pharmacological management of pain

Question 1

all NSAIDs can increase risk of

Answer 1

MI, stroke

Question 2

can lower the risk of a GI bleed with

Answer 2

PPI

COX-2

Question 3

intermediate elimination NSAIDs

Answer 3

• naproxen

- diflunisal

Question 4

2 classes of antispasmodics

Answer 4

nonbenzos

benzos

Question 5

class of antispasticity

Answer 5

baclofen

botulinum toxin

Question 6

what can a low dose TCA treat

Answer 6

treat sleep cycle disturbances

Question 7

to relieve stabbing pain
steady pain
skin sensitivity
can use

Answer 7

Antidepressants

Question 8

what is approved for fibromyalgia and low back pain

Answer 8

Duloxetine -

SNRI

Question 9

which antidepressant has no evidence for reducing pain

Answer 9

trazadone

tetracyclic antidepressant

Question 10

duloxetine has a C/I if

Answer 10

creatinine levels CrCL < 30

Question 11

general C/I for antidepressants

Answer 11

glaucoma
prostate hypertrophy
long QT
liver function impairment

Question 12

neuropathic pain can be treated with

Answer 12

antidepressants
anticonvulsants
gabapentinoids/TCAs/SNRIs

Question 13

for mild to moderate pain first line opioid is

Answer 13

codeine or tramadol

Question 14

for mild to moderate pain second line opioid is

Answer 14

morphine, oxycodone or hydromorphone

Question 15

prostate hypertrophy
MI
Creatinine> 30, kidneys bad
glaucoma
 or liver function impairment what can you give?

Answer 15

• watch our for TCAs -

- watch out for duloxetine

Question 16

carbamazepine C/I

gabapentin C/I

Answer 16

hepatotoxicity

kidney problems