pain medications

from ATI pain management module

acetaminophen indications

minor aches, pains, fever

acetaminophen adverse effects

liver injury from overdose

ibuprofen indications

mild-moderate pain, arthritis, menstrual pain, fever

ibuprofen adverse effects

GI upset, bleeding

aspirin

headache, mild pain, inflammation, fever; in low doses suppresses platelet aggregation

aspirin adverse effects

GI upset, bleeding; renal impairment with excessive use

ketorolac indications

moderate-severe pain; short-term use only

ketorolac adverse effects

GI upset, bleeding, renal impairment

celecoxib indications

arthritis, acute pain, menstrual pain

celecoxib adverse effects

GI upset, abd pain, possible cardiovasc effects

adjuvants- anticonvulsants

carbamazepine, Clonazepam, gabapentin

adjuvants- antidepressants

duloxetine, amitryptiline

adjuvants - corticosteroids

dexamethasone, prednisone

adjuvants - anticonvulsants - considerations

used for chronic neuropathic pain, requires blood level monitoring for titration, may require multiple trials

adjuvants - antidepressants - considerations

used for chronic neuropathic pain, may require multiple trials

adjuvants - corticosteroids - considerations

used for anti-inflammatory effect, cannot be given simultaneously with NSAIDs

morphine

moderate to severe pain

butorphanol

moderate to severe pain

oxycodone

moderate to severe pain

codeine

cough, mild-moderate pain

hydrocodone

moderate pain

hydromorphone

severe pain

fentanyl

severe pain