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OTC Analgesics vs Opioids for Pain Management
J Fam Pract. 2022 Jul;71(6 Suppl):S29-S33. doi: 10.12788/jfp.0418.ABSTRACTThe use of opioids in acute pain may be appropriate in some situations, but there are opportunities to reduce exposure to opioids with equally effective monotherapy and combination therapy over-thecounter (OTC) medications. There are a number of OTC analgesics that are readily accessible and costeffective options to treat pain. The American College of Rheumatology Osteoarthritis Guideline "strongly" recommends the use of topical nonsteroidal antiinflammatory drugs (NSAIDs) and oral NSAIDs to treat arthritis pain, and it conditionally recommends again...
Source: The Journal of Family Practice - August 12, 2022 Category: Practice Management Authors: Gary M Ruoff Source Type: research

Opioid prescribing patterns among oculofacial plastic surgeons
ConclusionThis study has helped identify patterns in opioid prescribing behavior among OPS based on demographic information and common oculoplastic surgeries. This knowledge will help bring awareness of prescribing behavior to the oculoplastics community and identify areas of improvement to reduce opioid prescriptions.Kindly check and confirm the OD and ON has been correctly identified in 2nd affiliationYes (Source: International Ophthalmology)
Source: International Ophthalmology - July 22, 2022 Category: Opthalmology Source Type: research

Pharmacotherapy for Spine-Related Pain in Older Adults
AbstractAs the population ages, spine-related pain is increasingly common in older adults. While medications play an important role in pain management, their use has limitations in geriatric patients due to reduced liver and renal function, comorbid medical problems, and polypharmacy. This review will assess the evidence basis for medications used for spine-related pain in older adults, with a focus on drug metabolism and adverse drug reactions. A PubMed/OVID search crossing common spine, neck, and back pain terms with key words for older adults and geriatrics was combined with common drug classes and common drug names and...
Source: Drugs and Aging - June 27, 2022 Category: Geriatrics Source Type: research

Tramadol/Celecoxib (Seglentis) for Pain
Date: April 18, 2022 Issue #: 1648Summary: The FDA has approvedSeglentis (Esteve/Kowa), an oral combination of tramadol hydrochloride, a weak opioid agonist and weak serotonin and norepinephrine reuptake inhibitor (SNRI), and celecoxib, a COX-2 selective nonsteroidal anti-inflammatory drug (NSAID), for use in adults with acute pain that is severe enough to require an opioid and for which alternative treatment options are inadequate. (Source: The Medical Letter)
Source: The Medical Letter - March 8, 2022 Category: Drugs & Pharmacology Authors: admin Tags: Acetaminophen Celecoxib Hydrocodone Opioids Oxycodone Pain Seglentis tramadol Source Type: research

Effectiveness of perampanel in managing chronic pain caused by the complex regional pain syndrome: A case report
This report describes a patient with complex regional pain syndrome (CRPS) type I in the right lower leg and foot who responded well to perampanel, an AMPA receptor antagonist, for managing the chronic pain. Patient concern: A 61-year-old woman complained of pain in her right lower leg and foot over a period of 7 year (numeric rating scale: 8) due to CRPS type I. Diagnosis: CRPS type 1. Interventions: Despite the combination of 300 mg pregabalin, 225 mg/1950 mg tramadol/acetaminophen, and 10 mg nortriptyline per day, her right lower leg and foot were nearly disabled due to the severity of the p...
Source: Medicine - December 3, 2021 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

IJERPH, Vol. 18, Pages 11555: Development and Pilot Use of a Questionnaire to Assess the Knowledge of Midwives and Pediatric Nurses on Maternal Use of Analgesics during Lactation
This study aimed to develop and test a valid questionnaire on the knowledge of analgesics (acetaminophen, ibuprofen, aspirin, tramadol, codeine, oxycodone) during lactation, using a structured, stepwise approach. As a first step, literature was screened to generate a preliminary version consisting of a pool of item subgroups. This preliminary version was subsequently reviewed during two focus groups (midwives: n = 4; pediatric nurses: n = 6), followed by a two-round online Delphi with experts (n = 7) to confirm item and scale content validity. This resulted in an instrument consisting of 33 questions and 5 specific clinica...
Source: International Journal of Environmental Research and Public Health - November 3, 2021 Category: Environmental Health Authors: Ine Janssens Margot Van Hauwe Michael Ceulemans Karel Allegaert Tags: Article Source Type: research

Erector spinae plane block reduces pain after laparoscopic cholecystectomy
CONCLUSION: An ESP block can provide superior postoperative analgesia and reduction in opioid requirement after laparoscopic cholecystectomy.PMID:34661682 | DOI:10.1007/s00101-021-01015-5 (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 18, 2021 Category: Anesthesiology Authors: Vladimir Vrsajkov Nata ša Ilić Arsen Uvelin Radomir Ili ć Mirka Luki ć-Šarkanović Aleksandra Ple ćaš-Đurić Source Type: research

Pharmacologic Therapy for Acute Pain
Am Fam Physician. 2021 Jul 1;104(1):63-72.ABSTRACTPharmacologic management of acute pain should be tailored for each patient, including a review of treatment expectations and a plan for the time course of prescriptions. Acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs) are first-line treatment options for most patients with acute mild to moderate pain. Topical NSAIDs are recommended for non-low back, musculoskeletal injuries. Acetaminophen is well tolerated; however, lower doses should be used in patients with advanced hepatic disease, malnutrition, or severe alcohol use disorder. Nonselective NSAIDs are effe...
Source: American Family Physician - July 15, 2021 Category: Primary Care Authors: Octavia Amaechi Miranda McCann Huffman Kaleigh Featherstone Source Type: research

Pharmacologic Therapy for Acute Pain
Am Fam Physician. 2021 Jul 1;104(1):63-72.ABSTRACTPharmacologic management of acute pain should be tailored for each patient, including a review of treatment expectations and a plan for the time course of prescriptions. Acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs) are first-line treatment options for most patients with acute mild to moderate pain. Topical NSAIDs are recommended for non-low back, musculoskeletal injuries. Acetaminophen is well tolerated; however, lower doses should be used in patients with advanced hepatic disease, malnutrition, or severe alcohol use disorder. Nonselective NSAIDs are effe...
Source: Pain Physician - July 15, 2021 Category: Anesthesiology Authors: Octavia Amaechi Miranda McCann Huffman Kaleigh Featherstone Source Type: research