Common Pain Medications

Summary: <br> Acetaminophen. Ibuprofen. Hydrocodone. Ketorolac. Morphine. Hydromorphone.<br> <br> <br> <br> Oral Acetaminophen (Tylenol)<br> <br> <br> <br> * Give every 4-6 hours* Regular strength – 325mg* Extra strength – 500mg* Maximum Daily Dose – 3000mg<br> <br> <br> <br> Oral Ibuprofen (Advil)<br> <br> <br> <br> * NSAID* Give every 4-6 hours* Regular strength – 200mg* Therapeutic Ceiling – 400mg<br> <br> <br> <br> Oral Hydrocodone-Acetaminophen (Vicodin, Norco)<br> <br> <br> <br> * Give ever 4-6 hours* Common doses – 5-325mg, 7.5-325mg, and 10-325mg<br> <br> <br> <br> IV/IM Ketorolac (Toradol)<br> <br> <br> <br> * NSAID* Common dosing – 15-30mg* Therapeutic ceiling – 10mg<br> <br> <br> <br> IV/IM morphine<br> <br> <br> <br> * Classic dose (0.1mg/kg)* This would be 7-10mg in adults!* More COMMON dosing is 4mg* Repeat as needed<br> <br> <br> <br> IV/IM Hydromorphone (Dilaudid)<br> <br> <br> <br> * COMMON dosing – 0.5-1mg * This drug is notorious for bringing you to peer-review/MM conference* Be careful!<br> <br> <br> <br> Contraindications to NSAIDS<br> <br> <br> <br> * Pregnant patients* Elderly patients* Renal disease patients* Cardiac patients* GI/ulcer patients<br> <br> <br> <br> Side Effects of Opiates<br> <br> <br> <br> * Sedation* No driving* Do not mix with alcohol* Do not mix with other sedatives* Constipation* Opiate dependency/addiction<br> <br> <br> <br> Additional Reading<br> <br> <br> <br> * Pain Management In the Emergency Department: A Review <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6548151/">(PubMed)</a>* Myths in EM: The Anti-Inflammatory Properties of NSAIDS <a href="https://www.acepnow.com/article/myths-in-em-the-anti-inflammatory-properties-of-nsaids/">(ACEP Now)</a><br>