Top 200 drugs

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Author:
dholland223
ID:
169990
Filename:
Top 200 drugs
Updated:
2012-09-10 02:25:46
Tags:
top 200 drugs q1 pain factoids class use
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Description:
Top 200 drugs q1 pain factoids class use
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  1. GI bleeding risd
    NSAIDs and oral corticosteroids
  2. Mild Pain
    • Non-opioids
    • Aspirin
    • Acetaminophen
    • NSAIDs
  3. Moderate pain
    • NSAIDs
    • Acetaminophen + codine, hydrocodone, or oxycodone
    • NSAID or anticonvulsant (pregabalin, etc)
  4. Severe pain
    • Oxycodone, Morphine, Methadone, Fentanyl
    • adjuvants (NSAIDs, anticonvulsants)
    • Topical
    • ALL MEDS AROUND THE CLOCK
    • sustained release, immediate for break-through
  5. Skeletal muscle relaxants
    Acute pain only
  6. Corticosterioid side effects
    • Immunosuppression/infection
    • Adrenal suppression
    • GI bleed/ulceration
    • Fluid retention/wt gain
    • Electrolyte changes
    • Glucose intolerance
    • Heart failure risk
    • RESERVED FOR SERIOUS INFLAMMATORY STATES
  7. Anti-epileptics
    • (eg. pregabalin)
    • adjuvant for neuropathy:
    • Diabetic neuropathy
    • Fibromyalgia
    • Post herpetic neuralgia
    • Trigeminal neuralgia
  8. NSAID Risks
    • Na+ and water retention
    • GI bleeding risk
    • -60yr +
    • -peptic ulcer history
    • -concomitant corticosteroid/duplicate NSAID
    • -aspirin, warfarin
    • -hemophilia
    • -SSRIs, alcohol, oral biphosphonates
  9. hydroxychloroquine (Plaquenil) use and risk
    SLE/Lupus symptoms

    RETINOPATHY RISK
  10. fentanyl (Duragesic, Sublimaze)
    • Q72H
    • Cover with immediate release initial 18 hrs q3H and prn
  11. Opioid side effects
    • Nausea and vomiting
    • Itching
    • Sedation
    • Constipation - no tolerance developed
    • softener + stimulant (docusate + senna)

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