Treatment of Pain Flashcards
Most dental pain can be relived by what drugs? (2)
- NSAIDs
- Paracetamol
What is the general rule of providing pain relief to a patient?
Provide temporary relief (usually for about 1 to 7 days) until the cause is controlled
Which patients may request prescription for paracetamol for no charge? (3)
- Elderly
- Children
- People on benefits
What is considered to be the most effective and safest analgesic?
Paracetamol
What is the maximum daily dosage for paracetamol?
1 g every 4-6 hours maximum 4 doses in 24 hours
When would you consider reducing paracetamol dosage in a patient? (3)
What dosage would be recommended?
- Hepatic impairment
- Alcoholics
- Underweight (less than 50kg)
- 2-3g per day
Why is it recommended to take NSAIDs after food?
Reduce gastric side-effects
What is the first choice NSAID for pain relief?
Ibuprofen
What is the usual adult ibuprofen dosage?
400 mg tablets four times a day
What is the age you can give aspirin?
Over 16
What type of drug is Dihydrocodeine?
What does it act on?
Moderate opioid which acts on the CNS
When is Dihydrocodeine prescribed?
Use only if paracetamol plus ibuprofen inadequate
What are some potential side effects of Dihydrocodeine? (3)
- Severe constipation
- Nausea
- Depresses respiratory function in overdosage
Why should you reduce dosage of Dihydrocodeine in the elderly? (3)
- Avoid sedation
- Avoid confusion psychosis
- Avoid respiratory failure
Combination of which two drug types can provide greater pain relief?
- Opioid
- Non-Opioid
