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Baclofen
Initial: 5mg po tid; increase by 5mg per dose every three days Max daily dose: 80mg/d
Carisoprodol
250-350 mg po tid
Codeine
15-60 mg po q4h. Do not exceed 4000 mg of Tylenol
Cyclobenzaprine
Initial: 5mg po tid, may titrate up to 10 mg po tid for 2-3 weeks (IR)
Initial 15 mg po daily may titrate up to 30 mg a day
Fentanyl
One patch every three days (up to 100mcg/h), may remove after two days and replace with new patch
Hydrocodone
10mg bid, may titrate to response
Methadone
2.5 mg po q8h-q12h may titrate to the response. (usual range 80-120 mg/d)
Methocarbamol
1500 mg po qid qid for 2-3 days. Max of 6000mg.
Celecoxib
100-200 mg po bid or 400 mg qd
Diclofenac
IR - 18-50mg po tid. ER Max of 200 mg/d
Ibuprofen
OTC max 1200 mg/d. Rx: 3200 mg/d in three or four doses.
Meloxicam
15mg/d
Morphine
10-20 mg bid
Naproxen
Max 1000 mg/d (ER), 250-550 mg bid is max for IR
Oxycodone
5-15 mg po q4-6h. ER is 10 mg po q12h
Tizanidine
2 mg po tid up to 8mg qid Max is 32 mg/d
Sumatriptan
Max: 200mg/d (up to 100mg a dose every 2 hours as needed for migraine). 40mg/d nasal. SubQ is 12mg/d. Transdermal is 2 patchs/d.
Tramadol
50mg po q4-6h. May go up to 400 mg/d. ER: 100mg po daily. May go up to 300 mg/d
buprenorphine/naloxone
12-16 mg qd sublingual. Titrate up to 4-24 mg/d