Med List #5: Anti-Inflammatory, Analgesics Flashcards
NSAIDs
aspirin, ibuprofen, naproxen sodium, meloxicam
Steroidal Anti-Inflammatory
methylprednisolone, hydrocortisone
Other Analgesics
acetaminophen, tramadol (C-IV), hydrocodone/APAP (C-II), oxycodone (C-II)
aspirin, acetylsalicylic acid (ASA), (OTC): Brand Name
Bayer Aspirin
aspirin, acetylsalicylic acid (ASA), (OTC): Common Strengths
81mg, 325mg, 500mg, 650mg
aspirin, acetylsalicylic acid (ASA), (OTC): Common Frequency
q4-6h prn
MAX: 4g/day for pain, fever, inflammation
aspirin, acetylsalicylic acid (ASA), (OTC): Indications/Use
- Mild to moderate pain
- Fever
- Inflammation (e.g. arthritis, sprains)
- Heart attack and stroke prevention
aspirin, acetylsalicylic acid (ASA), (OTC): Counseling Tips and Important Info
- Stomach upset
- Take w/ food/milk
- Do not give to children < or = 18 y.o. due to risk of Reye’s Syndrome
- Ringing in ears (tinnitus) w/ high dose
ibuprofen (OTC): Brand
OTC: Advil, Motrin IB
Rx: Motrin
ibuprofen (OTC): Common Strengths
OTC: 200mg
Rx: 400mg, 600mg, 800mg
ibuprofen (OTC): Common Frequency
q4-6h prn
OTC MAX: 1.2g/day
Rx MAX: 3.2 g/day
ibuprofen (OTC): Indications/Use
- Mild to moderate pain
- Fever
- Inflammation
ibuprofen (OTC): Counseling Tips and Important Info
- Stomach upset (possible bleed/ulceration)
- Take w/ food/milk
- Avoid if history of heart problems
naproxen sodium (OTC): Brand Name
OTC: Aleve
Rx: Anaprox, Anaprox DS
naproxen sodium (OTC): Common Strengths
OTC: 220 mg
Rx: IR - 275mg
DS - 550mg
naproxen sodium (OTC): Common Frequency
q8-12h prn
OTC MAX: 660mg/day
Rx MAX: 1650mg/day
naproxen sodium (OTC): Indications/Use
- Mild to moderate pain
- Fever
- Inflammation
naproxen sodium (OTC): Counseling Tips and Important Info
- Stomach upset (possible bleed/ulceration)
- Take w/ food/milk
- Avoid if history of heart problems
meloxicam: Brand Name
Mobic
meloxicam: Common Strengths
7.5mg, 15mg
meloxicam: Common Frequency
QD
meloxicam: Indications/Use
- Moderate to severe pain in adults, typically adjunct therapy with other analgesics
- Osteoarthritis
- Rheumatoid arthritis
meloxicam: Counseling Tips and Important Info
- Stomach upset (possible bleed/ulceration)
- Take w/ food/milk
- Avoid if history of heart problems
methylprednisolone: Brand Name
Medrol
methylprednisolone: Common Strengths
2mg, 4mg, 8mg, 16mg, 32mg
methylprednisolone: Common Frequency
QD
Dose pack: 21 tabs taken over a course of 6 days
methylprednisolone: Indications/Use
- Inflammation
- Asthma exacerbations
- Poison Ivy
methylprednisolone: Counseling Tips and Important Info
- Finish entire course
- Take w/ food/milk to avoid stomach upset
- Take earlier in the day to avoid insomnia
hydrocortisone (OTC): Brand Name
Ala-Cort, Anucort-HC, Instacort 5
hydrocortisone (OTC): Common Strengths
0.1%, 0.2%, 0.5%, 1%, 2.5%
hydrocortisone (OTC): Common Frequency
QD, BID
hydrocortisone (OTC): Indications/Use
- Topical rash and itching (external)
- Inflammation
- Hemorrhoids (rectal)
hydrocortisone (OTC): Counseling Tips and Important Info
Localized burning
acetaminophen (APAP), (OTC): Brand Name
Tylenol
acetaminophen (APAP), (OTC): Common Strengths
325mg, 500mg
acetaminophen (APAP), (OTC): Common Frequency
q4-6h prn
MAX: 3g/day
acetaminophen (APAP), (OTC): Indications/Use
- Mild to moderate pain
- Fever
acetaminophen (APAP), (OTC): Counseling Tips and Important Info
- APAP in many OTC and Rx combo products
- Do not treat hangovers w/ APAP due to potential liver toxicity
tramadol (C-IV): Brand Name
Ultram
tramadol (C-IV): Common Strengths
50mg
tramadol (C-IV): Common Frequency
q4-6h prn
tramadol (C-IV): Indications/Use
Moderate pain
tramadol (C-IV): Counseling Tips and Important Info
- Constipation
- Drowsiness
- Dizziness
hydrocodone/APAP (C-II): Brand Name
Norco, Vicodin, Lortab
hydrocodone/APAP (C-II): Common Strengths
Norco: 5mg/325mg, 7.5mg/325mg, 10mg/325mg
Vicodin: 2.5mg/300mg, 5mg/300mg, 7.5mg/300mg, 10mg/300mg
hydrocodone/APAP (C-II): Common Frequency
q4-6h prn
MAX: 3g APAP/day
hydrocodone/APAP (C-II): Indications/Use
Moderate to severe pain
hydrocodone/APAP (C-II): Counseling Tips and Important Info
- Stomach upset
- Constipation
- Drowsiness
- Consider other APAP counseling tips
oxycodone (C-II): Brand Name
Oxy IR, Oxycontin
oxycodone (C-II): Common Strengths
5mg, 10mg, 15mg, 20mg, 30mg, 40mg, 60mg, 80mg
oxycodone (C-II): Common Frequency
Oxy IR: q4-6h prn
Oxycontin: BID
oxycodone (C-II): Indications/Use
Severe pain
oxycodone (C-II): Counseling Tips and Important Info
- Stomach upset
- Constipation
- Drowsiness
- Do not crush or chew CR tabs