form, strength, and frequency
One 100mg capsule twice a day or one 200mg capsule once a day
Naproxen indications
Mild to moderate pain, fever, inflammation
Naproxen counseling tips
Stomach upset, take with food/milk, avoid if history of heart problems
Celebrex (celecoxib) indications
Mild to moderate pain, inflammation, often chronic
Celebrex (celecoxib) counseling tips
Stomach uset, take with food/milk, avoid if history heart problems
Medrol (methylprednisolone) usual dosage form, strength, and frequency
4mg tablets, taking 4-80mg daily or
dose pack with 21 4mg tablets taken over course of 6 days
Medrol (methylprednisolone) indications
Steroidal anti-inflammatory (asthma, poison ivy, etc.)
Medrol (methylprednisolone) counseling tips
Finish entire course, take with food/milk to avoid stomach upset, may cause insomnia
Tylenol (acetaminophen, APAP) usual dosage form, strength, and frequency
325mg or 500mg tablets, taking 325-650mg every 4 to 6 hours prn
MAX 3000mg/day
Tylenol (acetaminophen, APAP) indications
Mild to moderate pain, fever
Tylenol (acetaminophen, APAP) counseling tips
Do not treat hangovers with APAP due to liver toxicity, in many OTC and Rx combo products
Ultram is…
tramadol, a C IV
Ultram (tramadol) usual dosage form, strength, and frequency
One or two 50mg tablets every 4 to 6 hours prn
MAX 400mg/day
Ultram (tramadol) indications
Moderate to moderately severe pain
Ultram (tramadol) counseling tips
Constipation, drowsiness, dizziness
Norco and Vicodin are…
Hydrocodone/APAP, a CII
Norco (hydrocodone/APAP) usual dosage form, strength, and frequency
One or two 5mg/325mg tablets every 4 to 6 hours prn
MAX 3000mg APAP (9 tabs)
Vicodin (hydrocodone/APAP) usual dosage form, strength, and frequency
One or two 5mg/300mg tablets every 4 to 6 hours prn
MAX 3000mg APAP (10 tabs)
Vicodin/Norco (hydrocodone/APAP) indications
MODERATE to severe pain
Vicodin/Norco (hydrocodone/APAP) counseling tips
Do not treat hangovers with this due to liver toxicity, stomach upset, constipation, drowsiness
Oxycontin is…
Oxycodone, a CII
Oxycontin (oxycodone) usual dosage form, strength, and frequency
One 10, 20, 40, or 80mg CR tablet twice a day prn
MAX individualized
Oxycontin (oxycodone) indications
Moderate to SEVERE pain
Oxycontin (oxycodone) counseling tips
DROWSINESS, stomach upset, constipation, do not crush or chew
Flexeril (cyclobenzaprine) usual dosage form, strength, and frequency
One 5mg or 10mg tablet up to 3 times a day prn
Flexeril (cyclobenzaprine) indications
Muscle spasms
Flexeril (cyclobenzaprine) counseling tips
Drowsiness!, dry mouth
Why is it important to avoid alcohol while taking an anti/inflammatory/analgesic/muscle relaxant?
Will intensify side effects
Anti-inflammatory – stomach upset
Tylenol – liver toxicity
Other analgesics/muscle relaxant – enhance drowsiness