Med List 5: NSAIDS, Analegesics

Question 1

Aspirin, acetylsalicylic acid

Answer 1

Brand: Bayer Aspirin

Strength: 81, 325, 500, 650 mg

Frequency: q4-6h prn
Max Dose: 4000 mg/day

Indications:
- mild to moderate pain
- fever
- inflammation (arthritis, sprains)
- heart attack and stroke prevention

Tips:
- can cause stomach upset (bleeding or ulcer)
- take with food/milk
- do not give to children less than 18 yo due to Reye’s Syndrome
- ringing in the ears may occur with high doses

Question 2

Ibuprofen

Answer 2

Brand:
- OTC: advil, motrin
- Rx: motrin

Strength:
- OTC: 200 mg
- Rx: 400, 600, 800 mg

Frequency: q4-6h prn
Max OTC: 1200mg/day
Max Rx: 3200mg/day

Indications:
- mild to moderate pain
- fever
- inflammation

Tips:
- can cause stomach upset (bleeding or ulcer)
- take with food/milk
- avoid if history of heart problems

Question 3

Naproxen Sodium

Answer 3

Brand:
- OTC: aleve
- Rx: anaprox, anaprox DS

Strength:
- OTC: 220mg
- Rx: 275, or 550 for DS

Frequency: q8-12h prn
Max OTC: 660mg/day
Max Rx: 1650mg/day

Indications:
- mild to moderate pain
- fever
- inflammation

Tips:
- can cause stomach upset (bleeding or ulcer)
- take with food/milk
- avoid if history of heart problems

Question 4

Meloxicam

Answer 4

Brand: mobic

Strength: 7.5 , 15 mg

Frequency: qd

Indications:
- moderate to severe pain in adults
- typically added to other therapy
- osteoarthritis
- rheumatoid arthritis

Tips:
- can cause stomach upset (bleeding or ulcer)
- take with food/milk
- avoid if history of heart problems

Question 5

Methylprednisolone

Answer 5

Brand: medrol

Strength: 2, 4, 8, 16, 32 mg

Frequency: qd with dose pack (21 tablets over 6 days)

Indications:
- inflammation
- asthma exacerbations
- poison ivy

Tips:
- finish entire course
- take with food/milk to avoid upset stomach
- take earlier in the day due to insomnia

Question 6

Hydrocortisone

Answer 6

Brand: Ala Cort, Anucort HC, Instacort 5

Strength: 0.1%, 0.2%, 0.5%, 1%, 2.5%

Frequency: qd or bid

Indications:
- topical rash and itching
- inflammation
- hemorrhoids

Tips:
- localized burning

Question 7

Acetaminophen

Answer 7

Brand: Tylenol

Strength: 325mg, 500mg

Frequency: q4-6h prn
Max Dose: 3000mg/day

Indications:
- mild to moderate pain
- fever

Tips:
- watch APAP in OTC and combo products
- do not treat hangovers with APAP

Question 8

Tramadol

Answer 8

Brand: Ultram

Strength: 50mg

Frequency: q4-6h prn

Indications:
- moderate pain

Tips:
- constipation
- drowsiness
- dizziness

Question 9

Hydrocodone

Answer 9

Brand: Norco, Vicodin, Lortab

Strength:
- Norco: 5/325, 7.5/325, 10/325
- Vicodin: 2.5/300, 5/300, 7.5/300, 10/300

Frequency: q4-6h prn
Max Dose: 3000mg APAP/day

Indications:
- moderate to severe pain

Tips:
- stomach upset
- constipation
- drowsiness

Question 10

Oxycodone

Answer 10

Brand: Oxy, Oxycontin

Strength: 5, 10, 15, 20, 30, 40, 60, 80 mg

Frequency:
- Oxy: q4-6h prn
- Oxycontin: BID

Indications:
- severe pain

Tips:
- stomach upset
- constipation
- drowsiness
- do not crush or chew IR tablets