Analgesic
Analgesic
search
Analgesic
, Pain Medication, Anodyne
See Also
Acute Pain Management
Chronic Pain Management
Pediatric Analgesic
s
Chronic Narcotic Guideline
Analgesic Medications in Pregnancy
Medication Dosing Errors in Children
Cancer Pain Medications
Preparations
Non-Opioid Analgesics
Acetaminophen
Nonsteroidal Anti-inflammatory
(
NSAID
)
See
NSAID Gastrointestinal Adverse Effects
See
NSAID Renal Adverse Effects
COX2 Selective NSAID
(e.g.
Celecoxib
)
Acetic Acid NSAID
Partial cox2-selective (e.g.
Etodolac
,
Nabumetone
)
Indoles (e.g.
Indomethacin
,
Sulindac
)
Pyrrolo-pyrroles -
Parenteral
NSAID
s (e.g.
Ketorolac
)
Fenamate NSAID
Anthranilic Acid (e.g.
Meclofenamate
)
Acetic Acid (e.g.
Diclofenac
)
Oxicam NSAID
(e.g.
Meloxicam
,
Piroxicam
)
Propionic Acid NSAID
(e.g.
Ibuprofen
,
Naproxen
)
Salicylate
s (e.g.
Aspirin
)
Topical Analgesic
Topical NSAID
(
Diclofenac
)
Lidocaine Patch
(
Lidoderm
)
Capsaicin
Corticosteroid
High potency, high antiinflammatory and long acting agents
Betamethasone
Dexamethasone
Moderate potency, moderate antiinflammatory and medium duration agents
Methylprednisolone
Triamcinolone
Prednisolone
Prednisone
Low potency, low antiinflammatory and short duration agents
Hydrocortisone
Cortisone
Preparations
Opioid Analgesic
s
See
Opioid Prescribing Quantity
See
Opioid Prescription in Acute Pain
See
Opioid Adverse Effect Management
See
Narcotic Overdose
Precautions
See
Emergency Department Pain Management
See
Acute Pain Stepped Oral Analgesics
Non-
Opioid
s are preferred for acute pain
When
Opioid
s are used for acute pain, limit to 3 days in most patients, and <7 days in almost all patients
Avoid
Chronic Opioid
s in non-
Cancer Pain
Opioid
s
Weak
Opioid
s
Codeine
(avoid)
Hydrocodone
(or in combinations,
Vicodin
, Lorcet, Vicoprofen)
Tramadol
(
Ultram
)
Strong
Opioid
s (WHO Step 3)
Oxycodone
(or in combination,
Percocet
)
Hydromorphone
(
Dilaudid
)
Morphine Sulfate
(
MSIR
,
MS Contin
)
Fentanyl
Methadone
(Dolophine)
Opioid
Agonist
-
Antagonist
Buprenorphine
Butorphanol (Stadol)
Nalbuphine (Nubain)
Pentazocine (Talwin)
Opioid
Antagonist
Naloxone
Naltrexone
Gastrointestinal Opioid Antagonist
(e.g.
Movantik
,
Methylnaltrexone
,
Symproic
,
Alvimopan
)
Preparations
Muscle
Relaxants
Skeletal Muscle Relaxant
Cyclobenzaprine
(
Flexeril
)
Methocarbamol
(
Robaxin
)
Carisoprodol
(
Soma
)
Chlorzoxazone
(
Parafon Forte
)
Metaxalone
(
Skelaxin
)
Orphenadrine
(
Norflex
)
Antispastic Skeletal Muscle Relaxant
Dantrolene
(
Dantrium
)
Baclofen
(
Lioresal
)
Tizanidine
(
Zanaflex
)
Protocol
Approach to acute pain in adults
See
Acute Pain Management
See
Pediatric Analgesic
s
See
Acute Pain Stepped Oral Analgesics
References
Sachs (2005) Am Fam Physician 71(5): 913-8 [PubMed]
(2000) Med Lett Drugs Ther 42:73-8 [PubMed]
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